How It Works

A small incision is carefully made across the columella (the narrow strip of skin between the nostrils). This external incision allows Dr Marco to lift the skin and provide direct, unobstructed visibility to the underlying nasal bone and cartilage structures for precise reshaping.

Key Benefits

• Maximise Precision: Offers the surgeon clear and direct access, facilitating highly accurate and detailed reshaping, especially for complex cases.
• Comprehensive Correction: Suitable for significant aesthetic changes or complex functional corrections, as it allows for extensive modification.
• Improved Symmetry: The clear view can help the surgeon make adjustments that helps enhance nasal balance and proportion.

Considerations

• Involves a small external incision on the columella, though it typically heals discreetly.
• May involve slightly more swelling and a longer initial recovery period compared to closed techniques.

Who It’s For

• Patients requiring significant reshaping of the nasal bridge, tip, or overall structure.
• Individuals needing extensive functional correction of internal nasal passages.
• Those undergoing revision rhinoplasty where detailed access is necessary.

How It Works

All incisions are made entirely inside the nostrils, meaning there are no external incisions or visible scars on the columella. Through these internal incisions, Dr Marco gently lifts the soft tissues to access and reshape the bone and cartilage.

Key Benefits

• No Visible External Scars: All incisions are hidden within the nostrils, making it a preferred choice for patients concerned about visible marks.
• Potentially Faster Recovery: Generally associated with less swelling and a potentially quicker initial healing period compared to open techniques.
• Preserves Nasal Structure: Less disruption to nasal tissues during access, which can be beneficial for certain cases.

Considerations

• Offers a more limited view of the underlying nasal structures compared to open rhinoplasty.
• More suitable for minor to moderate modifications rather than extensive reshaping.

Who It’s For

• Patients seeking subtle to moderate changes to their nose’s shape or size.
• Individuals prioritizing the complete absence of external scars.
• Those with specific minor irregularities that can be addressed internally.

How It Works

Preservation Rhinoplasty is a surgical technique that reshapes the nose while keeping much of its natural anatomy intact. Instead of removing the nasal hump and rebuilding the bridge, the technique lowers or modifies the dorsum from underneath often through “push-down” or “let-down” methods while preserving bone, cartilage, and surrounding soft tissue. By maintaining these natural structures, preservation rhinoplasty may help achieve a smoother nasal profile with less disruption to function.

Key Benefits

• Natural contour: By maintaining more of the nose’s original structure, this approach may help create a more natural look.
• Conservative recovery: Some patients may experience less swelling and bruising compared to traditional techniques, though recovery varies.
• Structural support: Preserving bone and cartilage can help maintain long-term nasal stability.
• Breathing function: This technique helps preserve the natural nasal framework, which may support normal breathing after surgery.

Considerations

• More suited for first-time nose surgery patients with a moderately prominent nasal bridge and straight anatomy; less ideal for those with prior surgery, severe asymmetry, or complex structural concerns.
• As with any surgery, potential risks include irregularities, recurrence of a nasal hump, or asymmetry thus careful assessment and surgeon expertise are essential.

Who It’s For

This technique may be considered by patients who:

• Prefer a more conservative approach that maintains natural structures.
• Are seeking subtle refinement of their nasal profile rather than dramatic change.
• Value both aesthetic balance and preserved breathing function.

How It Works

This specialized surgical procedure is performed to correct or refine the outcomes of a previous nose surgery. It involves re-assessing the nasal structure, identifying residual aesthetic or functional concerns, and then meticulously reshaping the nose to achieve the desired improvements. It can be performed using either an open or closed approach, depending on the complexity.

Key Benefits

• Corrective Solution: Addresses unsatisfactory results, asymmetry, or breathing issues from prior surgeries.
• Improved Aesthetics & Function: Aims to achieve a more harmonious and natural-looking nose, while also resolving any functional impairments.
• Personalised Strategy: Tailored approach to repair and refine

Considerations

• Can be more complex and challenging than primary rhinoplasty due to altered anatomy and scar tissue.
• May involve a longer recovery period depending on the extent of correction needed.
• Required greater surgical expertise.

Who It’s For

• Patients who are dissatisfied with the results of a previous rhinoplasty.
• Individuals experiencing new or persistent breathing problems after a prior nose surgery.
• Those seeking refinement or correction of specific irregularities from an earlier procedure.