Rhinoplasty

There are rhinoplasty cases, and then there are cases like these. Case 1 A foreign male patient came to me with concerns about a high radix following two previous rhinoplasty procedures. His history was telling - a silicone implant placed over ten years ago, removed one year prior and replaced with a dermofat graft taken from his groin. He now complained of a prominent radix, a wide nasion, and a bulbous tip. Before committing to surgery, point-of-care ultrasound showed signi

Revision rhinoplasty is almost certainly never a simple repeat of the first operation. By the time a patient is considering a second or third procedure, the anatomy has usually been changed, sometimes by surgery, sometimes by scarring, often by both. Working out exactly what's underneath the skin, rather than assuming, is often the difference between a plan that works and one that doesn't. Point-of-care ultrasound (POCUS) has become a routine part of my practice. The cases be

Ultrasound is not new to medicine. What is less common is its use as a routine point-of-care tool in plastic surgery, not just to confirm a diagnosis, but to guide clinical decisions in real time and spare patients unnecessary procedures and associated risks. The cases below illustrate how. Case 1 - Ultrasound-Guided Filler Injection A patient underwent hyaluronic acid filler injection to the chin for augmentation, specifically targeting the labiomental crease, the fold betwe

When patients ask me about the difference between Asian and Western rhinoplasty, they are usually expecting a simple answer - that Asian noses need building up, Western noses need slimming down. That is broadly true, but it misses the more important point. The surgery follows the anatomy. Not the passport. I have seen Asians with noses that require a predominantly reductive approach. I have seen Caucasians with thick, sebaceous skin and weak cartilage that demands the same au

Rhinoplasty is not about choosing the biggest operation. This post explains how anatomy, skin envelope and tissue behaviour determine the right surgical approach.

Rhinoplasty is one of the most technically demanding procedures in plastic surgery. The outcome depends not only on what is done in the operating theatre, but also on how the nose is supported, documented, and followed up during recovery. In the first few months of establishing my practice back home in Singapore, I’ve already seen several patients returning from overseas rhinoplasty with concerns that seemed unrelated at first, but shared common patterns. Case 1 - Persistent

Non-surgical rhinoplasty isn’t a simple 3-point injection. In this post, I share the structural, bottom-up technique I presented at SEASON 2025, and why precision, anatomy, and product choice matter so much for Asian noses.