Top Rhinoplasty New Moat St Davids Surgeon


Rhinoplasty – Improve The Proportion And Appearance Of Your Nose

Rhinoplasty, also known as nose job or nasal reshaping, is the process of enhancing the nasal contour with the help of plastic surgery. People may go in for rhinoplasty for cosmetic reasons or for functional reasons. Irrespective of the reason, the process involves reshaping the nasal cartilage or nasal bone in order to produce a natural nasal contour that not only beautifies the face, but also enhances the nasal functionality. The surgery is performed under general anesthesia, and patients may resume work within 7-10 days of the surgery, however, full physical activity can be resumed after a month or so.

The surgeon should have complete understanding of the facial anatomy as well as aesthetic sense to achieve a nose that is better proportioned and has a more pleasing contour. The surgeon has to work quite skillfully and artistically to remove the cosmetically unnecessary skeletal tissues and apply structural grafts or implants. There are a few anatomic considerations that might limit the extent of cosmetic change, and these considerations include skin thickness, skeletal size, and available blood supply, in addition to functional limitations and long term durability. The surgeon must have surgical understanding of rhinoplasty and mastery on the techniques too.

A patient who has complaints with nasal appearance or breathing and has realistic expectations from the treatment is a good candidate for rhinoplasty. An expert surgeon would listen to all concerns of the patient and educate him/her and give a feel of what he/she would be going through. A rhinoplasty specialist would endeavor to create a natural and improved nose, rather than creating the perfect nose. One may ask the surgeon for before and after photographs of previous patients as this can help in getting an idea of what the surgeon is capable of.

A reputed rhinoplasty surgeon would perform the surgery in the state-of-the-art plastic surgery center. After the procedure, some patients may express some discomfort; It is mainly due to the obstruction from gauze wicks in each nostril, but then, these are removed the following day of the surgery, and so, this problem is resolved.

As far as the cost of the procedure is concerned, the total cost depends on the work that needs to be done, although, it is not recommended to emphasize on cost savings when dealing with one’s own face. Before one schedules his/her rhinoplasty, it is advisable to contact the health insurer and discuss the possibilities of the procedure being covered.

Sky News interviews Dr. Julian De Silva about Patient Safety in Cosmetic Surgery

Dr. Julian De Silva interviewed on Sky News on patient safety in cosmetic surgery.
Sky News review the growth of the cosmetic industry over the past decade and the case for further cosmetic surgery regulation.
Dr. De Silva performs cosmetic procedures on the face only, including eyelid surgery (Blepharoplasty), nose reshaping (Rhinoplasty), face and neck lift surgery (Rhytidectomy).
Review of facial cosmetic surgery safety.

Transcript of Sky News interviews Dr. Julian De Silva about Patient Safety in Cosmetic Surgery

Dharshini: In here at the Gherkin is Dr. Julian De Silva a Cosmetic Surgeon with 2 practices in London. It’s great to have you with us tonight Dr. De Silva.
Dr. Silva: Thank you.
Dharshini: First of all give us an idea about the size of your business and the kind of procedures which are very popular.
Dr. Silva: So I specialize very much in the face. So the 3 principle areas that I help patients with are eyelids and blepharoplasty, nose reshaping rhinoplasty and the face and neck lifting, those techniques. I can tell you just specializing in that one area in the body it requires a great deal of skill and technique in order to keep up to date with all the advances. There’s continual evolution in medicine. Where we were 5, 10 years ago is not where we are today. As your graphics illustrated the cosmetic industry has changed dramatically in the last 10 years. Non-surgical treatments, Botox and fillers, were not nearly as accessible, and many didn’t even exist 10 years ago. This is a continual evolution.
Dharshini: Do you think that regulation therefore is the answer here?
Dr. Silva: Well, I think the unfortunate women that you’ve shown in your story, and that’s definitely a tragic story. The reality is that she’s really a minority, and there’s a great deal of many many happy patients who’ve had non-surgical treatments that are both safe, have given a good result. Patients actually come back for even more treatments. Because Botox and fillers although they are treatments that are very effective, they often have a relatively short duration. So after 6 to 12 months many of those treatments need repeating. The proof is there. If patients were not genuinely happy with their treatments, they wouldn’t keep coming back for further treatments.
Dharshini: But it’s more than being happy, isn’t it? I mean we saw there the extreme damage and distress that have been inflicted upon that patient. And you know we all hear about Botox parties, and less than qualified practitioners, that we’d say, who set up on their own and offer fillers. A lot of these fillers we’re not entirely sure about their safety. I mean you only have to look at breast implants scandal to see that. So surely there must be a need for more here.
Dr. Silva: I think you’re absolutely right. I think when we look at things what this is really about, it’s about individual people. It’s about patients and safety should always come first before anything else. It’s easy to get distracted about that looking at market figures, looking at glamorised TV shows. But actually it’s a very individual decision to have any kind of treatment. I know that with every patient I treat I spend more than 2 hours with every patient before I contemplate doing surgery on them. That’s so I really know exactly what they want, what that patient’s expectations are, and also give them an idea of what those risks are. If I was to give you one example, eyelid surgery, or also known as blepharoplasty is the most common cosmetic surgery in the world. Dharshini: Yes.
Dr. Silva: It’s regarded as a relatively safe procedure. However, there is a tiny chance, a less than 1% chance of blindness after blepharoplasty. I tell every individual patient that there is a tiny risk of this happening. Of course there are steps you can take to reduce this, to minimize it. However, at the end of the day surgery is surgery, and occasionally unexpected things occur. I think that’s when we’re talking about regulation, we’re talking about training staff whether they’re doctors, whether they’re nurses or other individuals, so that they are aware of the potential risk of doing some of these procedures. The chance of having complications from a Botox or a filler is relatively very small. However, if you don’t understand or appreciate the anatomy of the face, or the potential risks then there’s definitely a call for further regulation to help with that. Okay, Dr. Julian De Silva great to have you with us tonight.
Dharshini: Thanks for joining us.
Dr. Silva: Thank you.
Dharshini: Coming up next on Jeff Randall Live.