Rhinoplasty

Many new terms of language, once buried within the deeply technical world of rhinoplasty surgeons, have entered the public domain and become a part of the rhinoplasty consultation. Language such as “let down”, “push down”, “preservation”, and “hybrid”, have become part of the rhinoplasty consultation with patients who have, in many understandable ways, over – researched. These terms have replaced the questions once asked about “open rhinoplasty” versus “closed rhinoplasty”.The key questions for both patient and surgeon are; ‘Where are we going with this?’, ‘What do we want to achieve?’, “Are we agreed on the priorities here?’ The discussion which flows from that is: “Can these aims be reasonably achieved?”, and, “Do we have the techniques in rhinoplasty surgery to do this?’ The more challenging discussion is often: “Are these aims reasonable?”, “How would we react if expectation is not met?”

The value of the 3-D planning exercise is as much in the conversation it stimulates as it is the excitement of shaping the digital nose on the digital face. This conversation is where the understanding between surgeon and patient is developed. In rhinoplasty almost more than any other facial surgical field, the “analytics phase” is key, and is part of the professional pleasure.

Not all analytics have to be digital, sometimes simple photography, armed with a soft lead pencil (the ‘sketch exercise”) can do the trick – but the key is the ability to connect between patient and surgeon to understand the goals, the tools to achieve them, and the potential challenges along the way. Without the trust; the skills, the sophisticated techniques, and the modern technology of rhinoplasty, have little value.

At the Jonathan Britto clinic we use cutting edge ultrasonic, piezoelectric technology which improves upon the accuracy of the ‘chisel and hammer’ approaches of old. The piezo technique uses high-speed sound waves to vibrate tiny cutting and shaving tips that offer precise, accurate removal and remodelling of bone and cartilage without injuring soft tissues. With the millimetre accuracy of the cutting edges that the Piezo offers, accuracy increases, the risk reduces, and recovery is made faster.

Rhinoplasty anaesthesia is a specialised discipline of anaesthetics, and Johnathan’s anaesthetic team are highly expert. With hundreds of rhinoplasty patients successfully treated, we have the evidence that points to comfort, and rapid recovery. The rhinoplasty surgery requires a “blood free field” for visibility and accuracy in highly delicate work. The combination of anaesthetic technique and surgical accuracy still makes for the best outcomes.

There will be no coughing, no rise in blood pressure, no nausea, and no pain or discomfort. This is a first-class experience, which alleviates anxiety and increases choice for patients.

The day case general anaesthetic technique is so well honed that the majority of our patients request a day-case surgery. These are choices that the modern rhinoplasty patient can make, for comfort and safety, and convenience.