Your Nose,
Our Passion.

A primary rhinoplasty is a nose that has not been operated on before. That gives us a clean canvas, and it gives me the best chance of producing a nose that sits in balance with the rest of your face.

The work starts with looking, talking and listening, often across more than one consultation. Photographs are taken and simulated, so you can see what is realistically achievable before agreeing to surgery. The plan that goes into theatre is the plan we have agreed together.

In the operation itself the goal is restraint. Bone and cartilage are altered carefully, not removed wholesale. The aim is a nose that looks like it has always belonged to you, with the function preserved or improved.

A revision rhinoplasty is operating on a nose that has already had surgery, often elsewhere. It is the most technically demanding work I do.

Scar tissue from the first operation makes the second one harder. The original anatomy is gone, the tissue planes are different, and the room for error is small. Often there is little septal cartilage left to rebuild with, lost to previous resections, and no amount of skill replaces tissue that is gone. I will not promise you the result you were promised the first time. I will tell you, after examining you, what is realistic.

Many revision patients arrive anxious, having been let down. Time at the front end of the consultation is spent on that, not on the surgery itself. I would rather decline a case I cannot improve than take on one I cannot fix.

Most noses are not purely cosmetic problems, and they are not purely breathing problems. They are both. A functional septorhinoplasty addresses the septum, the wall inside the nose, and the outside of the nose in one operation.

My background as an ENT surgeon matters here. Straightening a deviated septum is something I have done from the start of my career, and rhinoplasty was built on top of that foundation. The two skills are rarely taught together in the way they should be.

Combining them means one operation, one recovery, and a result that improves how you look and how you breathe at the same time.