Rhinoplasty (or commonly referred to as a ‘nose job’ or ‘nose reshaping’) is a procedure that restructures the nose in order to improve your aesthetic appearance.
Your nose is by far the most defining characteristic of your face and the centrepiece of your look. A change to the shape, size, symmetry or projection of your nose can re-define your entire your facial feature.
Rhinoplasty has always been known as a genuine life changing cosmetic treatment.
The actual Rhinoplasty procedure takes approximately 1 hour to perform, yet you may have considered wanting this procedure since you were a teenager.
We carry over 20 years expertise in performing Rhinoplasty surgery and have successfully achieved natural results to over 8150 Rhinoplasty patients to date. Our team consists of some of the best Rhinoplasty surgeons in London. We approach every patient’s goal differently and decide with you, the changes you wish to make, and how they can be achieved by having this procedure.
There are 10 main types of Rhinoplasty procedures that can be performed with the option of 2 different techniques of approaching the procedure. Read through the types of Rhinoplasty we specialise in below to see how a this treatment can improve the shape of your nose.
To view Before and After Pictures, click on the photo at the top of the page.
At your consultation, we will show you a more comprehensive Rhinoplasty gallery of our previous patients to help you understand more about the look you wish to achieve.
IRREGULAR NASAL TIP
Your nasal tip sits right at the end of your nose, and in some people, one side of their nasal tip looks different from the other. For example, one side may be bigger, smaller, higher, lower or slightly twisted to one side.
Since the shape of the tip of your nose is largely dependent upon the underlying cartilage, irregular looking tips usually occur as a result of your genetics or an injury.
Our cosmetic Rhinoplasty surgeon can operate on the cartilage around the nasal tip so that both sides appear symmetrical and more defined.
Many people go throughout much of their life never realising that they have a crooked nose. This is because a crooked nose is not something which is always obvious when you look at yourself in the mirror.
A crooked nose occurs as a result of the nasal bones and/or nasal septum not lying straight down the midline of the face. As a result, the nose looks as though it’s leaning to one side.
Most of the time, crooked noses are inherited, although they can also occur as a result of injury or previous Rhinoplasty surgeries.
Our Rhinoplasty surgeon can reset the nasal bones and nasal septum to permanently straighten your nose.
PROJECTED NASAL TIP
An excessive nasal tip projection is a nasal tip that appears to project too far out from the end of your nose, so much so that it looks irregular. When your nasal tip sticks out too far, it can make your nose look bigger than it actually is.
There are two ways that an excessive nasal tip projection can be dealt with.
For some people, they feel as though their nose looks fine from the side, but not from a front facing profile.
If you have a wide nose, there are several factors which will determine the type of results that you can expect from rhinoplasty surgery.
If your nose is wide due to its underlying bone structure, then an experienced Rhinoplasty surgeon will be able to make a significant reduction to the width of your nose without affecting your breathing function.
If the skin around your nose is quite thick, a surgeon will be able to change the shape of your nose and make it a bit thinner, but there will certainly be limitations to how thin your nose can safely be adjusted to.
A depressed nose, sometimes called a “ski nose” has an area of depression along the nasal bridge. Typically, this is corrected by using either septal cartilage or a graft to raise the area of depression.
The result is a smoother, flatter and more uniform bridge.Grafts are pieces of cartilage, that are often harvested from behind ones ear and used to build the nasal profile.
If you have a nose that obviously looks too large for your face, then there is a good chance that you can have the size of your nose drastically reduced. Most large noses have an underlying bone structure which makes it relatively easy to reshape.
However, it is important to remember that if you do have a large nose, a rhinoplasty surgeon will not necessarily be able to give you an extremely small nose.
This is because your nose will be reshaped so that it looks normal on for your facial features. If the surgeon were to give you a very small nose for example, it may not suit your face and so it could look out-of-place.
Some people may develop a big nose later in life, such as those suffering from advanced stages of rosacea. In such cases, another Rhinoplasty surgery may be required to reshape the nose and the type of reshaping that can occur will likely be limited.
Nasal Humps on the nasal bridge can occur are generally caused by genetic over developments.
A nasal/dorsal hump can occur with any type and shape of the nose. But if your only problem is a hump, then our surgeon will be able to quite easily remove the hump by filing down the cartilage and/or bone on the bridge of your nose.
Though considered a relatively straightforward procedure, we will be concentrating on ensuring any reduction of the hump does not give the appearance of a more longer nose. As this is a common mistake in surgeons less experienced in Rhinoplasty, recommendations may be made to reduce your nasal projection inclusive of the hump removal.
BULBOUS NOSE TIP
A large nose tip usually takes a bulbous form that makes the end of the nose look rounded or fat.
Our Rhinoplasty surgeon will be able to change the shape of your nasal tip by altering the tip cartilage underneath the nose so that it looks less rounded.
Wide nostrils tend to be more common with Latino, African-American or Asian races. This type of rhinoplasty is sometimes referred to as ethnic rhinoplasty.
To reduce the width of the nostrils, a plastic surgeon will most likely make a Weir excision. This involves removing tissue from the base of your nostrils where they attach to your cheeks.
A Weir excision can reduce the width and length of your nostrils, thereby making them look smaller. This technique will be explained in much further detail at your consultation with our surgeon if you wish to narrow your nostrils.
Due to the growing number of patients seeking a rhinoplasty surgery, Berkeley Square Medical are seeing a sharp increase in the number of patients who have had their Rhinoplasty carried out elsewhere and have not been happy with their results. Subsequently, they have come to us for advice and the possibility of correction and a revision rhinoplasty.
The reasons for being unhappy with a previous Rhinoplasty can be that your previous Surgeon and you had different interpretations of your goals, your previous surgeon had little experience in Rhinoplasty even though the Surgeon may have been working with a renowned clinic. It could also include, that your surgery was carried out abroad with little or no aftercare to monitor your results heal correctly.
We not only specialise in all types of Rhinoplasty, but we are experts in correctional revision Rhinoplasty in assessing your initial results and achieving the aesthetic goal you first wished for with a second surgery. Rhinoplasty is not a procedure that should be repeated and your cosmetic goals should be achieved the first time.
If you are considering Revision Rhinoplasty, it is a very important decision to make with you and your consultation will include fully discussing what your goals are, followed by examining if a revision rhinoplasty will benefit you before making any correction.
PRIMARY RHINOPLASTY COST
This is an All-Inclusive price for all primary Rhinoplasty patients and includes the full cost of your procedure including your £100.00 consultation which is credited against the cost of your Rhinoplasty surgery.
The cost of your surgery includes:
FINANCE PACKAGES / COSMETIC LOANS
As of 2017 we no longer provide Cosmetic Financing for Rhinoplasty Surgery. When considering this surgery, we like to ensure the cost of your Rhinoplasty is both transparent and clear to understand. The cost outlined above is fully inclusive of your completed procedure with no hidden costs.
As much as you may have read on the Internet already, the consultation is your opportunity to further your learning and to have a more defined idea of what you can achieve with your surgery.
Our Rhinoplasty Specialist will firstly listen to your concerns and understand fully what aspects of your nose are affecting your confidence. This leads to your consultation about the changes you wish to make before your surgeon advises what steps can be taken with a Rhinoplasty to a successful change. This part of your journey is where you can build confidence about whether this procedure is right for you and understand the expertise of your surgeon in how he will achieve the best results for you.
The consultation with your surgeon is:
On the completion of your consultation, a second appointment with our rhinoplasty supporting team will follow, which will provide a quotation cost of the procedure, the booking process and information to take home to read before making any decision to have your procedure with us.
We always recommend a second consultation with your Rhinoplasty surgeon should you wish to refresh your understanding on your full procedure. Second consultations with you surgeon are at no additional charge.
We are a leading provider of Rhinoplasty Digital Imaging at our Harley Street, London Branch. Our state of the art software allows patients to visualise their anticipated results as well as to communicate with our Rhinoplasty surgeon a better understanding of their desired goals.
2D and 3D Rhinoplasty Imaging can be performed after the consultation based on the medical notes made by your surgeon after fully discussing the aesthetic changes to your nose.
RHINOPLASTY IMAGING COST:
The cost of our Rhinoplasty Imaging Service is additional to your consultation fee but is also creditable against the cost of your surgery.
Rhinoplasty Imaging with Dermal Fillers
Dermal fillers have always been a complimenting non-surgical treatment to a wide range of patients who are already considering more fullness on features around the nose.
Lips and Chin are among the most popular areas patients wish to discuss.
If you feel your upper lip is lacking volume or your chin is retracting inwards, predictive dermal fillers can be included into the Rhinoplasty Imaging.
NOTE: Rhinoplasty Digital Imaging is a very accurate guideline to the expectations of your surgery however, it is only a guideline and should never be treated as an absolute guarantee of your final results.
The surgical techniques used in your procedure will depend largely on the goals desired by you and our Rhinoplasty surgeon. Generally, all of the incisions will be placed inside your nose, where scarring will not be visible. If the base of the nose is narrowed or the nostrils reduced, small wedges of skin at the base of the nostrils will be removed. Incisions are hidden in the natural crease where the nostril joins the cheek.
Below are the two main different techniques of rhinoplasty surgery that can be performed. Knowing about these techniques will make you much better prepared when you see your surgeon. Both techniques will have advantages and disadvantages relating to your goals and our surgeon will talk you through these before you both decide on the best technique for you.
This involves making incisions only within the nose and has the advantage of leaving no visible external scars. This remains our first choice in approach on all first time Rhinoplasty procedures as well as many revision cases we treat from other clinics.
Closed rhinoplasty surgery can be used for some types of nasal tip reshaping, removing bumps or humps, reshaping cartilage and bones and to remove excess soft tissue.
Ideally, you should elect to have closed rhinoplasty as your first option. This. however, may not be possible in every case depending on the type of result that you would like to achieve.
Open rhinoplasty involves making an incision across the lower or mid-columella, which is skin in the middle part of your nose that sits between the nostrils.
These open incisions allow a surgeon to lift the skin upwards and over your nasal tip, thereby exposing the cartilage and bone structure that make up your nose.
Open rhinoplasty tends to be most suitable for patients undergoing complex rhinoplasty procedures such as revision or reconstructive surgery (using cartilage grafts).
You are likely to have a small scar across your columella once you have recovered from your surgery, but in most cases, this scar will fade and be barely visible.
We are the only clinic in the UK to provide direct WhatsApp / SMS and Call services 24 hours a day with 2 dedicated members of our rhinoplasty team who are on hand to assist you during your recovery. Any questions answered 24 hours a day on your mobile phone.
BEFORE YOU LEAVE OUR HOSPITAL
Our priority is that your recovery is straight forward and quick. You will be provided aftercare instructions by our surgeon once he has assessed you and is ready to discharge you personally from the hospital. This will include any pain medications and antibiotics.
We want to ensure that you can get home safely. For this reason, all Rhinoplasty patients are chauffeur driven home complimentary as a part of our aftercare to you.
THE FIRST 24 HOURS AFTER SURGERY
You will feel slightly drowsy from the anesthesia until it wears off. At this point, any swelling to the nose will be at its highest and you will feel like you have a head cold/flu with a blocked nose while the swelling slowly decreases.
Many surgeons advise no showering for one week which is a very difficult task for anyone. We advise that it’s ok to have regular hand showers with lukewarm water and ensuring no water is submerged onto the incisions or plasters of the nose. We will advise you of this before you leave the hospital.
THE FIRST 3 DAYS AFTER SURGERY
You will still feel slightly tired after a few days and this is generally due to the temporary change to sleeping completely on your back. Any bruising from the surgery around the sides of the nose will start to turn yellow before disappearing within this time. We advise patients to take Homoeopathic Arnica tablets to help speed up the recovery against small bruising.
You will still have swelling around the nose and swelling will not be symmetrical. This means one side of you nose will be less swollen than the other side as its reducing.
Pain and Discomfort are generally very low and can be managed with over the counter medication. In rare cases, you may feel small spasms in the breast due to nerves healing.
5 DAYS AFTER SURGERY
You should be able to return to non-physical work after 5 days from the procedure but must avoid any strenuous activities.
7 DAYS AFTER SURGERY
You will return to to the hospital for your post-operative review, in which any stitches are removed. Though the surgeon uses dissolvable stitches, we will check to make sure your incisions have healed. You will also be assessed with any left over swelling and any advice to help improve your recovery time. Any international patients are able to travel by air at this point, but please speak to your surgeon if this is the case as we will advise you on blood circulation improvements on the flight to ensure safe travel.
14 DAYS AFTER SURGERY
You can start to resume very light gym and cardio in moderation. You should not lift any heavy objects or go swimming /spa until 6 weeks after your surgery. This can both cause nose bleeding or bacterial infection to the nose.
Your results are instantly visible after surgery, but you must allow between 4-6 months before the nose has reached a 75% completion look. Internal swelling that is not apparent may be still reducing up to this point.
1 YEAR AFTER SURGERY
As a part of your aftercare, we advise all patients to book in once a year to see their surgeon for a brief assessment of the consistent results. Full Rhinoplasty recovery takes up to 12 months. This is because we include all hidden aspects of the recovery such as internal cartilage scar healing.
How long does the Rhinoplasty surgery take?
The surgery takes around 45-60 minutes and is performed under general anaesthetic so you are completely asleep during the procedure.
What will I look like when I leave the hospital?
A very common question! You will have a small plaster on the bridge of your nose and separate padding covering your nostrils. The padding under the nose can be removed after 24hours at home and the small plaster on the bridge of the nose is removed by our nursing team at your 7-day post-op appointment. Remember that we chauffeur you home, so you will have the best possible privacy when going home.
Patients often think that there is bandage wrapping around the entire nose covering nose and cheeks. This is not the case and Rhinoplasty has minimal need for plasters after surgery.
Will there be any scarring after Rhinoplasty?
Scarring from the incisions inside the nose so scars are not visible after surgery. However, if surgery is required outside of the nose then scarring will be visible on each side of the nose. These are generally very fine lines that heal quickly.
How long until I see my final results?
Though your results will be instant, you must allow up to 12 months until the final results. After the swelling goes in the first 7-28 days you will have a good idea of your final aesthetic change. The reason we allow 12 months to see your final results is that includes “behind the scenes” recovering of bone, cartilage scarring etc, that is not visible on one’s nose.
How long will the results of Rhinoplasty last?
Results of rhinoplasty are permanent, except for unforeseen circumstances associated with any accident or trauma.
When can I return to work after Rhinoplasty?
You will be able to return to work after 7 days but before then you will be under our guidance through our aftercare instructions and you will be advised to return after for a follow-up consultation before returning back to work. On returning to work, your will no longer have any plasters and in most cases, any inflammation and gentle bruising should have almost completely disappeared.
Is Rhinoplasty a Day Surgery or an Overnight Stay?
Both are an option. We like patients to ideally stay for one night if there is any chance they will not be able to rest and recover after their procedure. This may be because of parental responsibilities. However, in most cases, patients will have their surgery in the morning can be discharged by the late afternoon.
Why do Rhinoplasty prices range so greatly?
This is for many reasons but mainly it is down to the experience of a Rhinoplasty surgeon. Your nose is the centrepiece of your face and choosing a less experienced surgeon for a cheaper price can leave you more disappointed about your entire facial features, not just your nose.
We commonly treat patients that have previously paid in the region of £1500-£3500 for a Rhinoplasty both in the UK and abroad that have required a second surgery with us to correct initial mistakes. When considering this surgery, consider the right surgeon, not the cheapest price.