Nose Surgery

Nose surgery changes the appearance of the nose, the way it works, or both in one operation. Cosmetic concerns include a dorsal hump, a wide or drooping tip, wide nostrils and a crooked bridge; functional concerns usually mean a blocked or one-sided airway. Matching the concern to the procedure:

• A hump, crooked bridge or the overall shape: rhinoplasty, including ultrasonic rhinoplasty, which reshapes bone with ultrasonic instruments rather than chisels.
• The tip alone: tip rhinoplasty, which refines the tip without altering the bridge.
• Wide or flared nostrils: alar base reduction.
• Blocked breathing from a bent septum: septoplasty, or septorhinoplasty when the shape is changed at the same time.
• Swollen turbinates: turbinate reduction, often alongside septal surgery.
• Keeping your heritage: ethnic rhinoplasty, planned to refine the nose while keeping it in harmony with your features.
• For men: male rhinoplasty, which keeps a straighter, stronger profile.
• A previous nose job: revision rhinoplasty, which often needs cartilage grafts and a longer operation than primary surgery.

Because the nose is judged against the chin in profile, rhinoplasty is sometimes combined with chin augmentation.

Often, when the cause is structural. A deviated septum, enlarged turbinates or a collapsing nostril wall can each block airflow, and each needs its own correction. A cosmetic rhinoplasty on its own will not fix them, and a poorly planned one can make breathing worse, which is why your surgeon examines the inside of your nose as well as its shape at every consultation. Where both are needed, a septorhinoplasty treats them in one operation. Breathing problems caused by allergy or chronic sinus disease need medical treatment first. Our guide to a deviated septum explains the symptoms, causes and treatment options.

The surgeon who assesses you at consultation is the surgeon who operates. Our nose surgeons include Mr Shehab Jabir, Consultant Facial Plastic Surgeon, who takes on complex and revision rhinoplasty; Professor Ertan Erel, Consultant Plastic Surgeon; Miss Sarah Al-Himdani, Consultant Plastic Surgeon; and Dr Géraldine Vansteelant, Consultant ENT Surgeon and Rhinologist, who treats breathing as well as shape, including septoplasty and septorhinoplasty. Our guide to choosing a nose job surgeon sets out the questions to ask any surgeon. We take a conservative approach: the goal is a nose that suits your face, works well and does not announce itself as surgery. Operations take place under TIVA or local anaesthetic with sedation, depending on the procedure, at our Baker Street hospital, rated Good overall by the Care Quality Commission.

You can see real patient results in our rhinoplasty before and after photos, and prices in our rhinoplasty cost guide. We recommend a two-week cooling-off period before any surgical procedure.