Consultant Cosmetic Rhinoplasty & Sinus Surgeon In Fareham & Winchester, Hamps
I have a comprehensive practice in septorhinoplasty and aesthetic rhinoplasty, encompassing both functional and cosmetic nasal surgery. My work includes primary and complex revision cases, with expertise in structural and preservation rhinoplasty techniques. I regularly perform extracorporeal septoplasty, dorsal preservation, and piezo-assisted rhinoplasty, and have introduced both dorsal preservation and piezo techniques into my NHS practice at Queen Alexandra Hospital, Portsmouth.
My rhinoplasty practice integrates functional nasal airway reconstruction with aesthetic refinement, offering patients holistic nasal surgery that optimises both breathing and appearance. I have extensive experience in managing complex nasal deformities, including post-traumatic and revision cases, as well as septal perforation repair and the use of autologous cartilage grafts.
I completed advanced fellowship training in rhinology and facial plastics, gaining high-volume experience in both endonasal and open rhinoplasty approaches. I continue to maintain a busy septorhinoplasty practice.
I am actively involved in surgical education in rhinoplasty and nasal reconstruction. I teach regularly on regional and national rhinoplasty courses, including faculty on the Dundee Advanced Rhinoplasty Course, where I instruct trainees and consultants in advanced open and closed rhinoplasty techniques as well as Piezo Ultrasonic technology. I have presented on cosmetic rhinoplasty at national conferences.
My academic interests include outcomes in rhinoplasty and dorsal preservation techniques, and I am currently leading a project exploring the functional outcomes of dorsal preservation rhinoplasty.
Frequently Asked Questions About Septorhinoplasty & Rhinoplasty Surgery
What is the difference between septorhinoplasty and rhinoplasty?
Rhinoplasty refers to surgery that reshapes the external appearance of the nose. In my hands, as an ENT surgeon as well as cosmetic nasal surgeon, this also includes improving breathing through combined septal correction.
Septorhinoplasty corrects internal structural problems—most commonly a deviated septum—to improve nasal breathing, with a smaller change in the external shape of the nose.
In modern practice, these procedures are often very similar. Structural changes to the nose affect airflow, and functional surgery must preserve or restore nasal aesthetics. A combined septorhinoplasty/rhinoplasty addresses both breathing and appearance in a single operation.
What is functional septorhinoplasty?
Functional septorhinoplasty focuses on improving nasal airflow and breathing, particularly when obstruction is caused by:
Nasal valve collapse
Septal deviation
Post-traumatic deformity
Previous nasal surgery (revision cases)
Rather than simply straightening the septum, functional rhinoplasty reconstructs the nasal framework using cartilage grafts to provide long-term support and stability.
Can rhinoplasty improve breathing as well as appearance?
Yes. A well-planned rhinoplasty should never compromise breathing, and in many cases significantly improves it.
By integrating nasal airway reconstruction with aesthetic refinement, it is possible to:
Restore nasal valve function
Correct septal deviation
Improve airflow symmetry
Achieve a natural, balanced nasal appearance
This holistic approach is particularly important in revision and complex cases.
What is dorsal preservation rhinoplasty?
Dorsal preservation rhinoplasty is a modern technique that reshapes the nose while preserving the patient’s natural nasal dorsum (bridge) rather than removing it.
Benefits may include:
A more natural dorsal contour
Reduced disruption of nasal support structures
Lower risk of long-term dorsal irregularities
Improved functional outcomes in selected patients
This technique requires specialist training and careful patient selection.
What is piezo-assisted rhinoplasty?
Piezo-assisted rhinoplasty uses ultrasonic technology to precisely reshape nasal bones without damaging surrounding soft tissues.
Advantages include:
Greater surgical precision
Reduced bruising and swelling
Improved accuracy in bone cuts
Better control in complex or revision cases
Piezo technology is particularly valuable in structural and preservation rhinoplasty.
What is extracorporeal septoplasty?
Extracorporeal septoplasty is an advanced technique used for severe septal deviation, often associated with nasal trauma or previous surgery.
The septum is temporarily removed, reconstructed externally, and reinserted in a straight and stable position. This allows correction of deformities that cannot be addressed with standard septoplasty techniques.
Do you perform revision rhinoplasty?
Yes. Revision rhinoplasty is a significant part of specialist nasal practice and often involves:
Scar tissue
Weakened nasal support
Breathing difficulties
Previous graft failure or asymmetry
Revision cases require advanced structural techniques and careful planning to restore both function and appearance.
What graft materials are used in rhinoplasty?
Whenever possible, autologous (patient’s own) cartilage is used, commonly harvested from:
Septum
Ear (conchal cartilage)
Rib (in complex or revision cases)
Autologous grafts are durable, biocompatible, and provide long-term structural support.
Can septal perforations be repaired during rhinoplasty?
Yes, selected septal perforations can be repaired using advanced reconstructive techniques, often incorporating local flaps and cartilage grafts. Repair is more complex than standard septal surgery and requires specialist expertise.
Is open or closed rhinoplasty better?
Neither approach is universally “better”—the choice depends on the complexity of the case.
Open rhinoplasty offers maximum visibility and control, particularly useful for complex deformities and revision surgery
Closed (endonasal) rhinoplasty avoids an external incision and may be suitable for selected primary cases
Both approaches can deliver excellent functional and aesthetic outcomes when appropriately selected.
How do you balance cosmetic and functional outcomes?
Modern rhinoplasty should never prioritise appearance at the expense of breathing. Structural support, nasal airflow, and long-term stability are fundamental to achieving natural and durable cosmetic results.
A combined functional–aesthetic approach ensures the nose looks natural, ages well, and functions properly.
Are you involved in rhinoplasty teaching and research?
Yes. Ongoing involvement in surgical education and research ensures techniques remain current, evidence-based, and refined.
Areas of active interest include:
Functional outcomes in rhinoplasty
Dorsal preservation techniques
Advanced structural reconstruction
Training surgeons in modern rhinoplasty methods
I teach on a number of national/international rhinoplasty and FESS courses.
Am I suitable for septorhinoplasty or rhinoplasty?
Suitability depends on nasal anatomy, breathing symptoms, previous surgery, and individual goals. A detailed consultation—including examination and imaging where appropriate—is essential to determine the safest and most effective surgical plan.