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Precision Rhinoplasty – A new paradigm in rhinoplasty surgery


Precision Rhinoplasty Video


One of the interesting things about plastic surgery is the seamless integration of cutting-edge technology and surgical procedures. A good example of this is seen in rhinoplasty. In my practice, for example, we have come up with a new concept known as “precision rhinoplasty.”

This refers to outcomes that are both functionally and aesthetically pleasing as well as outcomes that meet the patients’ desires.


Precision rhinoplasty consists of three main components:

  • Effective communication: This includes the use of our VECTRA® H1 Handheld 3D Imaging System to find out what the patient desires rather than just obtaining a thorough history and performing a thorough clinical examination.
  • Surgical precision: We use cutting-edge technology to perform procedures with precision. The Piezo ultrasonic device is used for dividing the nasal bones, which allows for precise repositioning of the nasal structures
  • Close and regular follow ups: The ability to closely monitor our patients’ recovery and progress at 1 week, 6 weeks, 3 months, 6 months, and 12 months after surgery.


The benefits of precision rhinoplasty include:

  • Better preoperative planning
  • Shorter operating times
  • Precise execution of the procedure, with better outcomes
  • Greater patient satisfaction

Ideal Candidates

Ideal candidates for precision rhinoplasty will meet the following criteria:

  • Non-smoking
  • Overall good health
  • Realistic expectations about the results

The Procedure

By combining a thorough preparation for the procedure with cutting-edge technology, we certainly have improved our outcomes with greater patient satisfaction. We gain access to the nasal dorsum using an open access approach. The nasal bones are then modified using the Piezo device, either through an ultrasonic osteoplasty and /or an ultrasonic osteotomy. The nasal tip is also modified as necessary using special tip sutures.


With our new ultrasonic device, our rhinoplasty patients have experienced a faster reduction in facial swelling following their procedure. The outcomes are so much more pleasing!


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For more information, please call our office at 02074741300 .



Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.