Rhinoplasty

Dr. Mark Mandell-Brown performs aesthetic, revisional, and functional rhinoplasty using open and closed technique depending on the complexity of each case. His triple board certification — including Head and Neck Surgery — provides a comprehensive anatomical foundation for addressing both the cosmetic and functional components of the nose in a single procedure. Common concerns addressed include disproportionate nose size, a prominent dorsal hump, a wide or undefined nasal tip, nostril asymmetry, and a deviated septum causing impaired nasal airflow. Rhinoplasty results at this practice are designed to harmonise with the patient's overall facial proportions while preserving or improving nasal function.

Rhinoplasty performed by Dr. Mark Mandell-Brown benefits from his certification in Head and Neck Surgery alongside his facial plastic surgery credentials — an unusual combination that ensures equal competency in the functional and aesthetic dimensions of nasal surgery. The nose is a structurally complex organ whose external appearance is determined by the interplay of the nasal bones, upper and lower lateral cartilages, septal cartilage, and overlying soft tissue envelope. Even small modifications to any of these components can produce meaningful aesthetic and functional changes, making surgical planning and execution precision-critical. Dr. Mandell-Brown uses both the open and closed rhinoplasty approach. The open technique, involving a fine transcolumellar incision connecting bilateral marginal incisions, provides direct visualisation of the entire nasal framework and is preferred for cases requiring significant structural modification, cartilage grafting, or complex tip work. The closed endonasal technique keeps all incisions within the nostrils, reduces external bruising and swelling, and is appropriate where more limited aesthetic modifications are planned with good existing nasal support. Aesthetic concerns addressed in the practice include dorsal hump reduction through rasping or osteotomy and controlled repositioning of the nasal bones, nasal tip refinement through suture techniques or cartilage resection and grafting to improve definition and projection, and reduction of alar base width through conservative alar base resection where indicated. Functional concerns including septal deviation, turbinate hypertrophy, and internal nasal valve compromise are addressed surgically as part of a comprehensive nasal plan. Revisional rhinoplasty — required when a prior procedure has produced unsatisfactory aesthetic or functional results — demands particular surgical experience given the presence of scar tissue and altered cartilaginous architecture. Additional grafting material, typically harvested from the ear or rib, is often necessary to rebuild structural support. Patients are counselled to plan for one to two weeks of social downtime following surgery, with residual nasal swelling resolving progressively over twelve months.