Rhinoplasty in London
Rhinoplasty in London with Centre for Surgery, otherwise referred to as a “nose job”, rhinoplasty is a surgery which involves reshaping or resizing the nose. As the nose is a central feature of the face, even minor changes using rhinoplasty can make a big impact. Rhinoplasty surgery is one of our most commonly performed facial plastic surgery procedures.
Our top surgeons are fully trained in the Preservation Rhinoplasty technique which we are able to use for selected patients for extremely precise correction with minimal bruising and swelling and reduced downtime.
Our rhinoplasty surgeons have special expertise in all aspects of nose-related surgery including open rhinoplasty, closed rhinoplasty, primary and revision rhinoplasty, ethnic rhinoplasty as well as rhinoplasty for men which can help men with any breathing problems, improve their aesthetics and balance in the face. You can be rest assured in having one of the very best rhinoplasty surgeons at our specialist centre in central London to manage your care from start to finish. Our specialist centre at 106 Crawford Street was recently inspected and rated by the Care Quality Commission as good across all five domains of care.
For those who are not quite ready to undertake a surgical procedure or would like to gain an idea of how a surgical rhinoplasty could look, we also offer a non-surgical nose job, otherwise known as ‘rhinofiller’.
All our plastic surgeons are on the GMC specialist register.
Why choose Centre for Surgery for your rhinoplasty procedure?
- Significant experience with all types of rhinoplasty surgery – open, closed, aesthetic, reconstructive and revision.
- We regularly receive patients from overseas at our rhinoplasty centre of excellence.
- Our surgeons are UK trained NHS consultant plastic surgeons who live and work in London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise complications, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise.
- We own and manage our own surgical facilities. Properly performed rhinoplasty surgery takes time and should not be rushed. Dr Gilleard performs a maximum of two rhinoplasty procedures in a day. We do not cram 5-6 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform rhinoplasty surgery which is a very intensive procedure to get the very best results. Dr Gilleard is a Consultant Plastic Surgeon in the department of Plastic Surgery at the world famous Royal London Hospital in Whitechapel. You can be assured of being in the very best hands for your rhinoplasty procedure.
World Renowned London Rhinoplasty Surgeon
Mr Onur Gilleard is a Consultant Plastic & Reconstructive Surgeon at the world famous Royal London Hospital and is on the GMC Specialist Register for Plastic Surgery.
He qualified as a doctor in 2005 following his studies at Guys and St Thomas Medical School, London and was ranked first in the specialist training application process for plastic surgery. He then went on to undertake his plastic surgery training at some of the most prestigious teaching hospitals in London during which time he was awarded the craniofacial Society medal for his work on the treatment of cleft lip and palate. Mr Gilleard has completed rhinoplasty training at one of the world’s most renowned rhinoplasty centres in Istanbul, Turkey. Mr Gilleard continues to attend international rhinoplasty conferences including the annual rhinoplasty symposium in Bergamo, Italy to keep his knowledge and skills up to date.
In his everyday practice as a consultant plastic surgeon at the Royal London teaching hospital he undertakes complex reconstruction surgery following complex cancer and major trauma.
Mr Gilleard specialises in a wide variety of cosmetic procedures of which aesthetic and reconstructive rhinoplasty surgery has always been his passion. He is a keen believer in attaining natural results from utilising cutting edge plastic surgery techniques to obtain the best outcome for each individual.
Beyond the operating theatre, Mr Gilleard is a keen sportsman participating in both triathlons and long distance running events.
What can Rhinoplasty achieve?
A rhinoplasty 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, by far the most common reason for nose reshaping surgery is to improve the aesthetics of the nose.
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
- Breathing difficulties
Crisalix 3D imaging for Rhinoplasty
Advanced Piezotome Rhinoplasty
Centre for Surgery are one of the few centres in the United Kingdom to use the Piezotome method of shaping the nasal bones with extreme accuracy and precision.
The traditional method of rhinoplasty 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.
Rhinoplasty / Nose Jobs
Rhinoplasty is one of the most popular procedures in the UK. There are several common reasons why patients choose to have a rhinoplasty. These include:
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.
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 a rhinoplasty procedure.
Airflow through the nose: many patients experience problems with breathing through their nose and depend heavily on mouth breathing. Plastic 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) to address airflow problems.
Nose job before and after
Closed rhinoplasty with dorsal hump reduction. All incisions are hidden within the nose.
Open rhinoplasty with dorsal hump reduction and tip-plasty.
Cases 3 and 4:
Both patients above had open rhinoplasty with dorsal hump reduction and rhinotip correction.
Ethnic rhinoplasty before and after
Open rhinotip correction with no bony work and alar base reduction. After photos are 5 weeks later.
Open ultrasonic rhinoplasty with dorsal hump reduction and tip-plasty. After photos are 2 months later.
Open rhinotip correction (no bony work). After photos 6 weeks later.
Open rhinoplasty with small dorsal hump reduction and tip-plasty.
Whether you choose to have a 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 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
Are you interested in undergoing a rhinoplasty but are not sure if you can afford it upfront? Take a look at what finance options we have available.
Read our latest testimonials from our amazing patients
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.
This new 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.
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.
Revision rhinoplasty before and after
This patient below had a rhinoplasty in Bulgaria. Unfortunately too much septal cartilage was removed leading to internal nasal valve collapse. Mr Onur Gilleard performed a revision rhinoplasty and reconstructed the nose with the use of ear cartilage taken from the back of the ear. Revision rhinoplasty is highly complex surgery. Centre for Surgery regularly perform revision rhinoplasty for patients who often had their first rhinoplasty operation in Eastern Europe. Sadly the adage, ‘buy cheap, pay twice’ very much applies to rhinoplasty surgery where expertise and experience really matter.
Open revision rhinoplasty using ultrasonic technique. Correction of inverted-V deformity, dorsal hump reduction, tip-defining sutures and insertion of columellar strut. After photos are 5 weeks later. The mild degree of swelling will be expected to settle over the next 3 months.
The rhinoplasty procedure
You will initially be reviewed by a fully qualified consultant plastic surgeon experienced in rhinoplasty surgery. Our lead surgeon is a specialist rhinoplasty surgeon and holds a full NHS consultant appointment in central London where he is head of department and where he regularly performs complex reconstructive surgery. Your surgeon will use Crisalix 3D imaging to map your nose in incredible detail. 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 which may occur if you choose to travel abroad for your rhinoplasty.
As part of the consultation, the surgeon will:
- Take a full history and examine you;
- Explain what the rhinoplasty surgery involves; and
- Perform 3D Crisalix imaging
- Will offer his/her professional opinion of what can/cannot be done to achieve the ideal aesthetic outcome
All rhinoplasty procedures at Centre for Surgery are conducted under our specialist general anaesthesia technique – known as ClearSleep™. In our experience, patients experience fewer side effects under ClearSleep™ 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.
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.
Closed rhinoplasty vs open rhinoplasty:
Closed rhinoplasty – cuts will be concealed 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
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.
On table rhinoplasty before and after
On table before and afters which show that bruising and swelling differ between individuals quite significantly. The patient on the left had rhinoplasty using traditional methods. The patient in the middle photo had the ultrasonic method and the minimal degree of bruising and swelling is clearly demonstrated. All 3 patients were very pleased with their results at 6 weeks.
Male rhinoplasty before and after
Open ultrasonic rhinoplasty with dorsal hump reduction and tip-plasty. After photo is 2 days later.
Case 2 and 3:
Open correction with dorsal hump reduction and extensive tip-plasty work.
Open revision procedure. First procedure performed by a different surgeon in Eastern Europe.
Complex open procedure with extensive dorsal hump reduction.
After your rhinoplasty 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
Rhinoplasty before and after
Selected articles on Rhinoplasty
What is a RhinoplastyRhinoplasty surgery alters the size and shape of the nose and can be performed for aesthetic, reconstructive or combined and aesthetic and reconstructive reasons.
A rhinoplasty is also known as a nose job.
What can be achieved with a 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 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 rhinoplasty 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 cartililaginous 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. Rhinoplasty surgery is one of the most commonly performed procedures at Centre for Surgery.
How long does the procedure take?The procedure can take up three to 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.
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.
Can I go home the same day as the procedure?You will be discharged on the same day after the effect of anesthesia 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?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.
Can I take herbal remedies to speed up the healing process?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 results can I expect from the surgery?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?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?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.
Do you have Rhinoplasty before and afters?Please view a selection of images on this page. Your surgeon will able to show you an even larger collection at consultation if you request this.
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 6 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 rhinoplasty?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 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 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?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 Rhinoplasty surgery performed?All Rhinoplasty procedures are performed at our state of the art centre at 106 Crawford Street.
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.
What To Expect
Find the right time
Our friendly and knowledgeable patient coordinators will speak with you to learn about your requirements, it’s all confidential and your information will be used to assess whether rhinoplasty surgery is right for you. We offer the full range of finance options to help you budget for your procedure. We’ll organise a convenient date and time for you to visit to come and visit our patient relationship manager at our bespoke central London clinic at 106 Crawford Street.
Crisalix 3D imaging
We'll will take time to listen to your needs and requirements and you you will receive a complementary 3D Crisalix scan to enhance your experience. You'll be given a rough idea of guide prices at this stage. A range of before and after images will be shown to you to give an idea of what can be achieved with a rhinoplasty procedure. You will then be booked in to to see Mr Onur Gilleard where your 3D scans will be discussed in detail.
At the surgical consultation, you will meet directly with Mr Onur Gilleard. The surgeon will thoroughly assess you to determine your suitability and advise of the best options for you. Your surgeon will then explain how the procedure will work including our innovative ClearSleep™ anaesthesia technique which has been found to optimise outcomes following rhinoplasty surgery. You will receive your personalised quote the next working day from your patient coordinator. Mr Gilleard may wish to see you for a second consult if your case is particularly complex or if you simply have further questions which you would like answering.