Thirty years ago a rhinoplasty took too much away. I cannot go through another disaster emotionally.

Your questions answered by our surgeon, Lucian Ion, FRCS(Plast)

Asked on 26 October 2010

Question

30 years ago a rhinoplasty took too much away. It is deviated to the left, has a sunken bridge, and longer nostril length on the right side, giving me a pinocchio appearance. Also I find it hard to breath at night easily.

I have consulted Mr Saxby from Exeter, but I feel unsure about whether he would be the most appropriate surgeon to undertake correcting this.

Can you please give me some advice. I cannot go through another disaster emotionally or mentally and yet need to have this misshapen nose corrected pretty soon.

Answer

As a general approach, I tend to use computer imaging and procedure planning, and I would look at how much change you entertain, and how much tissue and support is missing. In some instances, cartilage from inside the nose is sufficient for the repair, in other instances it may be necessary to use cartilage from a rib to make good of the defect, as you can see in some of the images on the website.

I am aware that Mr Saxby has a very good reputation as a plastic surgeon, although I do not know him personally.

In terms of the choice of surgeon, you are the only one that can make the decision, and this is based on your consultation and any additional information that you have regarding the person.

Mr Lucian Ion FRCS(Plast)
129 Harley Street
London
W1G 6BA