Aesthetic and Functional Excellence in Revision Rhinoplasty: A Case Study by Mr Florian Bast
At the forefront of facial plastic surgery, Mr Florian Bast, a world-renowned ENT and Facial Plastic Surgeon, brings over 17 years of international surgical experience and a double board certification to his practice. Known for his expertise in complex revision rhinoplasty, Mr Bast’s approach to patient care focuses on delivering exceptional results that blend aesthetic finesse with functional improvements.
A Journey Through Multiple Surgeries
The patient in this case presented in September 2022 with a history of multiple nasal surgeries, starting from a traumatic nasal injury at the age of 12. Over the years, the patient had undergone three rhinoplasty surgeries, including functional and aesthetic revisions. Unfortunately, the outcomes were unsatisfactory, leaving the patient with breathing difficulties and dissatisfaction with the appearance of their nose.
"Finding a best in class surgeon is not easy when faced with the calibre of marketing that is around today," the patient shared. "I had fallen into this trap once before and hoped never to again. It really is hard to know what source to trust or where to start. I found Dr Florian Bast on Top Doctor, and from there, I took a look at his Instagram. From the posts, he seemed to take on complex cases and achieve good results."
After reaching out to Mr Bast’s assistant, the patient was impressed by the transparent fee structure provided and quickly arranged a consultation. From the very first meeting, Mr Bast set himself apart. "He showed me the nose of an unsatisfied customer," the patient recalled. "I think I understand why—he wanted to make sure that he could manage my expectations."
The patient had seen five surgeons prior to Mr Bast, but none had offered the innovative approach he suggested: the use of frozen rib cartilage to achieve symmetry. "I was excited at the prospect of a solid structure that would not leave me butchered like the ear cartilage harvesting I once had."
The Surgical Approach: Precision and Expertise
In February 2023, Mr Bast performed a complex open revision septorhinoplasty at BUPA Cromwell Hospital. The patient was fully prepared for the intricacies of the procedure, having undergone several consultations, both in person and remotely, where Mr Bast carefully explained the methods needed to straighten the septum and reconstruct the nasal framework.
"I joked with him on the day of the procedure that I was promised perfect symmetry and not much of a downturn to the tip," the patient shared with a smile. "He has a good sense of humour but didn’t miss yet another opportunity to manage my expectations."
The surgery involved meticulous work, including the use of the Piezotome for precise bone reshaping and the reconstruction of the nasal structure using rib cartilage. Mr Bast’s careful technique ensured minimal bruising, and the patient’s recovery was smooth. "I came around feeling freezing and shivering, but I wasn’t in any discomfort," the patient explained. "I was sent home with orders to rest for two weeks, and I added my own routine of face rollers and Arnica to reduce the swelling."
Post-Operative Care and Recovery
Following surgery, the patient engaged in a rigorous post-operative care regimen, including daily massages using a jade stone roller and gua sha stone to reduce swelling. The patient’s progress was closely monitored through Zoom consultations with Mr Bast, during which he reassured them about the expected swelling and gradual reduction in inflammation.
"I was very pleased with how the healing was going," the patient shared. "I’d not needed any pain relief, and I didn’t get bruised eyes. My cast came off to reveal a very swollen nose with a hideous bulbous tip, but I was swiftly reassured that this was to be expected."
Seven months post-surgery, the patient’s results were exactly what they had hoped for. "My nose looks the best it’s ever looked—very natural and suited to my face. I even feel it’s very elegant looking already. I no longer hate looking at myself."
While the healing process continues, the patient is delighted with the overall outcome. "Dr Bast is a passionate, highly capable professional who provides good sound advice. He is clearly exceptionally skilled in his field. I would not hesitate to recommend him to anyone that wants a complex rhinoplasty/septoplasty revision, and I am very grateful for finding him."
A Testament to Surgical Mastery
This case is a clear testament to Mr Florian Bast’s skill in addressing complex revision rhinoplasties. His ability to blend artistic precision with technical expertise has transformed the lives of many patients, delivering both functional and aesthetic improvements. For those seeking complex facial plastic surgery, Mr Bast’s reputation as a top surgeon continues to grow, thanks to his dedication to patient care and surgical excellence.
If you’re interested in learning more about Mr Florian Bast’s approach to facial plastic surgery, follow the link below or contact him here.
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Mr Florian Bast a Facial Plastic Surgeon specialising in Rhinoplasty (nose job) procedures in London.
Mr Florian Bast is a Facial Plastic Surgeon specialising in Rhinoplasty in London and Revision Rhinoplasty London.
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