





The Nose has a unique place in determination of Self-Image.
Why does the Nasal Appearance matter so much to some … more than others ?
In my experience if a new patient is not an ideal candidate for Rhinoplasty … it is often difficult to dissuade that person from undergoing cosmetic Nasal Surgery … it is however possible to discuss the safety and predictability issues if enough time is spent discussing these with the person seeking Rhinoplasty. I never shy away from requesting professional opinion regarding safe candidacy of a patient to safeguard my patients interests. Over the last ten years my patient-counselling has increasingly included a close relationship with the Adult and Child Psychiatrists. Although it adds an extra expense to the evaluation process, most patients recognise its value and respect our ethos of keeping the patient interest above every other consideration.
Morphing of Digital Images is a very useful tool that has a central position in my consultation process. It is only used to establish goals while making sure that the images are not considered to be the promised result.
It helps establishing realistic goals and allows great communication with the patient.
Rhinoplasty is a surgery I take very seriously. It is often said that most patients benefit from the surgery. It is generally true but then how many dissatisfied patients are acceptable ? In my view … None !
Is that possible?
Every Rhinoplasty Specialist must strive for that goal … Honest and clear evaluation of results and sharing these with my patients … at every stage is vital for me. A revision surgery rate of about 4 % in my practice suggests to me that our ongoing appraisal by me and my patients over the years … has helped us in knowing exactly where we stand.
How long should one follow the Rhinoplasty patient? The lesson I learnt From Bobby Simon in 1996, Mount Sinai Manhattan NY Workshop was … For Ever !!! Only then the surgeon will know that he has performed a surgery with long-term good results.
Is your patient happy and engaged enough in the process to keep returning over years ?
They do if they trust you and appreciate your ongoing efforts … and if the reviews are free 🙂
I started my Blog “The Nose Clinic” exactly four years back on the 1st of January 2011.
I am delighted with the achievements … because the ground covered in these four years is far beyond what I had proposed and hoped for … in my opening post.
So we had realistic goals ! and … that is how it should be !!
The Blog has been visited by 92,750 international visitors in these last years and has helped me spread the message that there is an Ethical, Carefully structured Caring journey available in Ireland for anyone interested in Rhinoplasty. There is Guidance available to those where the candidature may be in doubt. There is an Ear available to listen to those … who have been traumatised with or without past surgical experiences.
The role as Irelands National Delegate to the European Academy of Facial Plastic Surgery (EAFPS) has increased my interaction with similar minded teachers from Europe and beyond. This is the most important development of 2014 and has allowed me to grow as a Rhinoplasty Specialist at an exponential rate.
I have so far confirmed my attendance at Rhinoplasty Meetings in Milan, Prague, Chicago & Cannes in 2015. I will be attending the European meetings as an Invited Speaker. These are valuable fora to communicate and improve our skills and forever move towards safe and satisfactory outcomes in Rhinoplasty Surgery.
We plan to start our own Irish Rhinoplasty Meeting under the umbrella of the Royal College of Surgeons (RCSI).
Morphing in Rhinoplasty refers to a technique of manipulating digital photographs of a patient aspiring for a Rhinoplasty surgery.