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Rhinoplasty, Facial Plastics & Reconstructive Surgery in Singapore

Dr Dennis Chua is an Ear, Nose and Throat (ENT) Doctor in Singapore with his own clinic located in Mount Elizabeth Hospital and a sub-speciality focus in Facial Plastics & Reconstructive Surgery. From rhinoplasty procedures to other ENT treatment options, Dr Chua offers a suite of ENT solutions to patients. He trained locally in Singapore, obtained further qualifications from Edinburgh (UK) and also did his fellowship in the United States of America. Dr Chua did his medical undergraduate at the National University of Singapore (NUS) and subsequently completed his (ENT) Otorhinolaryngology training in Singapore. He obtained his Otorhinolaryngology specialist accreditation from Singapore and is fully accredited as an Ear, Nose and Throat (ENT) surgeon by the Ministry of Health (MOH) and Singapore Medical Council. In addition, he is one of the few ENT specialists that are also International Board Certified in Facial Plastics & Reconstructive Surgery, which includes performing rhinoplasty procedures.


Dr Dennis Chua an ENT & Facial Plastic Surgeon is most skillful at improving the breathing and appearance of the nose. Correcting the Post-traumatic Nasal Deformities Book Chapter published by Dr Dennis Chua in Facial Plastic Surgery (Thieme) June 2015 on “Correcting the Post-traumatic Nasal Deformities” Download here
Rhinoplasty is commonly performed for 2 main reasons: to improve nasal obstruction (Functional Septorhinoplasty) or for cosmesis (Rhinoplasty). Plastic surgery involving the nose is not just for the purpose of beautification and enhancing one’s facial features, but is also used to realign the sinuses for better breathing.  Dr Dennis Chua is frequently invited overseas to share his experience on rhinoplasty surgery. He also does a lot of research concerning rhinoplasty and publishes his results in book chapters and research publications. He is also active in educating young professionals about his field of expertise, as well as offering mentorships and lectures to future medical service providers.Dr Dennis Chua- Part of the International Consensus


Dr Dennis Chua invited to share his experience in the "International Consensus on Functional and Aesthetic Rhinoplasty".


Endonasal rhinoplasty approach

A complex septal deviation with narrow nasal valves will be the most common reason that patients require a functional rhinoplasty to treat the condition. The nasal cavity will have to be assessed thoroughly and the nasal valves in particular will have to be checked for both static and dynamic obstruction. A deviated septum combined with enlarged inferior turbinates is the most common reason for nasal obstruction.

Functional septorhinoplasty can be performed via an open (external) or closed (endonasal) – “scarless” approach. Either technique is possible depending on the patient’s wishes and surgical condition.

Functional rhinoplasty in Singapore can help improve the function and appearance of the patient’s nose at the same time. Strengthening the nasal tip support will help improve the patency of the nasal valves and subsequent airflow.


Scarless (Endonasal) Rhinoplasty

Nasal Valve Reconstruction: Alar Batten Grafts

An experienced ENT doctor in Singapore, Dr Dennis Chua is a Board Certified ENT & Facial Plastic Surgeon, and has published a book chapter describing the use of Alar Batten Grafts in improving airflow in patients with a blocked nose.

The alar batten graft is a commonly used technique that can be placed by open or closed rhinoplasty to improve nasal obstruction with documented nasal valve obstruction. The cartilage graft can be obtained from the nasal septum or from the ear (conchal cartilage graft). This cartilage graft is then used to strengthen the lateral nasal sidewall where the maximal site of nasal valve collapse is. It is a simple yet powerful technique for correction of nasal valve obstruction resulting in nasal obstruction. Click here for Dr Dennis Chua book chapter on Surgical Pearls: Alar Batten Grafts.

Alloplasts (Silicone implant)

Silicone, Goretex or Medpor are implants commonly used for nasal dorsum augmentation in Singapore. If performed with the correct surgical techniques, they can result in a natural yet dramatic difference in the patient’s appearance safely. Whilst using implants, it is important to avoid L-shaped implants for the nose to minimize the risk of implant extrusion. There are some tips to minimize extrusion of implants. These include avoiding pressure on implants, putting the implant in a subperiosteal plane (deeper plane) and using the softer implant to minimize tissue trauma. Rib Cartilage in Rhinoplasty.


Autologous cartilage (rib, septal or ear cartilage)

The rib graft is a fantastic source of autologous cartilage for augmentation rhinoplasty in asian noses. It is safe and has the lowest complication rate compared with alloplasts (eg silicone). The 7th rib is also the straightest and longest available for dorsal augmentation. This helps to achieve a long-lasting natural look after a cosmetic rhinoplasty. Rib cartilage can be harvested safely with minimal morbidity if performed correctly. A straight piece of rib can be obtained from a small 2.5cm incision that is hidden in the skin crease and can heal nicely without much scarring. This rib cartilage can be used as a single piece or it can be diced into smaller pieces (wrapped in fascia) for dorsum augmentation. It is important to achieve a natural look in nasal dorsum augmentation and avoid the “overdone” appearance after a rhinoplasty. Rhinoplasty should achieve a natural and harmonious look with the individual’s face for optimal results.

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    Phone: (65) 6235 3886
    Fax: (65) 6235 4243
    Email: enquiry@entsurgeons.com.sg

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    Saturday: 9:00 am – 12:00 pm

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