Month: August 2018

Munish Shandilya and Shruti Shandilya (Practice Manager). As we approach our 25th Wedding Anniversary and 25 years of living in Ireland we would like to share with you a bit about who we are …

Our efforts in Rhinoplasty Surgery in Ireland since 2006.

Fellowship trained under a global Rhinoplasty Leader Gilbert J Nolst Trenite

More than 1500 Cosmetic Nose Surgeries in the last decade

One of the highest satisfaction rating in Rhinoplasty on a leading American website RealSelf.com.

We are an ENT practice and Rhinoplasty is the only Cosmetic surgery we offer.

We are a referral center for Revision Septoplasty and Rhinoplasty Surgery

Munish Shandilya is Irelands National Delegate to the European Academy of Facial Plastic Surgery (EAFPS).

More than 50 International Lectures as an invited speaker in Facial Plastic Surgery / Rhinoplasty conferences.

LONDON.UK/ DUBLIN. WATERFORD.IRELAND/ CANNES.FRANCE/BARCELONA. PALMA DE MAJORCA.SPAIN/LISBON.PORTUGAL/NEW DELHI.INDIA/RIO DE JANEIRO.BRAZIL/ AMSTERDAM.NETHERLANDS/TORONTO.CANADA/DALLAS.USA/PRAGUE.The CZECH REPUBLIC.

Book Chapter contribution to the International Rhinoplasty Reference book by Thieme Publishers.

Rhinoplasty articles in Peer-Reviewed International Journals

Philosophy :

Quality of work before the volume of work
Relationship of trust
Informed choices
Realistic goals
Awareness of outcomes
Safety before miracles
Personally delivered care. Lifelong complimentary follow-up
Learn Teach and Evaluate

These are instructions specifically for our patients to avoid confusion

after your Rhinoplasty Surgery under Munish Shandilya, Ireland.

DO NOT MASSAGE YOUR NOSE

DO NOT PUT ICE PACKS ON YOUR NOSE & FACE

DO NOT APPLY TAPES ON YOUR NOSE

DO NOT WASH THE NASAL CAVITIES

 

All surgeons advise what is best for their patients in their opinion.

In our experience, all the above activities have a potential of causing problems but no clear evidence that these are beneficial.

In my series, I have not noticed any long-term problems with swelling unless it was already expected and was discussed with the patient. If necessary we will discuss the postoperative management changes and you are of course welcome to discuss these during your meetings with the surgeon.

 

Most surgeons offering surgical Rhinoplasty on a regular basis would have considered the need for a preoperative Psychiatric Evaluation. Some surgeons believe that they can detect the warning signals and it is needed only when they are unsure of safe candidacy in a patient while some others believe that validated screening tools are adequate to avoid operating on patients where the injudicious offer of surgery may be harmful to the patient. We are at a stage where more data and frequent discussions will indicate the balanced approach to optimise formal evaluation based on guidelines.

We have a unique database of having completed Psychiatric Evaluation as a Mandatory requirement prior to offering Cosmetic Rhinoplasty. This is a prospective study that exposed a 4% failure of the Surgeon recognizing mild Body Dysmorphic Disorder (BDD) despite all the attention of this very group. It is well-recognized that interviews, screening, and Surgeons honed gut-feelings are not enough to detect marginal BDD in all cases.

As our experience with the Mild BDD group has increased, our early experience indicates that more detailed counseling, the involvement of patients own support circle and presence of good Insight allows safe and satisfactory surgical outcomes in this group. The long-term results will be important in this group to conclude that intervention in selected cases of mild BDD is safe.

We are proud of having shared our unique and substantial experience in this area in the conferences in Cannes, France (EAFPS), Rio, Brazil, London, UK (EAFPS) and have upcoming invitations from Regensburg, Germany (EAFPS) and Dallas, USA (AAFPRS)

Mandatory Psychiatric Evaluation in a person aspiring for a Cosmetic Rhinoplasty is worth considering and the fact that 17 speakers will be talking about Preoperative evaluation, during the Annual Meeting of the European Academy of Facial Plastic Surgery (EAFPS), shows how important it is to ensure Happier outcomes.