What is Rhinoplasty (Nose Job)?
Rhinoplasty or nose job surgery is designed to surgically alter the size or shape of the nose to correct a wide variety of different nose concerns and achieve a more aesthetically pleasing appearance. Most people achieve final maturity of their nose shape once puberty has been completed, and this is why we recommend patients should be at least 18 years of age before considering having a rhinoplasty.
Although a nose job is most commonly carried out for cosmetic reasons, it can also be used to address functional symptoms, including difficulty breathing through the nose caused by a deviated septum and eliminating loud snoring and sleep apnoea. This is why it is important for a rhinoplasty surgeon to have expertise in nasal reconstruction, as they may be required to operate on the nasal septum and the turbinate bones, which may be responsible for nasal blockage. Septoplasty is the procedure used to correct a deviated septum which is commonly responsible for airway obstruction.
View our Rhinoplasty patient education video
There are many reasons why patients choose to have a rhinoplasty. Many patients may have sustained previous traumatic injuries to the nose as a result of playing contact sports and sustaining a nasal fracture. In these cases, there may be private medical insurance cover available, but you should check at the consultation if this is possible. Regardless of the reasons for having the procedure, our treatment philosophy is to aim for natural-looking results in harmony with the rest of your facial features with a beautifully contoured and sculpted nose with permanent results. Nose reshaping surgery requires years of skill and dedication to produce consistently good outcomes, as even the difference of a couple of millimetres can make the difference between achieving natural-looking results and surgical results that may suggest an ‘overly done’ look. A rhinoplasty is also known as a ‘nose job’ and is one of the most commonly performed cosmetic procedures in the UK, with up to 1 and 10 of all cosmetic surgery procedures involving a rhinoplasty procedure.
The nose is a central component of the face, which often leads people to seek treatment if they are unhappy with its size and shape. Our facial features form a large part of how we feel about our overall appearance, and rhinoplasty surgery is an effective option for patients who are unhappy with the size or shape of their nose.
Here at Centre for Surgery in London, we are home to some of the U.K.’s foremost rhinoplasty experts with years of experience in carrying out all types of rhinoplasty, including open and closed rhinoplasty, tip Rhinoplasty, alar base reduction, ultrasonic rhinoplasty and revision rhinoplasty.
We have our own purpose-built day surgery facilities at 95-97 Baker Street and do not use ‘third party’ providers and are therefore able to provide the highest standards of care.
For those who are not quite ready to undertake a surgical procedure or would like to gain an idea of how they could look with a future rhinoplasty procedure, we also offer a non-surgical nose job, otherwise known as ‘rhinofiller’.
RELATED: What is non-surgical rhinoplasty?
One of the largest private rhinoplasty units in Europe
At Centre for Surgery, we are proud to host one of the most experienced units in rhinoplasty surgery. Our rhinoplasty unit is composed of three rhinoplasty surgeons with over sixty years of experience between them. They perform both primary and revision rhinoplasty and both aesthetic and reconstructive nasal surgery. For complex cases, they very often operate together to achieve optimal patient outcomes. Between 200-250 cases are carried out annually, with many patients visiting us from overseas to take advantage of our deep pool of concentrated expertise in what is recognised to be the most challenging procedure in plastic surgery.
On-table rhinoplasty before and after:
|Procedure time ⏳||2 -3 hours|
|Anaesthetic type 💉||General anaesthetic|
|Length of stay 🛏||Day case|
|Up and mobile 🚶🏻♂️||1 day|
|Washing 🛁||1 week|
|Travel ✈️||3 weeks|
|Sexual activity ❤️||3 weeks|
|Driving 🚗||1 week|
|Postoperative garment 👕||Nasal splint for 7-10 days|
|Sleeping 😴||On 2 pillows for 1 month|
|Exercise 🏃🏽♀️||4-6 weeks|
|Full recovery 🕺🏻||6 weeks|
|Final results 😃||6-12 months|
Before and After Rhinoplasty
Browse our rhinoplasty photo gallery to see results achieved by our surgeons at Centre for Surgery. The before and afters below sample the patient photos we have on file. When you come to see us for a free consultation, a wide variety will be available. At Centre for Surgery, we only show photos of our patients who have given written consent to use their images on our website.
Open ultrasonic rhinoplasty and tip correction
Open rhinoplasty + tip reshaping
Open rhinoplasty + reduction of excessive columellar show
Rhinoplasty – amazing service from start to finish, extremely professional staff and surgeons. Big thanks to Yasmin as my patient Coordinator, who was always in contact with me throughout the process and helped me with any queries I had. My surgeon was brilliant and made me feel so calm and confident from the moment we met. I cannot pick any faults in Centre for Surgery and would recommend them in a heartbeat.
Thanks for everything
Why do people choose to have a Nose Job?
A rhinoplasty or nose job can be performed for both aesthetic and functional reasons, which often be addressed in the same procedure. Whilst restoring nasal function and correcting a deviated septum are commonly performed, the most common reason for nose reshaping surgery is to improve the nose’s aesthetics.
The Rhinoplasty procedure can achieve the following objectives:
- Narrow the bridge or middle third of the nose
- Reshape the nostrils by widening or narrowing
- Nose tip reshaping and refinement
- Sculpt the bridge or nasal dorsum of the nose
- Reducing the size of the nose with the removal of cartilage and bone
- Nasal profile contouring
- Rhinoplasty for noses previously damaged through trauma (car accidents, sports etc.)
- Septal deviation or a bent nose
- Breathing difficulties
Am I suitable?
Whether you choose to have rhinoplasty because of aesthetic reasons, previous trauma or airflow problems – there are some fundamental prerequisites to make sure you get the best possible outcome from your nose job procedure:
- Patients must be over the age of 18
- Healthy – physically and mentally
- Realistic expectations of what can be achieved
- Aware of the recovery process and the need to follow postoperative instructions
You will initially be reviewed by a fully qualified consultant plastic surgeon experienced in rhinoplasty & nose job surgery. Our lead surgeons are specialist rhinoplasty surgeons and hold or have previously held NHS consultant appointments and where they regularly perform complex reconstructive surgery. This way, you have the opportunity to discuss directly with the surgeon who will perform your operation (if you go ahead) your ideas, concerns and expectations about the rhinoplasty procedure. The surgeon may also inform you of the risks that may occur if you travel abroad for your rhinoplasty.
As part of the consultation, the surgeon will:
- Take a full history and examine yourself;
- Explain what the rhinoplasty surgery involves; and
- Will offer his/her professional opinion of what can/cannot be done to achieve the ideal aesthetic outcome
Trust a facial plastic surgeon
A facial plastic surgeon is trained to undertake aesthetic surgical procedures in the facial region. They are dedicated sub-specialists in all aspects of cosmetic surgery on the face. Compared with general plastic surgeons, facial plastic surgeons are inherently better trained to perform delicate facial procedures. The extra years of surgical training by facial specialists focused on the facial region results in an exceptionally high degree of skill.
Our surgeons carry out both primary and revision rhinoplasty and aesthetic and reconstructive nose surgery. They are well known for their friendly and thorough approach with patience and are highly sought-after for achieving natural results after rhinoplasty surgery.
What makes our rhinoplasty surgeons different?
Patients who choose Centre for Surgery are getting a completely different level of service compared to other providers. First of all, our surgeons are true specialists in rhinoplasty and nose job surgery. This means that they perform surgery mainly on the nose and facial region. Although they are trained as plastic surgeons and are trained to perform breast and body surgery, they less frequently perform breast augmentation, liposuction or tummy tuck. Patients who choose Centre for Surgery for their rhinoplasty procedure do not do so based on price. We are not inexpensive but are reasonable and fair. Our surgeons take their time to perform nose job surgery utilising advanced surgical techniques, which are continually refined with knowledge gained from attending international conferences. Very importantly, our surgeons are ethical. 20-30% of patients are turned away – they do not need a rhinoplasty procedure. No surgeon can guarantee results, but the very high number of satisfied patients is a testament to the skill of the specialist surgeons we work with. Do not choose Centre for Surgery if you looking for a bargain. Choose us if you want a surgeon with super-specialisation by operating only on the nose and an exceptionally high degree of ethics and professionalism to take care of you from start to finish.
RealSelf Top Doctors
RealSelf top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and investing significant time in Q&A and other doctor activities.
Our surgeons are full members of:
The rhinoplasty surgeon will always take time to review all your options to give you an idea of how you may look after surgery. Our high standard of ethics is reflected in our recommendation to all patients to seek the opinions of several surgeons so they can feel totally comfortable with their ultimate decision to undergo rhinoplasty as well as the right choice of surgeon. All our rhinoplasty surgeons are on the GMC specialist register. The Royal College of Surgeons of England has an excellent information resource on cosmetic surgery.
RELATED: How to choose your plastic surgeon
All our surgeons attend international rhinoplasty conferences, including the top annual rhinoplasty symposium in Bergamo, Italy, to keep knowledge and skills up to date.
Things to consider before having a nose job
We believe that the best outcomes after rhinoplasty & nose job surgery happen when patients make the right choice of clinic and surgeon.
1. In deciding on the right clinic for you, always carry out extensive research and choose a well established and reputable clinic. Centre for Surgery are specialists in rhinoplasty and have been established for many years. Our patient coordinators and surgeons are here to answer any questions you may have to empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience and having a record of good patient feedbacks. You should know who you will be seeing before your consultation. At Centre for surgery, our nose job surgeons are specially selected after a rigorous appointments process to ensure they have the right skill set to perform rhinoplasty.
3. When choosing to have a cosmetic surgery procedure, you should not base your decision on price alone. It is important to make sure you are having treatment in a safe and regulated environment by staff who are both full trained and caring to look after your needs – before, during and after your procedure.
4. Avoid clinics who offer a ‘hard-sell’. If something sounds too good to be true, it probably is. Ask the surgeon what techniques will be used. Surgeons at Centre for Surgery perform all types of rhinoplasty including complex reconstructive surgery.
We believe patient safety and happy satisfied patients are the bedrock of our reputation as an ethical provider of cosmetic surgery. Our doctors are known for giving straightforward honest advice and you can be assured that your journey with Centre for Surgery will be a positive experience on the path to renewed self-confidence.
What happens at the Rhinoplasty consultation?
The rhinoplasty surgeon will take time to listen to and understand your goals for rhinoplasty. The surgeon will work with you to determine the right nasal appearance to enhance the face overall. 3D imaging may be used to optimise this process. Any previous surgical procedures, past medical history and your general health will be assessed along with allergies and current medications taken if any.
Questions which your rhinoplasty surgeon may ask you:
- Are you generally healthy without any chronic medical conditions?
- Do you have any medical conditions such as diabetes or hypertension?
- Have you had previous surgical operations and were there any complications?
- What medications are you taking currently? Do you have any allergies?
- Do you smoke or drink alcohol and if so, how much?
- What would you like to achieve from the rhinoplasty procedure?
The surgeon will use their extensive experience to suggest the type of procedure or combination of procedures to achieve the desired result. Any risks and complications will also be explained in detail. A selection of rhinoplasty before and after images can also be requested to be seen if you wish to give you a rough idea of what can be achieved with rhinoplasty surgery. These photos should be seen as a guide and no guarantee can be given about achieving a particular surgical result.
A guide to questions you could ask the rhinoplasty surgeon about:
- How do I know if rhinoplasty is right for me?
- Which is better, open or closed technique?
- I am not suitable for a surgical procedure, shall I have a non-surgical rhinoplasty?
- Will have a lot of pain after the procedure?
- What level of scarring can I expect after the procedure?
- What is the recovery period like and what should I be doing during the healing period to get optimal results?
- Am I being realistic on what I am asking to be achieved?
- With my type of concern, how many procedures have you done in the past?
- Do you have some similar before and after rhinoplasty images I can view?
- What should I do if the results do no meet my expectations?
In approximately a quarter of all consultations, your surgeon may not recommend a rhinoplasty procedure. This is testament to the ethics and professionalism which all surgeons possess at Centre for Surgery. We are a medical practice first and foremost and all clinical decision-making is fully detached from commercial imperatives.
The goal at consultation is for all patients to make the most informed and intelligent decision about a potential rhinoplasty procedure. The surgeon is there to guide that process and the consultation should be seen as a meeting between 2 experts – you and the surgeon together.
Common reasons to have a nose job in London
Nose job surgery or rhinoplasty is one of the most popular procedures in the UK. There are several common reasons why patients choose to have a rhinoplasty. Centre for Surgery most commonly perform aesthetic rhinoplasty surgery.
Aesthetic: the nose plays a major role in balanced facial aesthetics. For patients who are unhappy with their nasal structure, this can be corrected with am aesthetic rhinoplasty procedure.
Traumatic injuries of the nose: slips, trips and falls are common causes of injuries to the nose. To correct deformities to the nose, rhinoplasty will be required to restore the structure and function of the nose.
Airflow through the nose: many patients experience problems with breathing through their nose and depend heavily on mouth breathing. Our surgeons have specialist expertise in correcting the airflow pathways of the nose. A rhinoplasty procedure can be performed with surgery of the partition of the nose or septum (septoplasty or septorhinoplasty) to address airflow problems.
I had a rhinoplasty procedure at Centre for Surgery in Watford with Dr Misra. Gregory the patient coordinator was exemplary as was Christina who called me daily after my procedure to see how I was doing. Dr Misra himself was amazing from start to finish. The surgeon explained everything very thoroughly. I found him to be honest and straightforward. The surgery itself was flawless – I had no pain whatsoever afterwards, just a bit of bruising. I can fully recommend Centre for Surgery for rhinoplasty surgery.
How much does rhinoplasty cost?
There are a number of factors which will determine the overall cost of your rhinoplasty procedure and the final quotation will be given after your face-to-face consultation with your specialist plastic surgeon.
- Open or closed rhinoplasty
- Need for septum graft (septorhinoplasty)
- Traditional or ultrasonic method of reshaping the nasal bony framework
- Primary or revision rhinoplasty
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your procedure.
Always remember that price should never be the determining factor when it comes to choosing your provider for nose job surgery. We feel that safety and quality of service should be your number one priority and instil in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Spread the cost of your rhinoplasty procedure – from as little as £120 per month
Centre for Surgery is fully approved to offer finance via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for your procedure. Don’t wait until you have enough money for your treatment, apply today and (subject to status) pay for your procedure easily in monthly instalments, using one of their payment options. Chrysalis Finance is the only ethical provider that focus solely on the provision of specialist financing for medical procedures.
What is included in my treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same-day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator
- In-depth preoperative medical assessment to make sure you are fully fit for the rhinoplasty procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face-to-face checks by our expert postoperative support team
Types of rhinoplasty
The nose consists of both a bony and cartilaginous skeleton. The lower two thirds are composed of cartilage and the upper one third is bony. The cartilage in the lower two thirds is the same as that found in the ear cartilage. The nose is divided into two halves by a midline cartilage partition called the septum. The septum functions to as a structural support for the cartilage part of the nose to prevent it from nasal collapse. Most types of rhinoplasty when performed on Caucasian noses are for reducing the size of the nose through reduction of both the bony and cartilaginous portions of the nose.
In an open rhinoplasty, a very small incision is made at the columella at the base of the nose between your nostrils. Extra incisions are made inside the nose that are very difficult to see. An open rhinoplasty results in full visualisation of the bony and cartilaginous framework. This permits a more precise correction of the nasal deformity. Open rhinoplasty is ideal for correction of the full range of nose deformities and certain types of rhinoplasty are only performed with an open technique such as revision rhinoplasty.
Closed Rhinoplasty (endonasal rhinoplasty)
In a closed rhinoplasty, also known as an endonasal rhinoplasty, the surgeon places incisions inside the nostrils. These incisions are not visible after the procedure. The disadvantage of a closed rhinoplasty include a limited visualisation and increased difficulty in surgically manipulating the nasal structures. Although not as commonly performed as an open procedure, this procedure does have a reduced recovery time and leaves no visible scars. Closed techniques are most commonly the domain of the expert rhinoplasty surgeon and all our rhinoplasty surgeons are equally proficient in closed techniques.
A septorhinoplasty is able to address breathing problems affecting the nose. Septorhinoplasty is commonly performed for patients that have septal deviation. The septum is the midline partition made of both cartilage and bone that divides the nose into two halves. An incision is made in the tissue lining the inside of the nose known as the mucosa is then gently lifted off the septum. The septum is then straightened using a variety of surgical techniques including spreader grafts. The straighter septum markedly improves breathing through the nose. In addition to addressing functional problems, the aesthetics of the nose can be enhanced as septorhinoplasty is a two-in-one procedure.
Rhino-tip correction (Tip Rhinoplasty)
Rhino-tip correction or tip rhinoplasty is designed to address the cartilage part of the nose without any bone work being performed. Rhino-tip surgery can be performed via both an open and closed technique though is most commonly performed with the closed rhinoplasty method to reduce visible scarring. Tip reshaping is ideal for those who do not require dorsal hump removal. Typical examples of patients who need rhino-tip correction include patients with a large boxy tip. Big tips are often rounded which is often because of thick skin. Bent or crooked tips often lead to the appearance of one nostril looking bigger than the other which gives rise to nasal asymmetry. Large nostrils can give the impression of a flattened nose when viewed front-on. Wide nostrils can be addressed with an alar base reduction. Finally, the tip rotation can be an issue especially when viewed side-on including over projecting tips which give the appearance of a hook nose and under rotated tips which are less common.
Ethnic Rhinoplasty for African and Oriental noses
Patients from certain ethnic backgrounds tend to have wider and flatter noses with enlarged nostrils. Our surgeons employ specialised augmentation rhinoplasty techniques to improve structural support. It is often not appropriate to perform conventional reduction rhinoplasty methods in the ethnic nose. Cartilage can be harvested from a number of sites including the ear or rib. The harvested cartilage is carefully reshaped to fit the recipient site. Alar base reduction is an ideal procedure to reduce the width of the nostrils. In some Far Eastern patients, the inner part of the eyelids is webbed as it blends with the nose. Often this will also be corrected at the time of the ethnic rhinoplasty.
Centre for Surgery is one of the few centres in London and the United Kingdom to use the Piezotome method of shaping the nasal bones with extreme accuracy and precision – Ultrasonic Rhinoplasty.
The traditional method of rhinoplasty & nose job involves the use of mallets, chisels and bone files which often leads to a significant degree of bruising and swelling and what can often be a lengthy recovery. Concentrated ultrasonics emitted from a specially designed handpiece precisely sculpt the bony framework whilst respecting the nasal soft tissues. This means less swelling, less bruising, less discomfort and a quicker recovery. The technology is truly groundbreaking with significant benefits for the nose reshaping patient.
The Rhinoplasty procedure has evolved over time, away from cartilage destructive techniques to preservation of your cartilage and utilising minimally invasive surgical approaches to minimise downtime.
The preservation rhinoplasty technique means surgeons no longer need to break the nose during surgery. The dorsal height can be corrected via an internal access approach to sequentially reduce the height. This incremental approach means the nose will become smaller as the height is reduced internally and the hump will be removed. The preservation technique takes longer to perform but the benefits are often well worth the increased procedure time.
Preservation rhinoplasty can be performed through both an open and closed approach. The key feature in either technique is surgical dissection in the correct plane which can be tricky if the surgeon lacks experience. Restoration of the soft tissue architecture through the repair of ligaments which were released to access the nose helps to reduce postoperative swelling with a quicker recovery.
Approximately 1 in 5 patients will still require a traditional procedure and your surgeon will be able to advise you on the most appropriate surgical method.
Non-Surgical Rhinoplasty ‘liquid nose job’
For patients who desire only subtle changes to the nose and are not keen on the idea of invasive surgery, the option of non-surgical rhinoplasty is now available for temporary correction of nasal imperfections. In non-surgical rhinoplasty, hyaluronic acid-based soft tissue fillers are injected to reshape the nasal framework. Non-surgical rhinoplasty should be viewed as a medium-term solution as the fillers have a thicker consistency and therefore last up to a year. Hyaluronic acid fillers gradually break down and the procedure is not a permanent solution. The non-surgical nose job procedure is commonly used as a ‘tester’, patients can gauge how they look with the non-surgical rhinoplasty first. If they are happy then they can proceed with a more permanent long-term solution in the form of surgical rhinoplasty. Patients who are not keen on the idea of surgery can opt for yearly maintenance treatments. It should be noted that non-surgical rhinoplasty can not correct all abnormalities of the nasal structure unlike a surgical rhinoplasty and is ideally suited for correction of the nasal bridge or tip correction.
What is the difference between male and female rhinoplasty?
Rhinoplasty also known as a nose job or nose reshaping procedure is a very commonly performed cosmetic surgery procedure in both women and men. In the UK, rhinoplasty is the most commonly performed cosmetic surgery procedure in men.
There are a number of recognised surgical techniques for carrying out rhinoplasty in both women and men although there are number of key differences between the male and female nose. These fundamental differences in structure result in often very different treatment goals in both sexes.
There are many reasons patients choose to have rhinoplasty. The most common reasons include functional disturbances including disordered breathing, improving the appearance of the nose in proportion to the face, making people feel more comfortable in themselves and the correction of facial asymmetry. There are a number of common nasal abnormalities including a bump on the bridge of the nose also known as a dorsal hump, a bulbous tip or boxy tip, septal deviation, a droopy nasal tip, narrow or wide noses and noses that are deviated to one side as a result of injury. The key task of the rhinoplasty Surgeon is identifying the key features that distinguish the male and female nose and designing surgical approaches to address the abnormalities.
Rhinoplasty in men often involves creating a more straighter angle with more prominent definition with less of a bulbous appearance. The subsequent more prominent appearance often enhances the overall appearance of the face. Many men also choose to have rhinoplasty to correct deviation of the nose from a previous injury or to smoothing out any localised lumps or bumps.
Women often choose to have more subtle less discernible changes to their nose to maintain the overall facial balance. The most common Lee requested procedure is to reduce the appearance of a droopy nasal tip often associated with a dorsal hump on the bridge of the nose. In both men and women are surgeons are trained to correct any nasal concerns that are important to the individual patient. In general, men look for a more chiselled or defined nose which is not too narrow or result in a pinched appearance to the nasal tip. The art of rhinoplasty surgery lies in tailoring the individual procedure to each patients individual anatomy to help them achieve their goals.
In most cases, the structure of the nose in men and women differs significantly in that women often have shorter noses than men and will have thinner skin. Many men may have thicker and more sebaceous skin and this may make them less than ideal candidates for rhinoplasty. Thickened skin with sebaceous glands often gives rise to a large nasal tip also known as a bulbus tip. This appearance is much more prevalent in men and may coexist with a condition known as rhinophyma.
The COVID-19 global pandemic has led to a huge increase in video calls and this has resulted in many men to become more self-conscious of their appearance on video conferencing apps. Rhinoplasty differs from other types of cosmetic surgery in that it can also improve functional aspects of the news in addition to its aesthetic appearance to help restore overall facial balance. Many men who have had a rhinoplasty often report a huge increase in self-confidence leading to increased comfort in how they look in front of others.
Male nose job surgery can be effectively performed alongside other facial surgery procedures and the most common combination involves a chin augmentation with a chin implant with a rhinoplasty to improve the appearance of the face in profile view with a more defined and stronger chin.
As one of the largest private rhinoplasty units in Europe, our surgeons carry out all types of rhinoplasty including open rhinoplasty, closed rhinoplasty, septo-rhinoplasty, rhino tip surgery, ultrasonic rhinoplasty and revision rhinoplasty.
Get in touch today and speak to one of our experienced patient care coordinators to learn more about rhinoplasty and book a consultation with an expert surgeon to start your journey towards achieving your treatment goals.
Ethnic rhinoplasty aims to create a more natural appearance by modifying the components of the nose whilst simultaneously aiming to maintain harmony with your natural ethnicity. The most commonly requested enhancements include modifications of the nasal bridge, adjusting the size of the nostrils or adjustment of the angle of the nose.
Read our latest testimonials from our amazing patients
I had been looking to have a Rhinoplasty procedure for some time but for various reasons I had been unable to find a clinic and surgeon that I felt entirely comfortable with. I came across the Centre for Surgery and decided to contact them. My first contact was with Yasmin. I found her to be very sympathetic and willing to help. My initial consultation went well and I soon arranged a date for my surgery. The process of preparing for surgery, the surgery and aftercare went smoothly and as well as I could’ve hoped for. This was down to the efforts of the entire team at the Centre for Surgery who are very well organised, caring and friendly! A month after my surgery, I am very pleased with the results and I would highly recommend the Centre for Surgery and their excellent Surgeon Mr Alok Misra.
Rhinoplasty procedure preparation
Patients who smoke will be advised to stop for at least 2 weeks before the date of their nose job procedure. Smoking has detrimental effects on your circulation and is well known to slow the healing process after a nose job. All medications, prescribed and over the counter will be reviewed. Aspirin and aspirin-containing medicines should be stopped both before and after surgery. Aspirin and NSAIDs impair the body’s natural clotting process and may cause bleeding complications after nose job surgery. If you require pain relief after surgery, paracetamol is advised.
Would highly recommend Centre for Surgery. Very professional staff who supported me through my entire journey from initial consultation to the procedure. Always on hand to answer any questions I had and thoroughly explained the procedure and associated risks to ensure I was well-informed.
Benefits of day case surgery for rhinoplasty
- Day surgery allows for a quicker recovery with less disruption to you and your family life and also cuts the risk of hospital acquired infections.
- Day surgery is more cost-effective with no nasty hidden costs for an overnight stay.
- Day surgery procedures use local anaesthetic during the procedure which increases postoperative comfort levels.
- Day surgery procedures involve a higher level of proactive nursing care in a postoperative ward where any postoperative concerns can be identified early and therefore treated more effectively.
- Procedures performed as a day surgery have been proven to result in lower risk of postoperative complications such as bleeding or wound complications including surgical site infections.
Anaesthesia options for rhinoplasty & nose job
Rhinoplasty is often performed with a number of different anaesthetic techniques.
- General anaesthesia
- Conscious sedation
- Local anaesthesia
General anaesthesia is exclusively used for rhinoplasty surgery at Centre for Surgery.
More specifically, we use TIVA anaesthesia with a flexible laryngeal mask (+ throat pack) and controlled ventilation which we believe to be the gold standard technique for rhinoplasty surgery.
Some surgeons may prefer using local anaesthetic for nose job often combined with some form of sedation. We believe shortcuts should not be taken with anaesthesia especially with a highly intricate procedure like rhinoplasty. We only use the proper equipment with fully qualified specialist anaesthetists to monitor you at all times during your procedure.
You will have a breathing tube to secure the airway and with a throat pack inserted which helps to soak up an blood or debris which often seeps down through the nose during the procedure. The anaesthetist will use a ‘controlled hypotension’ technique to minimise the amount of bleeding during the procedure using precise controlled ventilation and TIVA. Patients report very little in the way of dizziness, drowsiness or grogginess after our anaesthesia method with a very satisfaction rate. Our post-operative nausea and vomiting rate is currently nil – we have never had a single patient who has felt sick after their procedure.
All rhinoplasty procedures at Centre for Surgery are carried out under a type of general anaesthetic called TIVA. TIVA stands for total intravenous anaesthesia and is the most advanced form of anaesthesia available. In our experience, patients experience fewer side effects with the TIVA technique than under traditional general anaesthesia. It also means that patients usually wake up quickly and are not required to stay overnight. They can recover in the comfort of their own home, which we believe leads to faster recovery and better outcomes after nose job surgery.
Rhinoplasty surgery can be performed in a number of different ways: the base of the nose can be narrowed, humps on the bridge can be removed, correcting flared nostrils or even refining the tip of the nose.
The rhinoplasty procedure will in all cases be either open or closed. The surgeon will decide in consultation with you which is the best procedure for your case. Ultrasonic rhinoplasty is always performed with an open technique.
Rhinoplasty procedures require roughly 3 to 4 hours and often more for a revision rhinoplasty. During the rhinoplasty procedure, the surgeon design incisions to run along your nose to facilitate access to the cartilage and bony framework of the nose. There are a number of surgical techniques for soft tissue augmentation or to smoothen surface irregularities.
The open rhinoplasty approach is favoured for optimal binocular visualisation and precise diagnosis and correction of all nasal deformities.
Closed rhinoplasty vs open rhinoplasty:
Closed rhinoplasty – incisions will be made inside the nose
Open rhinoplasty – a small incision is performed on the area at the inferior aspect of the nose between the nostrils. This area is called the columella. An ultrasonic rhinoplasty can only be performed with the open technique.
In practice, only a very few patients will be appropriate for a closed approach as the limited exposure in a closed rhinoplasty only allows the dorsal hump to be addressed in most cases. An open rhinoplasty allows full exposure of the bony and cartilaginous framework to allow an accurate correction of the areas of concern.
After you are asleep, the bones of the nose and the cartilaginous areas will be exposed. This allows the rhinoplasty surgeon to use specialised instruments to shape the nose. Some procedures may require the use of cartilage taken from other areas of the body such as the back of the ear or even from a very small area of the ribcage. This is required for the extra support to maintain the structure of the nose. Airflow issues are corrected by ensuring the septum of the nose is straightened up. Very fine sutures will be used to close any incisions that were made. A special packing material will be placed to minimise the risk of bleeding, and a splint is worn for one week to facilitate proper healing.
Rhinoplasty & nose job surgery continues to be among the most challenging procedures for plastic surgeons to develop consistency in. At Centre for Surgery, our careful preoperative naso-facial analysis and detailed functional assessment enables the surgeon to approach each nasal component systematically.
After your nose reshaping procedure, there will be bruising and swelling. In particular, the lower eyelids may look particularly bruised. This is normal and will subside with time.
To minimise the impact of the bruising and swelling, you should lie with head up in bed on a few pillows. We also highly recommend our patients to apply cold packs for the first 48 hours following the surgery to reduce bruising and swelling.
You will be discharged the same day and you can rest in the comfort of your own home providing you have a responsible adult with you for at least 24 hours. Our medical team will phone you the next morning and you will see the surgeon one week later for removal of the splint. There will then be subsequent follow-up appointments to monitor your healing and progress.
Top tips for recovery
- Avoid bending and heavy lifting
- Avoid bumping the nose
- Avoid gym activities for two weeks
- Avoid showering – take a bath instead
- Avoid blowing your nose
- Avoid hard-to-chew foods for the first week or two
- Avoid glasses for six weeks after surgery
- Avoid excessive smiling or laughing
- Avoid smoking
- Avoid high sun exposure in the first several months following the surgery as the skin on the nose will be prone to sunburn
- Sleep promotes healing so take naps when you need to
Risks and potential complications of rhinoplasty & nose job surgery
Rhinoplasty is one of the most challenging cosmetic surgery procedures to perform. Complications can potentially occur with any surgical procedure, a nose job is no different. It is particularly difficult to predict healing with rhinoplasty surgery even with the best performed surgery. There are many factors which will influence healing such as the thickness of the skin, smoking status and many other factors.
At consultation, your surgeon will always take time to fully discuss the risks and complications associated with nose job surgery. By choosing Centre for Surgery for your rhinoplasty procedure, you can be confident in having highly experienced and expert surgeons to perform your procedure and manage your aftercare.
Potential risks associated with rhinoplasty
- Anaesthetic risks
- Breathing difficulties
- Inverted V deformity
- Visible surgical scarring
- Persistent swelling
- Sensory changes
- Skin discolouration
Best outcomes after rhinoplasty surgery result from following all the postoperative aftercare instructions given by your surgeon. Fortunately many risks of rhinoplasty surgery are rare.
With any cosmetic surgery procedure including rhinoplasty surgery, it is very important for the surgeon to have a clear idea of what you are hoping to achieve and whether the surgeon has the skills to meet your expectations.
The Centre for Surgery approach to aftercare
Our aftercare programme was recently described as ‘outstanding’ by our regulator, the Care Quality Commission.
Our postoperative support team phone all our patients the day after their rhinoplasty procedure and then every other day thereafter for the first two weeks. The proactive nature of our postoperative support gives every patient the best opportunity for a smooth postoperative recovery free of complications. In many cases if complications were to occur, their impact is markedly lessened by early detection, prompt clinical assessment and correct treatment. Where a patient expresses concern to our team over the phone, then we often call patients in the same day for assessment with one of our expert nursing team. Even if there is no significant issue, the careful explanation and calm reassurance provided by our team can help to alleviate any worries you may have experienced.
What is rhinoplasty surgery?Rhinoplasty surgery, alters the size and shape of the nose and can be performed for aesthetic, reconstructive or combined and aesthetic and reconstructive reasons.
There are different types of nose shapes with some of the most common types which can be treated with Rhinoplasty including:
- Long noses with prominent nasal tips or large nostrils
- Large noses with prominent nasal tips or large nostrils
- Nasal asymmetry or asymmetrical nostrils
- Prominent bump on bridge of nose
- Deviated septum causing airway obstruction and breathing difficulty
The nose forms a central component of the face and therefore has a significant impact on the overall facial balance. Nose contouring surgery is highly effective in correcting many nasal abnormalities including crooked noses, bulbous noses and hooked noses.
A rhinoplasty is also known as a nose job.
How to choose the best rhinoplasty surgeonIf you are considering having a rhinoplasty procedure, it is vital that you carry out your research to make sure you choose a highly experienced and qualified specialist surgeon in rhinoplasty. An expert rhinoplasty Surgeon will be able to assess you in detail and explain all aspects of the proposed procedure including what to expect in the recovery period as well as the potential risks and complications of rhinoplasty surgery. Rhinoplasty is one of the most challenging procedures in cosmetic surgery and you will receive an honest and straightforward assessment of what can be achieved with surgery.
Patients should always check that their surgeon is an accredited specialist in rhinoplasty surgery and perform rhinoplasty surgery regularly. Your surgeon should be experienced in both primary and revision rhinoplasty and both aesthetic and functional correction of nasal abnormalities. Do remember to ask to see the surgeons gallery of before and after nose job photos especially of patients that have a similar nose size and shape to yours to give you a reasonably accurate idea of what can be achieved with rhinoplasty surgery. You should also view patient reviews on verified review websites such as Trustpilot.
The best rhinoplasty surgeon will always aim to design the procedure to give beautiful and natural looking results and will perform a holistic assessment before proceeding with surgery which includes assessing your mental and physical fitness. For patients who have chronic uncontrolled medical conditions such as severe hypertension then they may be inappropriate candidates for rhinoplasty surgery. Our surgeons routinely turn down up to 30 to 40% of patients as they are deemed inappropriate for rhinoplasty and this is testament to the high standard of ethics and professionalism which our surgeons possess.
As part of verifying your surgeons credentials, you should always check on the GMC website that your surgeon is listed on the specialist register for plastic surgery, ENT surgery or maxillofacial surgery. You can therefore be assured that you are seeing a highly skilled specialist who has completed many years of training in their medical discipline.
What can be achieved with Rhinoplasty?The Rhinoplasty procedure can achieve the following objectives:
Narrow the bridge or middle third of the nose
Reshape the nostrils by widening or narrowing
Nose tip reshaping and refinement
Sculpt the bridge or nasal dorsum of the nose
Reducing the size of the nose with the removal of cartilage and bone
Nasal profile contouring
Rhinoplasty for noses previously damaged through trauma (car accidents, sport etc)
Septum deviation or a bent nose
What are the different types of rhinoplasty & nose job ?There are a number of different types of rhinoplasty - the main difference is between an open and closed rhinoplasty.
Closed rhinoplasty (endonasal rhinoplasty) is a commonly type of nose surgery procedure. There are no external incisions made in a closed rhinoplasty and all incisions are made inside the nostrils to expose the structures to be modified. Both bony and cartilaginous structures can be modified and tip work is also possible with a closed approach. A closed nose job results in a less bruising and swelling leading to a faster recovery. The operation is also much quicker compared with an open rhinoplasty.
Open rhinoplasty surgery results in a full exposure of the underlying bony and cartilaginous framework. Under direct vision, the surgeon is able to correct with precision any nasal structure. The incision for open rhinoplasty is made at the columella which is area of skin between the nostrils. This heals very well and is barely visible at 3 months after the procedure. The skin is carefully reflected from the underlying tissues to facilitate the subsequent nose reshaping. After the procedure, special brown tape is applied to the nose followed by the application of a aluminium backed nasal splint. This is kept in place for one week to protect the bone during healing. An open rhinoplasty technique is also the foundation for an ultrasonic rhinoplasty technique. the open approach is ideal for patients with signficant structural issues or previous traumatic injury to the nose and also for revision rhinoplasty.
Septo-rhinoplasty is performed for patients with functional impairments to the nose of which the most common is difficulty in breathing. This is often due to a deviated septum which is the midline partitiion between the 2 nostrils. The septum is also composed of cartilage in its front portion and this can be straightened as well as being used as a source of grafting material for augmenting other parts of the nose. A septorhinoplasty can address both functional and aesthetic concerns in a single procedure. The procedure takes longer to perform compared with a traditional open rhinoplasty.
Tip rhinoplasty is performed to modify the cartilaginous part of the nose which is the lower two thirds. The nasal alterations can be made as part of a closed or an open rhinoplasty. A closed approach may not work for all deformities as visualisation is limited in the closed approach. An open approach can be used for all modifications. Common abnormalities of the tip include an over-rotated or under rotated tip, large flared nostrils, or tip under-projection or over-projection.
Non-surgical rhinoplasty is a non-invasive type of nose reshaping that does not involve surgery. A soft tissue filler called hyaluronic acid is injected into the nose to correct minor abnormalities. Rhinofiller is ideal for patients who not keen on a surgical rhinoplasty and prefer only subtle changes to the nose. The effects are temporary in nature and will need repeat injections if you wish to maintain the results from your previous treatment. Often patients will use a non-surgical rhinoplasty as a ‘tester’ to determine if they would like the results from a surgical nose job. They can then proceed to the surgical procedure with a more accurate idea of how could look like.
What is preservation rhinoplasty?With rhinoplasty performed in those of caucasian origin, the main problem reported by patients is a prominent dorsal hump independent of age or gender. The removal of the dorsal hump in a procedure known as dorsal hump reduction is a key component of a rhinoplasty procedure with removal of controlled amounts of bone and cartilage. In traditional rhinoplasty surgery, dorsal hump reduction leads to disruption of the bony vault of the nose and additional steps are necessary to restore the nasal anatomy and function. For many years, dorsal hump reduction was the standard procedure used by most rhinoplasty surgeons to alter the nasal shape. There are a number of complications associated with bony hump reduction including irregularity of the underlying bone, deformity and a saddle nose from removal of too much cartilage. Of all plastic surgery procedures, rhinoplasty carries a significant rate of revision surgery when compared with other facial and body procedures. This is often because it can be very difficult to predict how the nose will heal after surgery. In revision rhinoplasty, the use of grafts taken from other parts of the body may be required to reconstruct the nasal framework. In preservation rhinoplasty, the surgeon is able to employ gentler techniques to reshape the nasal bone. There is no longer a need to perform potentially aggressive manoeuvres with traditional surgery. Preservation rhinoplasty is gentler on the soft tissues and results in less bruising and swelling in the postoperative period. The results can also look more natural with the avoidance of the risks of a dorsal hump reduction using older methods. The rate of revision surgery is lower following preservation rhinoplasty. The recovery is much quicker and is comfortably performed as a day case procedure meaning you get to recovery in the comfort of your own home following surgery. Bleeding is much less and this results in less bruising. The older method of inserting nasal packs into the nose may not be required after the procedure. These packs can be uncomfortable to remove in many cases. Patients can breath through their nose and regain their sense of smell much quicker. To learn more about preservation rhinoplasty and if it could be appropriate for you, please book a consultation with one of our specialist rhinoplasty surgeons.
What happens on the day of my rhinoplasty procedure?When you arrive at the centre for your rhinoplasty procedure, one of our nurses will take you to our admission room where you will be asked to change into clinic clothing and have your vital signs measured. The anaesthetist will assess you including performing a preoperative airway assessment. The anaesthetist will also prescribe and give you oral premedication to optimise your anaesthetic and how you recover after surgery. Then the surgeon will see you and will go over the consent form with you to make sure you are fully clear on the surgical plan. The surgeon may use a marker pen to use on your nose. After your procedure is complete, you will be transferred to the recovery area where you will be looked after on a one to one basis by one of our expert recovery nurses. Fruit juice or a hot drink will be offered and you will be encouraged to mobilise to reduce the risk of DVT. Once you are ready for discharge, you will be seen by your surgeon who will give an overview of the procedure and the postoperative instructions to be followed for the next 6 weeks. You must have a responsible adult escort to take you home and look after you for the first 24 hour after your rhinoplasty procedure. A follow-up postoperative appointment will be booked and some spare cotton gauze will be given as it not uncommon to have spots of blood dripping from the nostrils for the first 24 hours following rhinoplasty surgery.
What is a preservation Rhinoplasty?In those of Caucasian origin, one of the most common reasons to request rhinoplasty is for correction of the dorsal hump regardless of age or gender. Dorsal hump reduction involves removal of varying amounts of both bone and cartilage. In traditional methods, this process of removal results in an 'open-roof deformity' and must be surgically restored to restore nasal functionality.
The traditional method of performing Rhinoplasty has for many years been the standard method of reshaping noses with the risk of bony unevenness and residual deformity. Of all procedures in cosmetic surgery, Rhinoplasty carries the highest risk of secondary and corrective revision surgery later on. Secondary procedures often require the use of grafts taken from the ear or ribs.
With preservation rhinoplasty, surgeon no longer need to employ aggressive methods of hump resection. Dorsal preserving surgery avoids many of the complications seen with traditional methods and with reduced downtime. As with all types of Rhinoplasty we perform, preservation Rhinoplasty is performed as a day case procedure.
The use of internal packs for the nose after surgery is eliminated with a preservation rhinoplasty procedure. This makes the recovery process much more pleasant for patients allowing a speedier return to normal activities of daily living.
Do you perform Ethnic Rhinoplasty?Yes we do.
Whether you are:
Our surgeons have the expertise to create natural looking results specific to your ethnic origin.
How do I get the best outcome from rhinoplasty ?Smoking impairs healing and so you should aim to stop smoking at least one month prior to rhinoplasty. Medicines which thin the blood should also be stopped – you should consult your GP if you have any concerns about your health. You will be required to wash with a special antiseptic solution prior to surgery to minimise the risk of infection.
Am I an ideal candidate for rhinoplasty ?You must have realistic expectations of what can be achieved with rhinoplasty surgery. Your health should be optimal and you must be at least 18 years of age. Performing rhinoplasty on the immature facial skeleton can impair the results.
Your surgeon will fully assess you to make you are fully informed of what the nose job procedure can and cannot achieve.
What options exist for correcting the tip of the nose?A Rhino-tip correction may be the most suitable option.
Here, just the cartilaginous nasal framework and alar base and nostrils are addressed.
In many cases, this avoid the need for a full rhinoplasty with correction of bony component which is often the part which gives rise to bruising of the area under the eyes.
What does the rhinoplasty procedure involve?A closed rhinoplasty or open rhinoplasty can be performed. An open rhinoplasty is better for correcting tip deformities and revision rhinoplasty surgery. The closed rhinoplasty technique is better for correcting hump deformities and the healing is generally quicker.
In a nose reduction procedure, the nose is surgically made smaller with removal of cartilage and bone. The surgeon can do this by either using a rasp to file down the dorsum of the nose or for larger dorsal humps, an osteotome. If the nose in the upper third needs to be narrowed, lateral osteotomies must also be performed. Towards the end of the procedure, your surgeon will decide whether to narrow the nostrils to maintain balance with the rest of the newly reduced nose. Tip rhinoplasty involves the use of both suture techniques and cartilage grafting techniques to control the rotation and projection of the nose. The angle between the nose and upper lip can also be modified.
How long does rhinoplasty take?The nose job procedure can take up to three or four hours, but 2-3 hours on average.
Revision rhinoplasty surgery takes longer because they tend to be very complex in nature.
Will I have scars after rhinoplasty?Most rhinoplasty incisions are made inside the nose. With a closed rhinoplasty all incisions are inside the nostrils.
In open rhinoplasty, there will be an incision made at the base of the nose at the columella which is the small fleshy part separating the nostrils. This scar is minimal and the surgical methods have evolved to make this scar look as minimal as possible. In practice, only someone looking at your nose from below will be able to see any remnants of the scar which would be minimal.
How long does rhinoplasty recovery take?This depends on two key aspects. How long does it take for the nose to heal fully with full resolution of swelling and how soon can you return to full activity without any limitations placed. There is quite a big disparity between the two with the former taking much longer than the latter.
The great thing about the nose job procedure is that the procedure and the immediate recovery are surprisingly smooth with little if any pain experienced. This is often a surprising fact for patients who expect to be bed-ridden with significant pain due to the ‘bones being broken’. Centre for Surgery use an advanced form of anaesthesia known as total intravenous anaesthesia or TIVA for short. TIVA has an excellent recovery profile with rapid wake up times and minimal if any risk of nausea and sickness. Our nursing team routinely have patients ready for discharge within 1-2 hours of the procedure ending. There may be a small amount if blood which drips from the nostrils. This is quite normal and our nurses will place a layer of gauze beneath the nostrils to absorb this leakage which often settles after 24 hours.
The small oozing in most cases subsides by the following morning. There may be some clear fluid which then forms but this then clots and collects around the internal dissolvable sutures. Tap water can be used to keep the outer part of the nostrils clean. Don’t be too concerned about the blocked and unclean nature of the internal aspect of the nose. Our nurse will see you at one week after your procedure and at this appointment, they will remove the external permanent sutures at the columella, remove the splint and clean the inside of the nose. Brown tape may be applied to the nose and this can be worn for 12 hours each day to help the overlying skin heal better.
It is not uncommon to sometimes to have impressive degree of bruising around the eyes. This is not painful and is harmless as it will quickly resolve and by day 10, there should be no further bruising arounf the eyes. Bruising around the eyes is often related to the bone cuts which are made during surgery. If you have bony work performed to make the nose smaller, then the surgeon will apply a special metal backed aluminium splint (known as a Denver splint) to the bridge of the nose. This is removed 7-10 days later. After removal, do not be too concerned at the appearance as the nose still has a long to go in terms of healing. It will look swollen and this is especially the case for the tip which may appear bulbous and without any shape or definition. Tip swelling may take 6 to 12 months to resolve fully. As time progresses, you will begin to notice yourself when the swelling settles as the skin will begin to feel less thick and less stiff. Patience is key with recovery after rhinoplasty & nose job surgery!.
To speed up healing, you should refrain from heavy exercise for at least two weeks after the procedure. Sleeping elevated on a pillow for the first few days will help to relieve congestion and swelling. Avoid heavy lifting or bending over too much. Although the splint will be obvious to others, it should not impede you from going outside.
What is the minimum age for rhinoplasty surgery?You must be a minimum of 18 years old.
There is no upper age limit for Rhinoplasty surgery as long as patients are in good physical and mental health.
How do I prepare for rhinoplasty surgery ?Preparation for nose job surgery begins right from the very beginning when you see your surgeon for an initial consultation. Your surgeon will review your medical history as well as advising on top tips for best preparation including eating a healthy diet, avoiding smoking and alcohol as these both delay healing and the avoidance of aspirin and blood thinner medicines.
On the day of your procedure, you will need to avoid all food for 6 hours beforehand and water can be had for up to 2 hours before the procedure. Your surgeon may recommend Arnica tablets to reduce any bruising that often develops after rhinoplasty especially if bony work has been performed like dorsal hump removal or lateral osteotomy.
Use the time at the consultation to ask any questions you may have about the procedure and whether you have any concerns about any aspect. Do remember that you can see your surgeon as many times as you like before your procedure and with rhinoplasty surgery, it is crucial you are armed with the information about all aspects of the procedure from start to finish.
Can I go home the same day as the rhinoplasty ?You will be discharged on the same day after nose job surgery once the effect of anaesthesia wears off and you can rest at either one of our partner hotels or in the comfort of your own home providing you have a responsible adult with you for at least 24 hours.
What is the rhinoplasty healing period like?A nasal splint similar to a plaster cast will be applied to your nose and this must be worn for one week before being removed in the clinic. This ensures healing can proceed in an optimal manner and also to protect your nose from any potential knock and further injury. Bruising should start to resolve after two weeks but swelling can last for up to four weeks. The definitive appearance should start to become apparent between six months to one year after the rhinoplasty procedure.
How long does the swelling last after rhinoplasty?You should expect a moderate amount of swelling in the first 2-3 weeks after your procedure.
The swelling will reduce over the first 2-3 months.
Swelling may persist for up to year and this would generally be noticeable only to you by this time.
Is rhinoplasty painful?Despite popular belief, rhinoplasty surgery involves very little in the way of discomfort. This is because the surgeon injects the nose with local anaesthetic before the procedure begins and uses gentle methods to reshape the nasal structure. Although there may be some discomfort for first few days, this is often related to swelling and nasal congestion.
Can I take herbal remedies to speed up the healing process after nose job surgery?Surgeons at Centre for Surgery can prescribe pain medications and antibiotics to prevent infection, but other medications may complicate your aftercare. We advise our patients to consult with their surgeon before taking any medications. As for herbal remedies, it is best to avoid herbal supplements before as well as after surgery as they their safety and purity are unregulated by the FDA.
What nose job results can I expect?Initial swelling will subdue within a few weeks and you will start seeing gradual changes in the appearance of your nose, however, it could take up to a year to see the final results of the nose-reshaping surgery.
How long do I need to take off work after rhinoplasty?This will depend on how fast you heal yourself, your job type and whether you would be comfortable for your colleagues to know that you had a Rhinoplasty.
More physically demanding jobs may require more time off.
When can I resume exercise or the gym after rhinoplasty surgery?You should wait at least 3-4 weeks and up to 6 weeks if you plan to play contact sports.
How soon can I fly after a Rhinoplasty?We recommend to all patients to avoid flying for at least 3 weeks as the pressurised cabin and changes in cabin pressure during flight may cause discomfort during the early healing phase.
An increase in swelling may be noticed for 1-2 days after a long flight.
Can I wear glasses after Rhinoplasty?You should avoid wearing glasses that sit across the bridge of the nose during the early healing phase when the bone is still potentially fragile. This may require up to 6 weeks so you may wish to explore the use of contact lenses during this period.
When can I drive after Rhinoplasty?You should not drive for at least 2-3 days following your surgery. However if you are taking opioid medication, this period of avoiding driving will be longer.
Your surgeon will be able to advise you further.
Will rhinoplasty affect my ability to smile naturally?After rhinoplasty surgery, there can be a degree of upper lip swelling which can affect smiling for a few days. This is a temporary phenomenon and you should be back to normal smiling after a few days.
Will rhinoplasty affect my sense of smell?This is an extremely rare complication of rhinoplasty surgery. Your sense of smell may be affected for up to 6 weeks after surgery. This is due to congestion caused by post-op swelling which should subside by the first or second week.
When can I resume contact sports after rhinoplasty?You should wait for at least 8 weeks to ensure proper healing.
Will my nose need to be broken during rhinoplasty?You may be an appropriate candidate for preservation rhinoplasty which addresses removal of the dorsal hump in an incremental manner with the use of non-destructive reduction methods.
What are the risks of nose surgery?Rhinoplasty complications are uncommon. Potential complications with rhinoplasty include bleeding, wound breakdown, dorsal bridge depression, nasal airflow problems and surgical site infection. Our day surgery units are specially equipped for the performance of rhinoplasty surgery that is both safe and effective. Rhinoplasty complications are minimised through meticulous preparation and pre-operative planning by the surgical team.
Are there things I need to avoid after rhinoplasty surgery?As you will experience a certain degree of swelling and bruising you should avoid excessive physical activities for at least two weeks. If you wear glasses, we recommend not to wear them for six weeks following your surgery to gain the best outcome. Also, avoid smoking and high exposure to the sun as it will slow down the healing process.
I want revision rhinoplasty surgery, how long do I need to wait after my initial surgery?After your first nose-reshaping surgery, it is ideally recommended not to have any further work done for 12-18 months so that favourable outcome can be achieved after a revision surgery. However, seldom waiting for a whole year could worsen the nasal framework and make the correction harder. Hence, the waiting period between your first and revision surgery must be carefully decided by you and your surgeon by looking at the result that was achieved and your expectation.
I have breathing problems, can I still opt for a nose-reshaping surgery?Yes, certain breathing problems caused by crooked or pinched nose can be cured with nose-reshaping surgery and it can help improve both appearance and functionality of the nose.
I have very thin nasal skin, will that affect the results I can achieve with a rhinoplasty?Thin-skinned patients are regarded as the most challenging type of people for the nose-reshaping procedure as imperfections can be very visible. Nevertheless, you can still achieve satisfactory results with meticulousness and precision when contouring the nasal framework.
Where is the rhinoplasty surgery performed?All rhinoplasty procedures are performed at our state of the art centre at 95-97 Baker Street in Marylebone.
Can I view rhinoplasty before and after images?There are examples of rhinoplasty before and after images on this page to give you an idea of what can be achieved with nose job surgery. You can also view many more images at a face to face consultation with your surgeon who will be able to show you more relevant images based on your type of nose. We believe that all patients can gain an in-depth understanding of what can be achieved with rhinoplasty by viewing before and after images of patients who have had nose reduction and nose contouring procedures.
Are there any alternatives to a Rhinoplasty?Our practitioners are also expert at performing non-surgical rhinofiller using Hyaluronic acid injections. The results are temporary but can be repeated at 9-12 monthly intervals.
How much does rhinoplasty cost?At Centre for Surgery, we always put patient care first and we want your experience with us to be as hassle-free as possible. The start of your patient journey begins with a free consultation with one of our expert rhinoplasty surgeons to discuss the goals of a nose job. You'll will then be given all the information you need to make an informed decision including our market leading finance and payment plans to make the costs of a rhinoplasty much more manageable. After your consultation, your surgeon will have a very clear idea of your potential surgery could involve and will therefore be able to give you a very accurate estimate of cost. We always love helping our patients to achieve their treatment goals and our patient care coordinators are happy to answer any questions you may have at any time.
Rhinoplasty & Nose job cost varies based on what has been planned by the surgeon. Centre for Surgery Primary Rhinoplasty total cost starts from around £5000. The total cost includes facility fees and anaesthetist fees. Centre for Surgery own and operate our own surgical operating theatres so there are no hidden costs.
Can I get a nose job on the NHS?The NHS have recently tightened up their guidelines on performing rhinoplasty for functional reasons to such an extent that it is now all but impossible to have a nose job on the NHS. Rhinoplasty is considered a type of cosmetic surgery and even rhinoplasty for breathing difficulties is performed less commonly in the NHS. Septoplasty is performed for correction of a deviated septum and is performed by ENT surgeons in the NHS. In the NHS it is difficult to get funding to have a septorhinoplasty which is a combination of septoplasty and rhinoplasty as the rhinoplasty component is for cosmetic purposes.
What To Expect
The rhinoplasty consultation
We always recommend a face-to-face consultation with one of our expert rhinoplasty surgeons as the first step in your journey towards a new nose. When you meet with one of our surgeons, your surgeon will take time to listen carefully to what you hope to achieve and give you an expert opinion on what can and cannot be achieved after performing a thorough physical examination. Your surgeon may use computerised digital imaging to map the structure of your nose in detail to give you an idea of what your nose could look like after your procedure.
Your surgeon will also take a number of measurements as part of a detailed naso-facial analysis. Finally, high-resolution photographs are taken in a number of views. Your surgeon will also discuss with you the potential risks and complications and what to expect in the postoperative phase during your healing and recovery. It is important to know what medicines you taking as some medicines can interfere with blood clotting and may need to be stopped. Any history of medical conditions or previous surgery will also be recorded and all the compiled information is used to make a decision on your medical fitness for the rhinoplasty procedure. After a recommended two-week 'cool off' period and provided you are appropriate for the procedure, you can then make an informed decision on whether you would like to proceed with the procedure. If you are unsure about any aspect of the procedure and what it entails then we would invite you to return for as many follow-up consultations with your surgeon as you like to make sure that rhinoplasty surgery is right for you. The consultation lasts about 45 minutes on average. It may take longer if your procedure is going to be more complex. We would actively recommend coming in for a follow-up consultation to ensure all your questions are answered.
Before your procedure
Once you have decided to move forward with rhinoplasty surgery. Our preoperative assessment team will be in touch to assess medical fitness prior to coming in on the day of surgery. There are a number of instructions to follow before your procedure including stopping any aspirin-containing medicines as these can increase bleeding and ideally stopping smoking. Smokers have a higher risk of slower wound healing as well as more chance of wound complications. On the day of your procedure, you must follow the preoperative fasting guidance which includes no food for 6 hours prior. Only clear fluids (water) are allowed up to 2 hours before your procedure.
On the day of your rhinoplasty procedure
When you arrive for your rhinoplasty procedure, you should aim to arrive on time to allow the admission process to proceed smoothly. One of our nurses will formally admit you and will check a number of items including making sure you have your postoperative medications. You will have your vital signs measured including blood pressure and heart rate. The anaesthetist will then meet you to perform a preoperative airway assessment. Finally, your surgeon will consent you for the planned procedure followed by a detailed preoperative marking of the areas to be treated. The rhinoplasty procedure takes about 2-3 hours to perform and our anaesthetists use TIVA general anaesthesia to keep you comfortable throughout the procedure. Depending on the type of rhinoplasty, your incisions could be entirely inside the nose with no visible scarring or with a small incision on the columella for an open rhinoplasty. After the procedure is complete, you will spend time in our recovery suite where you will be prepared for nurse-led discharge once you have met all the discharge criteria. It is important to have a responsible adult accompany you home and to look after you for the first 24 hours.
After your procedure
Once you are safely at home, you can be assured in having access to our specialist postoperative team round the clock. You will be given a contact number to contact your surgeon in the first 24 hours after surgery if there is any concern. A rhinoplasty procedure is associated with very little in the way of postoperative discomfort although a congested feeling is common for the first week after surgery. Bruising should start to subside after 7-10 days. You should avoid intense sunlight after the procedure to reduce the risk of pigmentary changes.
Our postoperative team will look to call every day for the first 2 weeks after your procedure. This is so we can monitor your levels of comfort and can alert your surgeon if there is any concern. Our proactive approach allows the detection of any potential issues early which results in more effective treatment. You are advised to rest for at least a few days after your rhinoplasty procedure which will also help with pain control. Heavy exercise should be avoided for at least the first 4 weeks. Our postoperative clinical team will assess you at your 1-week postoperative appointment to ensure healing is progressing normally and the site of the wounds are healthy. Your splint will be removed and if you had an open rhinoplasty, the small sutures at the base of the nose will be removed. You will be booked for your surgeon follow-up appointment at 6 weeks after your procedure.