Ear, Nose & Throat surgeon Mr Annakan Navaratnam is delighted to announce the launch of his YouTube channel. The information will be for educational purposes only, but Annakan hopes to answer many of the common queries he’s posed by his patients, from how to use a nasal spray properly to when it’s safe to exercise after a rhinoplasty.

It will also be an opportunity to include video content for other medical professionals. Annakan is a passionate educator and is actively involved in training the next generation of surgeons, as well as also frequently teaching local and national instructional ENT courses.

Male rhinoplasty remains the most popular cosmetic surgery procedure for men, as indicated by the most recent figures from the British Association of Aesthetic Plastic Surgeons (BAAPS).

As with a female rhinoplasty, the surgery can address several concerns with the nose’s appearance. However, there are specific aesthetic differences; masculine features must be preserved when planning a male nose job, avoiding excessive reduction or refinement.

Male patients typically want a more prominent, longer nose and a straight, smooth dorsal bridge. Sometimes even a slight hump might be retained to produce a strong nasal profile. On the other hand, female patients desire a petite, narrow nose with a gently concave, natural appearance to the bridge.

“For the male rhinoplasty, there are other considerations,” rhinoplasty expert Mr Annakan Navaratnam explains. “I tend to break this down as I look at all rhinoplasties. So, firstly, it’s the indications, then the psychology surrounding it and then the anatomical considerations, such as the tissue and the structure of the nose.”

Function and form in the male rhinoplasty

The male rhinoplasty often must address irregularities resulting from previous trauma, mainly as men are more likely to partake in contact sports.

“I treat many male patients as often they require a septorhinoplasty to address a deviated septum or very twisted nose,” Annakan comments. “There’s usually a lot more nasal obstruction, affecting their airflow when playing sports. It can also disturb their sleep at night.

“Often, they believe they were born this way, but that’s not usually the case. Typically, it’s due to a childhood injury; even a tiny bump can cause this.

“The middle part of the septum has a couple of growth plates, and young children have malleable bones which flex rather than break. If the nose starts to grow in a slightly different direction from early on, it can cause a significant deviation in adulthood.

“In terms of how this affects their results, it can be more challenging as there has been trauma, so that means there has been some form of inflammation. It can be difficult to recreate the nose precisely as it was before.

“This leads into the psychology of the male rhinoplasty.”

Male expectations from nose reshaping surgery

One of the specific challenges of the male rhinoplasty procedure is that male patients tend to have a less clear idea of what they are hoping to achieve from surgery.

“Men are often not very clear about their goals. In the media, there are certain female ideals of the perfect nose, but for men, the ideal nose is not as clear-cut. If they have had trauma and want the nose restored to its previous appearance, that is a goal to work towards. But, often, men just want it to look ‘better’.

“This can lead to disappointment if the surgeon and patient do not share the same vision.”

Anatomical difference between men and women

In addition to desiring different results, there are also distinctions between male and female anatomy that affect the outcome of a rhinoplasty procedure. Men tend to have much thicker skin with stronger cartilage and bony structure.

“If you have very thick, sebaceous skin, whatever internal changes you make might not show externally. So, if you want to make a dramatic change, more aggressive surgery is often required, and subsequently, there is more post-operative swelling and healing.

The male rhinoplasty consultation is, therefore, critical. “For me, it’s very much working out with my patients, what is right for them? What are the objectives? What’s realistic? And then making sure they trust you to undertake this,” Annakan explains.

To arrange your rhinoplasty consultation, call 0203 627 2918 or email secretary@annakan.co.uk.

Mr Annakan Navaratnam is regularly invited to speak at conferences, both here in the UK and abroad. Illustrating his active involvement in training the next generation of surgeons, Annakan delivered the Keynote Lecture on leadership in surgical training to the Pan London ENT trainee meeting on the 15th April.

The 9th May was a big date in the UK’s rhinology diary as the annual meeting of the British Rhinology Society took place in Cardiff. The BRS meeting is the most established national meeting covering both rhinology and nasal plastics and this year Mr Sam Warburton, a Welsh rugby legend and the former captain of the British and Irish Lions, delivered the Storz Invitational Lecture.

At the meeting, Annakan delivered a keynote lecture on the present & future use of AI in Rhinology and appeared on a panel discussing selection criteria for septoplasty assessment and listing for surgery.

He was also delighted to be voted on the council at the British Rhinology Society as a national representative for England at the meeting.

Finally, on 22nd May, Annakan delivered a multidisciplinary teaching session with anaesthetic colleagues at UCLH on airway emergencies at the Airway Hub meeting.