Updates & News

Botched rhinoplasty, or just one that requires revision?
If you're unhappy with how your nose looks in the weeks after surgery, most patients don't have a bad result – they have a nose that's still working through the healing process. That's not me brushing off a genuine concern. It's the single…

Post-trauma rhinoplasty: why timing matters
When a patient comes to me with a nasal injury, one of the first things we discuss isn't whether post-trauma rhinoplasty surgery is possible; it's when. Timing genuinely changes what kind of procedure someone needs, and getting it right can…

Rhinoplasty under general anaesthetic: why it’s the preferred choice
If you've spent any time researching rhinoplasty, you may have come across the term ‘twilight anaesthesia’ as the superior alternative to rhinoplasty under general anaesthetic and going fully under. It can sound appealing: less intervention,…

Rhinoplasty recovery: what to expect in the first eight weeks
Deciding to have rhinoplasty is one thing. Knowing what to expect when it comes to recovery is another. Most patients spend weeks or months researching surgeons, reading about techniques, and preparing for the operation itself. What fewer people…

Preparing children – and their parents – for a general anaesthetic
For many families, paediatric ENT surgery brings a mixture of relief and anxiety. Relief that treatment is underway; anxiety about what happens next. And at the heart of so many of those worries is the general anaesthetic. What will it feel…

Allergies or sinusitis? What every allergy sufferer should know, according to an ENT surgeon
Every spring, millions of people across the UK reach for antihistamines and assume their blocked nose, sneezing and general sense of feeling run down are simply the price of tree pollen season.
For most, that is a reasonable conclusion –…

Mr Annakan Navaratnam and colleagues publish paediatric septoplasty review
Mr Annakan Navaratnam and colleagues at hospitals across the UK have published a national survey of current attitudes and practices regarding paediatric septoplasty in The Journal of Laryngology and Otology.
Paediatric septoplasty remains…

Mr Annakan Navaratnam publishes new GIRFT guidance on nasal airway surgery
The Getting It Right First Time (GIRFT) programme is a national NHS England programme designed to improve the treatment and care of patients through in-depth review of services. Last year, Mr Annakan Navaratnam joined the GIRFT ENT team as a…

The midlife rhinoplasty: the rise in the over-40 nose job
Rhinoplasty has traditionally been viewed as a procedure for younger people. Teens and young adults often seek rhinoplasty to improve the appearance of their noses, boosting confidence and self-esteem, particularly in recent years with the advent…

UK study finds sinus surgery more effective than antibiotics in treating chronic rhinosinusitis
Chronic or long-term sinusitis, also known as chronic rhinosinusitis, is an inflammatory condition of one or more sinuses that persists for more than 12 weeks. It is less common than acute sinusitis but appears to be getting more common in all…

Is there a right age for a rhinoplasty?
Age is not just a number when it comes to rhinoplasty surgery. The age at which you undergo this procedure can significantly impact both the surgical technique used and the outcome.
Is there a minimum age for a rhinoplasty?
Often, I will get…

The art and science of achieving a natural rhinoplasty result
Rhinoplasty surgery should always be bespoke. It's a balance of understanding what patients want from their operation and telling them what is feasible and functional. For the surgeon, it is the case of putting all those together and then understanding…