Mr Omar Tillo
Consultant Plastic Surgeon
Rhinoplasty
At a Glance
Rhinoplasty – otherwise referred to as a “nose job” – is an operation which involves reshaping or resizing the nose. As the nose is a central feature of the face, even minor changes can make a big impact.
Our surgeons have considerable expertise in rhinoplasty procedure including ethnic rhinoplasty as well as rhinoplasty for men which can help men with any breathing problems, improve their aesthetics and balance in the face.
Anaesthesia type: ClearSleep™ Procedure time: 3 - 4 hours Recovery time: 1 weekAbout
Rhinoplasty is one of the most popular surgeries in the country. 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 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. Both plastic surgeons and ENT 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 (septoplasty) to address airflow problems.
Candidates
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 rhinoplasty procedure:
- Patients must be over the age of 18
- Healthy – physically and mentally
- A non-smoker
- Realistic expectations of what can be achieved
- Aware of the recovery process and the temporary period of soreness and discomfort which will develop after the procedure
Procedure
You will initially be reviewed by a plastic surgeon or head and neck surgeon experienced in rhinoplasty 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.
As part of the consultation, the surgeon will:
- Take a full history and examine you;
- 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
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 closed or open. 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
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. Tiny stitches will be used to close up 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.
Before & After
Recovery
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 ice packs for the first 48 hours following the surgery.
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
FAQs
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.
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 still growing facial skeleton can impair the results.
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.
The procedure can take up three to four hours, with a revision rhinoplasty taking longer.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Why choose us?
Surgeon-led and managed care throughout for a truly personalised approach
Our innovative ClearSleep anaesthesia technique
Comprehensive aftercare programme
Financing options available
Our Consultant Surgeons
Verified Patient Reviews
We searched for many different surgeries to perform my procedure but the center for surgery really stuck out. The staff were incredibly friendly and the receptionist Gregory and surgeon Omar were highly professional, welcoming and made me feel at ease. Would highly recommend to anyone!
Dexter Montgomery
20:14 25 Apr 18
Old implants removed and replaced, plus silicone granules removed from right armpit. My previous surgery was done over 20 years ago. (I never really had any breast tissue, so I had the implants to look normal). One implant had erupted and both had capsulated. I was never told they had a shelf life! When I first arrived at the clinic in Watford, ( I never went to th Harley St surgery) I was quite dubious about the whole set-up. The Surgery is right in the middle of a Business Site and it seemed like some sort of Back Street Butchery. (I hope this review will put people's minds at rest when they first arrive) It actually didn't help much that I had to wait an hour because the surgery that day had overrun, however, after talking to Omar Tillo and seeing how clued up he was on my situation, I began to relax. It didn't stop me going on-line to Google him and everything else about the practice, but it was all good. On the day of the surgery, I met with Mr Tillo again. I also met everyone else who was going to be in theatre with me and they all came to me individually to explain their roll. It was very comforting and reassuring. The surgery was quite lengthy and took several hours. I hadn't decided what size implants to go for pre surgery as my old ones were so distorted and out of place, so I left it with Mr Tillo to make the decision once the others had been removed. It is now 3 weeks since the implants were replaced and I am delighted with how I look and feel. The size and shape are perfect for me. Nothing weird or huge; I'm on the wrong side of 50 now so am not looking for glamour, just normality. The post surgery is superb. My coordinator, Naz, is very efficient and can't do enough for me. The incision in my armpit where the silicone particles had to be removed is probably the most uncomfortable part of the whole procedure, but most of you won't have to worry about that. I got a sick note for work purposes without any fuss at all, so over all; worth every penny! Don't let your first impressions put you off :-) Good luck.
Nina
14:43 02 Jun 18
Had a BA and uplift with Mr Tillo amazing MR Tillo knew what I wanted the staff where so lovely and looked after me the after care is excellent I would definitely recommend centre for surgery and would go again I’m so pleased thank you so much
Dee Catton
10:09 15 May 18
If you don't know about Omar tillo you should HES AMAZING at his job.. I went for bbl and at present I'm 9 days post op and loving my results. I must also review gregory .. my co ordinator .. Gregory your one of the most wonderful people out there you hsve gone above and beyond for me to make sure The dates the times were right just for me .. this is an AMAZING company with AMAZING staff.. so much so I'm going for a consultation in 8 weeks for breast surgery ...
Bryanna buswell
11:39 23 May 18
Highly recommend. Very professional and friendly staff.Had my BA and everything went smooth and good. I would choose this place over and over again for all the plastic surgeries.
Melania Ciurea
13:45 13 Mar 18
I had a tummy tuck 2 weeks and 4 days ago. It is something I had been considering for a whilst now that I have completed my family. Also the excess skin and fat was getting me down. I went to another consultation in Harley Street which was 15 mins where the Dr examined me and told me he could do the work and his secretary than called me with the price, it was very rushed. I found Dr Tillo searching the net and after reading his reviews I called his office and spoke with Naz, she was very friendly, explained their procedures and arranged an appointment for me to meet with him. I met Dr Tillo in his Watford clinic, I felt at ease with him straight away. Dr Tillo examined me and than explained what the procedure would involve. I had a few questions and he was very patient and explained everything fully and clearly, I never felt rushed at all.On the day of my operation I was excited. Dr Tillo’s staff were All lovely and so was the anethesist who explained everything and next thing I knew I was asleep. When I woke up it didn’t even feel as if though I had had an operation! My husband picked me up , I was given pain killers and it was explained that I would need to keep my compression belt on and drains would be removed after two days.I went home a very happy lady!!!As days have passed I have healed very well with no complications, I am so pleased with my new tummy, I know it’s good esp since my 3 year old doesn’t think there’s a baby in there anymore!I cannot Thank Dr Tillo and his staff enough!!
Hanna
17:13 19 Jul 18
Dr Tillo and his team are fantastic. Nothing has been too much for them!!I was told my tummy tuck would cost £17,000 at one clinic and £13,000 at another. It was considerably cheaper here. I'm not one to go for 'the cheaper options usually, as I tend to think you would get a cheaper result. But Dr Tillo pointed out that I didn't need all the work doing that the other places had said I did!! They were using my body to make money! Due to his honesty, and his non judgemental view, I left feeling confident that he was the man I needed.I am only a week out and thrilled to bits with my result so far. I can't recommend them enough.
Rachel Irwin
08:33 16 Aug 18
Very welcoming and professional, Mr Tillo,his team and Nikesh the PA.
Joshua Alexander
12:22 17 Aug 18
