Dr Yannis: Of course! The nose is structured into three main sections; the upper nose is made up of bone (nasal bone), and then we have the upper lateral cartilage and the lower lateral cartilage. Rhinoplasty can effectively change all three areas of the nose alongside the skin, cartilage and bone. The technique of which will be determined during your consultation with me. However, before performing any Rhinoplasty, I always try to assess which would be the best way to help you achieve your goals, this means that I have to consider many factors, such as your facial anatomy and if there are any limitations that could inhibit me from achieving them for you.
Dr Yannis: Yes. No nose is the same so no Rhinoplasty is the same – a one-size-fits-all approach is redundant. Surgery is a bespoke experience. So when I look a a nose, whether it is a wide nose, or has a prominent projection, I think about whether I should perform it using an open or closed technique.
An open surgical approach involves making incisions on the underside of the upper lateral cartilage, so often Alar Reductions, are performed in this way as I can alter the main structure of the nose and make a more dramatic difference.
While closed surgery means I will make an incision inside the nostril, this has many benefits such as no external scarring, but this approach is not always suitable for everyone. A Closed Rhinoplasty, also known as an ultrasonic rhinoplasty, involves using a precise tool called a Piezo that emits ultrasonic energy to sculpt the bone atraumatically.
Dr Yannis: It just comes down to experience. Rhinoplasties are one of the procedures I perform on a weekly basis, and have done for over 20 years.
Also, as there are a range of Rhinoplasty available at the 111 Harley St. clinic. I use my experience and training in the most advance techniques to determine the type that would best suit your goals and expectations accordingly.
Dr Yannis: While a Wide Nose Rhinoplasty isn’t exactly a medical term, it is nicknamed as such by those who want to narrow wide noses. This is a type of to reduces the overall size and volume of the nose, often by reducing the size of the nostrils. It harmonises any irregularities or bumps along the bridge of the nose and dramatically improves the proportions. It’s a process that involves changing the bone structure at the top of the nose and seperating the structure into smaller areas.
This means that I can re-configure the overall size and position of the nose – a process called osteotomy which involves altering the upper nasal bones to narrow the nasal bridge.
Dr Yannis: Again this isn’t a true medical name but helps patients in their research. This is often referred to as a ‘Tiplasty’ or Tip Refinement, which focuses on only reshaping the tip of the nose. This rhinoplasty option is considered for those with wide or bulbous noses. Reducing the size of the nostrils or nasal tip can improve the appearance overall.
Similarly, being conducted through an open or closed rhinoplasty, this option alone or alongside a Wide Nose Rhinoplasty can see the most considered differences.
“Rhinoplasty is one of the procedures I am known for and one that I enjoy a lot. My reputation is built upon my patients and their success stories – and how happy they are with the results.”
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