Treatments provided by Natalie Brookes

Dr Natalie Brookes offers specialist treatment for conditions affecting the nose and sinuses, as well as general ENT services.

Treatments, operations and tests

Small noses due to your family heredity… misshapen noses… mal-proportioned noses…overly wide or asymmetric nose shapes can be built-up and modified during your cosmetic nose surgery operation. Grafted tissues as well as modified implants can provide a new structure or framework and modified dimensions for your nose. Result? Your appearance is instantly improved, and you feel better about yourself.
The nose reshaping operation is carried out under general anaesthesia by a rhinoplasty surgeon and is carried out inside the nostrils so that there are no external scars; unless you decide to have the size or the nostrils reduced, in which case small scars around the sides of the nostrils, placed in the natural crease lines between nose and cheek, will be present. Rhinoplasty is one of the most sought after cosmetic procedures amongst men and women and the vast majority of patients undergoing rhinoplasty surgery gain a feeling of increased self confidence with improvement in their body image.
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Often the inferior turbinate on the opposite side enlarges, which is termed compensatory hypertrophy. Nasal obstructions caused by serious deviations frequently lead to chronic sinus problems. Turbinate reduction may also be advised to further enlarge the nasal cavities.
The turbinates are 3 ridges within the nasal passageway (nostrils) that help warm and moisten inhaled air. When they become swollen, many doctors recommend removing them via turbinate excision surgery. Making no cuts on the exterior of the nose, the surgeon removes the swollen tissue with a fine knife or laser from the inside of the nose. This tissue is sent to the laboratory for examination to determine the cause of the swelling. Nasal turbinate excision does not change the shape of the patient s nose. The nose often feels slightly sore and uncomfortable after nasal turbinate excision surgery.
Functional endoscopic sinus surgery (FESS) is a surgical modality for some diseases of the nose and paranasal sinuses. It is the mainstay in the surgical treatment of sinusitis and nasal polyposis, including fungal sinusitis.FESS is a relatively recent surgical procedure that uses nasal endoscopes (using Hopkins rod lens telescopes) to minimize cutting and trauma to the skin. They provide good illumination of the inside of the head and can be introduced into the nose after anesthetising.FESS came into existence because of pioneering work of Messerklinger and Stamberger (Graz, Austria.).