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.

RELATED: What are the different types of nose shapes?

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.

Rhinoplasty London

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?

Based on 135 reviews.

Zara Khan

19/11/2021

Verified

Amazing from start to finish, the communication was the main thing was fully informed and looked after, on the day of my breast augmentation, the staff were fab and made me feel at ease through out the whole process. Thank you so much.

Mohammed Farid

18/11/2021

Verified

I’ve had such a great experience with excellent advice, care and attention and surgical treatment (gynaecomastia) - I can fully endorse the treatment I have received from Centre for Surgery with absolutely no qualms at all. Brilliant in every way - thank you all so much.

Caroline Thorpe

14/11/2021

Verified

Very pleased with my whole experience of having a procedure. Was so nervous about getting treatment and i was reassured and felt so comfortable throughout thanks to the amazing nurses. I definitely made the right decision to have breast augmentation at centre for surgery with dr erel.

Melissa Briggs

08/11/2021

Verified

So glad I went with centre for surgery, the whole process went very smoothly from the consultations down to the actual day of the procedure. I was so nervous on the day but the whole team put me at ease and I’m happy with my results as I feel a lot more comfortable wearing certain clothes now. My surgeon was Alberto Di Giuseppe who performed a breast Augmentation on me, and I would definitely recommend as he was very clear on what the outcome of the surgery would be and which size would look the best for my frame.

Raphinha kiki

08/11/2021

Verified

Couldn’t be happier with Dr Tillo work,i had my breast surgery one week ago and so happy with the results so far,all the staff are extremely nice and very supportive,i would definitely recommend their services,thank so much

Grace Olafemi

15/10/2021

Verified

From start to the finish everything was perfect for tummy tuck surgery. All staff is very friendly and the aftercare has been good. The Doctor and the nurse team was fantastic. I'm so happy...result is amazing. Thank you!!!

Ranjit Singh

14/10/2021

Verified

This was overall a great experience, all the staff at Centre for Surgery were friendly and put me at ease. It is a nerve wracking thing to go through an op but the staff were so nice. Mr Ertan has got a great team around him. On the day of the operation everything went smoothly to plan, there was no delay or holdups, I had another consultation with Mr Ertan who confirmed what was going to be done and that I was still happy to proceed. I was prepped for the procedure, I met with the anaesthetist who again was really nice and put me at ease explaining his role. After the procedure I woke up with the nurse by my side making sure I was OK and checking on me, I was able to stay in the clinic until I was ready to leave and was not rushed at all. I was well looked after from the start to the point when I was discharged. Post operation I was staying at a local hotel it was so close there was no point in even getting a taxi and I was able to walk back where my partner was waiting for me. I was expecting a lot of bruising to both my eyes but there was very little if any by the time the cast came off after 7 days, I am now at the two week post operation point and it is healing well with no outwardly visible bruising or scaring. The next milestone is a checkup at the 6 week point with my surgeon. If you're thinking of having something like this done I would highly recommend getting in touch with Centre for Surgery.

Layla Karami

13/10/2021

Verified

The staff at Centre for Surgery were very kind and accommodating. They answered any questions I had about the procedure and were constantly checking up on me. A special thank you to Christina for all her support throughout.

Gemma Small

08/10/2021

Verified

I would just like to state the quality of care received from the nurses at Centre for Surgery was beyond the highest level. Sophie takes her patient care to another level beyond words. She always puts me at ease. She is there for me even at awkward hours just when I mostly needed reassurance and she is one of the most compassionate nurses I have come across and demonstrates her passion naturally for caring for others. She totally deserves recognition at its finest and thank you for always being there for me. 😍

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:

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.

RELATED: Rhinoplasty (Nose Job) before and after photos

Case 1:

Open ultrasonic rhinoplasty and tip correction

Case 2:

Preservation rhinoplasty

Case 3:

Open rhinoplasty + tip reshaping

Case 4:

Case 5:

Case 6:

Male rhinoplasty

Case 6:

Open rhinoplasty + reduction of excessive columellar show

Case 6:

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

Functional objectives:

• Rhinoplasty for noses previously damaged through trauma (car accidents, sports etc.)
• Septal deviation or a bent nose
• Breathing difficulties

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.

We believe that the best outcomes after rhinoplasty & nose job surgery happen when patients make the right choice of clinic and surgeon.

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.

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.

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.

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.

Open Rhinoplasty

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.

Septo-rhinoplasty

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.

Ultrasonic 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.

Preservation rhinoplasty

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.

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.

Everything you need to know about ethnic rhinoplasty

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.

• 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.

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.

RELATED: What is the difference between an open and closed rhinoplasty?

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.

RELATED: How long does it take to recover from nose job surgery?

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.

Reducing the risk of surgical site infection

Top strategies to reduce the risk of venous thromboembolism

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 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.

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.