I consider it a privilege to have an NHS Consultant appointment. I am an expert in complex rhinoplasty and septorhinoplasty. Other surgeons kindly send me cases of severe nasal trauma and cases when the nose has badly damaged by cocaine abuse. I often have to rebuild these noses using rib cartilage. They are lengthy cases taking several hours. It is very rewarding to help these patients to make a new start. I also have gained considerable experience in secondary or revision rhinoplasty helping patients who have had previous operations. The lessons learnt in my cosmetic surgery practice can be applied to these cases and vice versa.