Approach & Decision-making


With any rhinoplasty procedure the objective is to make a patient’s nose as near to the ideal as possible while achieving a ‘natural looking’ aesthetic result.

But achieving this outcome requires more than just great surgical technique – it requires an accurate upfront assessment of what results are actually achievable for the patient and the selection of the right operative technique. It’s vital that the evaluation of every case is open and honest and that patients who are unlikely to get the result they desire are identified and sensitively managed.

All this is fundamental to the surgeon’s role and why experience is such a key factor in achieving the right outcome for each and every patient – even if that outcome is a decision not to proceed.

Jarrod’s approach is simple – to always act in the patient’s best interests.

Integrity, honesty and openness combine with his vast experience of rhinoplasty to provide patients with the best possible picture of the advantages and disadvantages of surgery in his hands.

It’s all about maximising benefit whilst minimising risk – and that essentially means choosing the most appropriate surgical technique and avoiding unnecessary over complication. As most of the problems that can occur after rhinoplasty result from over-zealous or inappropriate surgery, Jarrod always takes a prudent and conservative approach, erring on the side of caution.

Jarrod wants his patients to achieve a result that is so natural looking that people the patient has never met would not realise they had had rhinoplasty – but achieving a natural external appearance isn’t his only objective, he also aims to ensure that, post-surgery, there is no compromise in structure or function of the nose (no nasal obstruction) and that it fits with the patient’s facial structure and general appearance (height/build).

There are, of course, constraints that will determine just how much improvement is possible. A common problem relates to the thickness of skin around the tip of the nose in those patients with bulbous nasal tips. A tip may appear bulbous because of excessive width of the tip cartridges and/or because of skin thickness. The former is straightforward to deal with but the latter is not.

Decision Making

As we’ve heard, patient assessment is probably the most important part of the rhinoplasty process.
This is when Jarrod assesses patient suitability for surgery, takes patient expectations and concerns on board and formulates an operative plan for that individual. Experience counts for everything at this stage – if the assessment is wrong, the outcome will be compromised, no matter how excellent the later surgery is from a technical point of view.

Jarrod sees patients twice before a cosmetic rhinoplasty. This gives him two opportunities to undertake patient assessment and surgical planning which optimises consistency, it gives him the chance to check that expectations from surgery are realistic and that the patient has a full understanding of the process and it gives the patient two separate opportunities to ask questions.

To help patients make a decision to proceed with surgery or not, Jarrod always provides them with honest and objective opinions during these consultations together with a full written assessment and sources of additional patient information. Integrity is key to his approach, his aim to provide patients with a balanced view on the potential benefits and risks of surgery.

If appropriate, an annotation (or GP letter) is sent to the patient after the first consultation with details about the assessment and proposed operative plan.

Jarrod sees patients at The Alexandra Hospital, Cheadle, The Manchester Ear Nose and Throat Clinic , Withington, Manchester and at 52 Alderley Road, Wilmslow. Operations are carried out at the Alexandra Hospital, Cheadle or at 52 Alderley Road, Wilmslow.