Nose Reshaping (Rhinoplasty)

Some people are unhappy with the size and shape of their nose and feel their nose is not in proportion to the rest of their face. This may simply be the way the nose has developed or it may have altered in shape due to an accident. In addition to the appearance of the nose, patients may find it difficult breathing through one or other of their nostrils due to a deviation in the nasal septum (the cartilage partition between the two nasal passages located in the middle of the inside of the nose). 

Nose reshaping (rhinoplasty) is an operation to alter the shape and size of the nose and if necessary, to improve the nasal airway to allow more air to pass through the nose. The operation is performed under a general anaesthetic and takes between 1-3 hours to perform and requires 1 day in hospital. There are a number of ways nose reshaping can be performed depending on the specific features of the nose to be corrected. Essentially, the operation can either be done with all the incisions (cuts) hidden on the inside of the nose, called a closed rhinoplasty, or else with most of the incisions on the inside of the nose and an additional small incision on the skin of the nose half way down the columella (the thin piece of skin in the midline between the tip of the nose and the upper lip), called an open rhinoplasty. Through these access incisions, the nose is reshaped by a number of techniques, including reducing any hump on the top of the nose, augmenting any flatness of the nose with bone grafts, straightening the nose, narrowing the bridge of the nose by breaking the bones of the nose and resetting them, straightening the septum to improve the air passages, and altering the tip of the nose by either removing and sculpting the existing cartilage, or adding more cartilage to give better support. Of course, not all these techniques are required in every rhinoplasty, and some operations may be very simple, whilst others may be very complex. The wounds are then closed with dissolving stitches and the nose is covered with a plaster support.

This is one of the most commonly performed cosmetic procedures and has high patient satisfaction and low complication rate.

Nose Reshaping

Nose Reshaping

AT A GLANCE

Length of surgery:
1-3 hours
Anaesthesia:
General anaesthesia
Overnight or day case:
Over night stay
Recovery:
7-10 days wearing a splint
Avoid driving 7-10 days
2 weeks off work
No heavy lifting/gym/sport for 4 weeks/contact sport for 3 months
Follow-up:
7-10 days to remove sutures and splint, 6 weeks, 3 months, 6 months

FURTHER INFORMATION

Frequently asked questions

Not everyone is suitable for a rhinoplasty. Suitability is a matter for you and Mr Johnson to discuss in clinic, following a thorough analysis of your medical history and a thorough clinical consultation. If you are suitable, during your consultation Mr Johnson will discuss with you need an open or a closed rhinoplasty.

The aims of surgery are to change the shape of your nose to suit your desire. The operation can be very successful at improving the balance and proportion between the nose and the rest of the facial features and thereby increasing patient confidence and improving self esteem.

In a closed rhinoplasty all the scars are hidden within the inside of each nostril. In an open rhinoplasty there is an additional scar on the skin of the nose half way down the columella (the thin piece of skin in the midline between the tip of the nose and the upper lip).

A rhinoplasty is not a particularly painful procedure. During the operation strong painkillers are administered and in addition local anaesthetic is injected into the nose so that when patients wake up from the surgery they will be comfortable. On discharge from hospital, any discomfort can usually be managed with simple tablet type painkillers such as paracetamol etc.

It is normal to feel lethargic and tired for the first 2 weeks following surgery. Bruising and swelling can last for several weeks following surgery. The plaster and dressings are removed between 7-10 days after the operation and most people feel able to return to work 2 weeks after the surgery. Patients should refrain from contact sports for 3 months.

The improvement in facial appearance will be immediately apparent following a rhinoplasty. However, there will be some bruising and swelling which may last several weeks. There will be some residual swelling and firmness lasting several months. The final result can usually be judged at around 9 months following surgery.

Any operation carries with it the risk of complication. Major complications, however, are uncommon following a rhinoplasty. During your initial consultation Mr Johnson will have a full discussion with you about the risks and complications of surgery. If you decide to go ahead with surgery, these risks will again be discussed as part of the consenting process. Fortunately, with correct patient selection and appropriate procedure selection, the risks are kept to an absolute minimum. It is important that you should be reassured that Mr Johnson will not agree to perform any cosmetic procedure on you unless he feels the benefits significantly outweigh the risks.

Mr Johnson will come and see you on the ward after your surgery and will review you everyday throughout your hospital stay. After you have been discharged Mr Johnson will arrange to see you in clinic after 7-10 days to take off the plaster and review the nose. He will then make arrangements to see you in clinic for longer term follow up appointments. You will be given contact details for the hospital and Mr Johnson’s secretary should you wish at any time to discuss further aspects of your care or make additional arrangements for review.

Treatment costs

Initial consultation

£220

Nose reshaping

The exact surgery cost will be confirmed after your consultation. This will include the hospital, surgeon and anaesthetic fees.

For more information click here

Booking a consultation

To book an appointment to see Mr Johnson please contact his private secretary and practice manager:

Marcia Pillai
Tel: 07780 514777
E-mail: davidjohnson@doctors.org.uk

Make an enquiry

BEFORE & AFTER GALLERY

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VIEW ALL BEFORE & AFTERS

PATIENT REVIEWS

Thank you ever so much for what you have done for me. I’m over the moon with the result. Thanks again. You’ve changed my whole life.

Breast augmentation, Patient KM

Thanks for all you’ve done for me. You’re the best!

Facelift, upper and lower blepharoplasties, fat transfer, Patient RB

I just wanted to say a personal thank you from the bottom of my heart for my nose. To me my nose is perfect. I love it so much. I can’t possibly explain how much you have changed my life for the better. I just wanted you to know how much you have changed me. I am a different person now with so much more confidence. I know to you, you probably think you are just doing your job but you are not – you are making dreams come true, especially mine. Thank you so so so much for making my dream come true.

Rhinoplasty, Patient Debbie

I would like to thank you and your team so very much once again for your kindness and professional service given to me at the Ridgeway hospital. Having my rhinoplasty operation has given me much more confidence.

Rhinoplasty, Patient SS

Just want to say many thanks for all your support and help both before and after my operation. I am very pleased with the results and appreciated your kindness, throughout my stay at the Manor.

Exchange breast implants with capsulectomies, Patient EH

I don’t think I will ever be able to fully let you know just how grateful I am to you. All you have done for me this last year has changed my life for the better in so many ways… I’ll never be able to put into words what your work has done for me, not only physically but mentally. I have more confidence, more courage, and now after these operations more hope. You have given me one of the greatest gifts – the opportunity of an optimistic future. One in which I can now look in the mirror. Thank you so much for your support, your time but most of all your kindness.

Post weight loss body contouring surgery, Patient BP

Many thanks for your kindness and care. You have changed my life for the better.

Brachioplasty, abdominoplasty, thigh lift, Patient JJ

Thank you very much for my new nose! It has made such a difference to me. I no longer worry when people see me in profile. My friends and family who know about the operation have all said how natural it looks and how well it suits me, so thank you for doing such a good job! I really am thrilled, and much happier.

Rhinoplasty, Patient NA

You really do work miracles! Many, many thanks for the fabulous results. Ts superb. Feeling great too.

Abdominoplasty, Patient LB

Thank you so much for your wonderful work. You have given me so much more confidence. Thank you again for everything you have done for me.

Breast reduction and liposuction, Patient MK

I feel the need to write a few lines of thanks following the breast augmentation surgery you performed on me last month. I knew this was something I wanted desperately for a very long time but the final result, I have to say, is above and beyond all my hopes and expectations. I am totally amazed and reeling still at the new me, both physically and mentally.

Breast augmentation, Patient AH

Thank you so much for the amazing surgery that you have done on our little girl. We felt so confident in you, and knew that if we needed to hand her over to anyone, we wanted it to be you. Thank you for allowing her the chance to grow up normally.

Craniofacial surgery, Parents of patient SH

I would just like to say thank you for your care in performing my surgery. You have made a big difference and given me the confidence I needed. You are a true professional.

Rhinoplasty, Patient SJ

A big thank you for everything that you have done for me. It’s a dream come true.

Blepharoplasty, Patient MO

Thank you so very much for doing my surgery, and for your compassion and care. The results are wonderful. You have given me back my self esteem.

Patient EG, Breast reduction

Thank you for repairing me and making me feel normal again! The operation has already had a huge impact on my life.

, Patient SM

Thank you for the fantastic job you have done for my daughter. You saved her life and gave her the best possible chance in life.

Craniofacial surgery, Patient KJ

Thank you for all your care in arranging my breast augmentation. I’m delighted with the results!

Breast augmentation, Patient V

I wanted to thank you for an amazing mastopexy. I’ve never been so happy! The level of care you showed me and my family was fantastic.

Mastopexy, Patient KW

I love my new nose. It means so much to start my new job feeling confident.

Rhinoplasty, Patient NA

This seems so little in thanks for all you have done for me. It seems such a big step to take, but you gave me confidence and encouragement to go on with the operations. Thank you so much… I feel very honoured to have this operation performed by you.

Major scalp reconstruction, Patient PK

Thank you for the lovely job you did on me the other week. I am absolutely thrilled! Thanks for putting me at ease throughout.

Minor skin surgery, Patient GL

Thank you just doesn’t come close! Jacob looks absolutely amazing already and it’s thanks to you. You have changed his life in more ways than one. We really appreciate your knowledge, understanding and support. You are an inspiration. A million and one thank you’s again.

Craniofacial surgery, Patient JL

Thank you so much for fixing our daughter’s ears. They are looking so much better. We are very grateful for your expertise.

Prominent ear correction, Patient OR

Thank you so much to you and your whole team for changing my whole life! I’ve waited and wanted this operation for so long and now it’s done I cannot begin to tell you how much it’s changed my like. Thank you thank you thank you.

Abdominoplasty, Patient TS

I would like to thank you very much for my surgery that, for me, has been a complete success. It has given me loads of confidence and made such a difference to my life.

Breast reduction, Patient EW

I cannot thank you enough for the care and attention during my operation. You have truly changed my life and I am so grateful. I cannot be happier with the results. You and your team are inspirational. Thank you from the bottom of my heart for everything.

Abdominoplasty, Patient KS

It’s been 10 and a half years since you saved my life in April and May 2006 from necrotising fasciitis. I am always grateful to you.

Emergency surgery, Patient MS

Following my brow lift procedure, I am writing express my great thanks for the treatment and care you have provided. The eyebrow is a brilliant result. I am now so much more at ease with myself and appearance.

Brow lift procedure, Patient GT

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