Saturday 3 July 2021 • Promotional Content


Rhinoplasty, nasal polyps and snoring


“The nose is a fascinating organ that’s more complex than we think, and I’ve probably become slightly obsessed with it” — Mr Samit Unadkat, Consultant ENT Surgeon, specialist in rhinoplasty and sinus surgery and director of My Nose London


Specialist clinics Healthcare Innovations 39


Form follows function Occupying the central portion of the face, the nose plays a crucial role in facial symmetry so it’s unsurprising that


rhinoplasty surgery is one of


the most common cosmetic surgical procedures in the UK. Perhaps less well understood, though, is the involvement of the nose in one’s sense of smell, the filtering of the air we breathe and as a gateway to our sinuses and skull base.


Rhinoplasty surgery Rhinoplasty surgery is undertaken for a variety of reasons — sometimes as a result of trauma or perhaps due to a pre-existing bump on the nose. For many patients, there may be concur- rent breathing issues, in which case


septorhinoplasty may


be


required


in order to also correct the nasal septum. One area of concern for many is the appearance of the nose in selfies and, since the pandemic, in video calls too. Whatever the reasons for seeking out rhinoplasty, the surgery must be individualised to the patient, taking into account patient expectations, history of previous surgery, facial proportions and skin thickness and type. Mr Unadkat spends a great deal of time on pre-operative photography and insists on taking his own pictures. “Selfies and webcams distort the face and can make the nose appear larger. As a result, and perhaps surprisingly to some, I even spend time deterring patients from surgery when I really think it isn’t warranted”.


Nasal polyps Te events of the pandemic suddenly thrust ENT surgeons into the spot- light. A loss of sense of smell became synonymous with Covid-19, but even before the pandemic, smell loss was one of the commoner presentations to Mr Unadkat’s clinic — often as a result of nasal polyps. “Polyps are fleshy swellings that grow inside the


“Snoring may also be associated with obstructive sleep apnoea, a very serious health condition that costs the NHS over £400m each year”


nose and sinuses and can signifi- cantly affect quality of life and ability to smell, taste and breathe properly through the nose,” he says. “Surgery can be extremely effective in treating nasal polyps, and there have been huge breakthroughs in image guid- ance technology. Tink Google Maps for your nose, to pinpoint exactly where you are in the nose — useful when you’re operating within milli- metres of the eye and base of skull.”


Minimally invasive snoring surgery Surgery for snoring has undergone a tremendous evolution in the past decade.


Techniques


“One area of concern for many is the appearance of the nose in selfies — and, since the pandemic, in video calls”


have become


more nuanced as our understanding of the condition has grown. For many patients,


their snoring may also be


associated with obstructive sleep apnoea (OSA), a very serious health condition that costs the NHS over £400m each year. If left untreated, OSA can cause high blood pressure, heart disease, strokes, diabetes, weight gain


MEET THE EXPERT


Mr Unadkat is a Consultant ENT & Facial Plastic Surgeon at the Royal National ENT & Eastman Dental Hospital, London — the UK national centre for complex ear, nose and throat disorders. He is also director of My Nose London. He was awarded the Dr Harold Edwards Scholarship to read medicine at Imperial College London. He completed his basic and higher surgical training under international experts at multiple centres of excellence in London, and subsequently spent an additional year of super- specialist fellowship training in nasal surgery at the Charing Cross and The Royal Brompton Hospitals.


and has even been linked to dementia. Continuous positive airway pressure (CPAP) remains the gold standard of care for patients with OSA, but for many with milder OSA, or in those not able to tolerate wearing a mask over- night, surgery can be successful to obviate the need for CPAP altogether. Mr Unadkat has recently secured funding to lead on a study to look at the effects of minimally invasive snoring and nasal surgery without the use of general anaesthesia.


Clinics: 9 Harley Street, London W1G 9QY


T: 020 7971 7890 E: info@mynose.co.uk mynose.co.uk


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