View the work Of Dr Greensmith
Nose Reshaping Surgery
Rhinoplasty is the most challenging of facial surgeries. Across the world, plastic surgeons and ENT surgeons agree on this. Gone are the days when it can be attempted by the occasional rhinoplasty operator. Rhinoplasty has become a subspecialty in its own right, and modern patients deserve to see someone who is experienced and deeply devoted to the craft of this surgery. Deep commitment by your Specialist Plastic Surgeon or Specialist ENT surgeon is the key to mastery of this field. Most surgeons avoid rhinoplasty as they regard it as too difficult, but a few choose to master it. Dr Greensmith has over 20 years of experience comprehensively treating both primary and revisional rhinoplasty patients. On an annual basis, he performs over 200 rhinoplasties (both primary and revisional) per year.
Functional Surgery
Poor breathing due to airway obstruction is a relatively common problem that may be inherited, the result of trauma or injury, or due to the sequelae of previous nasal surgery. Functional rhinoplasty works to help improve or correct nose breathing problems and often includes correction of a deviated septum. Improving the nasal airway via functional rhinoplasty and airway surgery can enable patients to breathe better through their nose, and this can provide other benefits such as increased exercise tolerance and endurance. Many also report other benefits, such as increased ease of breathing when asleep, as well as a heightened sense of smell and even taste.
What is structural rhinoplasty?
When structural support is deficient in a nose or when the desired reduction of prominent cartilage or bone can weaken the structure of a nose, then the surgeon must provide the required architectural framework support for the nose as part of the rhinoplasty. Open structural rhinoplasty involves an open approach to the surgery, harvesting small cartilage grafts from the back of the nose septum, and placing these grafts as supports for nose cartilages that are collapsed or require reshaping or augmentation to achieve the desired result. As well as supporting nasal aesthetics, these provide better stability of results over the long term. This takes a little extra time and skill but is worth the investment.
How has rhinoplasty changed over the years?
Traditional rhinoplasty techniques tended to focus on more radical excision of cartilage and bone to change its appearance or achieve size reduction. In modern rhinoplasty, this is avoided because, although these traditional techniques are quicker and technically easier to perform than structural rhinoplasty techniques, they are associated with a far greater chance of long-term collapse, airway issues and an “operated” look. Rhinoplasty specialists, such as Dr Greensmith, are now also incorporating modern “preservation“ rhinoplasty methods into their structural technique to further increase predictability of results, reduce risk and support recovery.
