Rhinoplasty (Nose job)

PRIMARY RHINOPLASTY COST IN LONDON

£7950.00

This is an All-Inclusive set price for all primary Rhinoplasty patients and includes the full cost of your procedure and your £100.00 consultation, which is credited against the cost of your nose job surgery.

The cost of your surgery includes the following:

	Consultation Cost: £100.00 – Your Consultation Is Creditable Towards Your Surgery.		Full After-Care Included: Complimentary Chauffeur Drive Home After Surgery Anywhere In London.
	Consultation: Full Consultation In-Person With Your Consultant Rhinoplasty Surgeon.		All Additional Items Included: All Medication And Garments Provided To Take Home.
	Pre-Operative Assessment Included: Pre-Operative (MRSA) Test Included With Your Surgery.		After Care Service Included: Online Messaging Service 24 Hours A Day For Aftercare Guidance.
	Hospital and Anaesthetic Fees Included: Procedure And Stay At Our State Of The Art Hospital Included with Private Room.		Post-Operative Appointments Included: 7-Day, 12-Week and 6-12 Month Post Operative Appointments.

FINANCE PACKAGES / COSMETIC LOANS

We do not provide Cosmetic Financing for Rhinoplasty. When considering this cosmetic surgery, we like to ensure that your Rhinoplasty cost is transparent and clear to understand. The above cost includes your completed nose job procedure with no hidden costs.

IRREGULAR NASAL TIP

Your nasal tip sits at the end of your nose, and in some patients, one side of their tip looks different compared to 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 due to your genetics or an injury.

Corrective surgery can be made to the underlying cartilage around the nasal tip so that both sides appear more symmetrical and proportionate.

DEVIATED SEPTUM / CROOKED NOSE

This procedure is known as Septorhinoplasty. Many patients notice that their nose is twisted or deviated, which is more obvious in photos or when light naturally reflects their nose.

A crooked nose occurs due to the nasal bones and/or septum that is not centralised down the midline of your facial profile. As a result, the nose leans to one side.

Most of the time, crooked noses are inherited, although many times, they can also occur as a result of injury or previous having undergone a previous nose reshaping surgery.

Our Rhinoplasty surgeon will aim to reset the nasal bones and septum to a more central profile.

PROJECTED NASAL TIP

An excessive nasal tip projection is a tip that appears to project too far out from the end of your nose, so much so that it looks irregular. When your tip is overly projected, it may likely hang down towards your upper lip.

There are two ways that a nasal projection can be corrected:

1. To reduce the Maxilla Spine of the nose, a thin bone at the base of the nose that gives the nose its projection.
2. The second involves reducing the nasal tip cartilage to de-project the nose.

In some cases, both techniques are performed to proportionate your nasal profile. 

WIDE NOSE

Some people feel their nose looks fine from the side but not from a front-facing profile.

If you have a wide nose, several factors will determine the type of results you can expect from rhinoplasty surgery.

If your nose is wide due to its underlying bone structure, then our Specialist will be able to make a reduction in the width of your nose.

If you have thick skin around your nose, a surgeon can change your nasal shape and make it slightly thinner, but there will certainly be limitations to how narrow your nose can safely be adjusted. Thick-skinned patients in Rhinoplasty often have limitations to how much reduction they can achieve in their nose reshaping results. We often advise skin-thinning creams to use before and after surgery to reduce the thickness of nasal skin.

DEPRESSED NOSE

Typically, this nasal deformity is corrected by septal cartilage or grafting to raise the area of depression, thereby raising the bridge’s profile. This is more common in ethnic Rhinoplasty for Afro-Caribbean and Far-East Asian patients.

The result is a more uniform bridge. Grafts are harvested parts of cartilage that are often taken from behind one’s ear or from the ribs and used to build the nasal profile.

NASAL HUMP

Nasal Humps on the nasal bridge 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 nasal hump, our surgeon will shave the hump by filing down the bone on the bridge of your nose.

Though considered a relatively straightforward cosmetic surgery, we will be concentrating on ensuring any reduction of the hump does not give the appearance of a longer nose. As this is a common mistake in surgeons less experienced in rhinoplasty surgery, recommendations may be made to reduce your nasal projection, including hump removal.

In some instances, patients may want a very subtle curve to their nasal bridge, and we will advise this at your consultation to ensure this looks natural. 

BULBOUS NOSE TIP

A large nose tip usually takes a bulbous form that makes the end of the nose look rounded or fat. Our expert surgeons will change the shape of your nose tip by altering the tip cartilage underneath the nose so that it looks less rounded by addressing all 3 sections of the tip cartilage, which are the upper, middle, and lower (Alar) sections.

WIDE OR FLARED NOSTRILS (ALAR BASE REDUCTION)

Nostril reduction, otherwise known as Alar Base Reduction Rhinoplasty, tends to be more common in Latino, Afro-Caribbean or Far-East Asian ethnicity. This type of rhinoplasty treatment can sometimes be referred to as ethnic rhinoplasty.

Incisions are made between the inner nostril and columella (skin between your nostrils) and then brought together to shorten the width of your nostril flare. 

REVISION RHINOPLASTY

Due to the growing number of patients seeking rhinoplasty surgery, Berkeley Square Medical observes many 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 about revision rhinoplasty.

The reasons for being unhappy with a previous Rhinoplasty can be:

1. You and your previous Surgeon had different interpretations of your goals.
2. Your previous surgeon had little experience in rhinoplasty surgery, even though the Surgeon may have been working with a renowned clinic.
3. Your procedure was carried out abroad with little or no aftercare to monitor your results to heal correctly.
4. Your previous surgeon has not clarified what can realistically be achieved and what is not possible with your rhinoplasty, leading to hope of a result that was never possible to achieve in the first instance.

It is certainly not uncommon for patients to seek a revision rhinoplasty in cases where we also feel the result is an acceptable proportionate outcome. In this case, we may not advise further surgery. 

We not only specialise in all types of Rhinoplasty, but we are experts in correctional revision Rhinoplasty in assessing your initial results and best achieving the aesthetic goal you first wished for with a second surgery. Rhinoplasty surgery is not a procedure that should be consistently repeated, and your cosmetic goals should be achieved the first time, including the risks associated with this treatment.

If you are considering revision surgery, it is a very important decision to make with you. Your consultation will include fully discussing your goals and examining if a secondary rhinoplasty will benefit you before making any corrections. Should you be considering revision surgery, it is important that you obtain a full copy of your previous surgeon’s notes to bring to your consultation with us.

Your consultation is to have a more precise idea of what you can achieve with your cosmetic Rhinoplasty surgery.

Your facial plastic surgeon will first listen to your concerns and will like to fully understand what aspects of your nose are affecting your self-confidence. We also want to know how it is affecting you and to set realistic expectations. This leads your consultation towards the changes you wish to make before your surgeon advises the steps that can be taken with a Rhinoplasty surgery to a successful nose reshaping.

This is a part of your journey where you can decide whether this procedure is right for you and understand the expertise of your surgeon in how he will achieve the best results for you. We aim for proportion to the nose, which ultimately means we aim for a natural final shape for you.

The consultation with your surgeon is:

• To fully discuss what makes you unhappy about your nose and what changes you wish to achieve with your cosmetic surgery.
• To discuss your expectations and then consult you about what can be achieved, keeping within the boundaries of a safe and successful change.
• Conduct an examination of the nose, including the thickness and elasticity of your nasal skin, and light reflection against your nose.
• Explain the full procedure in detail to you and the precise surgical techniques that will be used to achieve your goal successfully.
• If applicable, take you through before and after photos of previous patients that best relate to you and the final results other patients have achieved.
• Discuss the risks and benefits associated with a Rhinoplasty, your medical history, and any questions you may have for your Surgeon.
• Advise whether having a preview aim of your final result with our Rhinoplasty Imaging Service will assist you in making the best decision with your surgeon. 

Upon your initial consultation, a second appointment with our Rhinoplasty London clinical team will follow, which will provide the confirmed procedure cost, the booking process, and information to take home to read before making an informed decision to have your procedure with us.

We provide full details about our Surgeon’s Accreditations and Awards, more information about our London hospital, and several guide booklets that guide you through the risks and benefits of nose surgery and the terms and conditions of your treatment.

The surgical techniques used in your procedure will depend largely on the goals desired by you and our Rhinoplasty surgeon. Generally, specialist surgeons prefer to perform all of the incisions inside your nose, where scarring will not be visible.

Below are the two main different techniques of nose reshaping surgery that can be performed. Knowing these techniques will make you much better prepared when seeing your surgeon. Both techniques will have advantages and disadvantages relating to your goals, and our surgeon may talk you through these before you decide on the best technique for you.

CLOSED RHINOPLASTY

The closed technique is considered a very advanced cosmetic surgery method in the UK and US and is a technical approach we advise in the first instance. This involves making incisions internally 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 and many revision cases we treat from other clinics.

Closed rhinoplasty surgery can be used for some types of rhino tip surgery, removing bumps or humps, reshaping cartilage and bones, broken nose cosmetic surgery, deviated septum surgery, preservation rhinoplasty, and removing 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

Open rhinoplasty involves making an incision across the lower or mid-columella, the skin in the middle 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 of your nasal cavity under the soft tissues.

Open rhinoplasty surgery tends to be most suitable for patients undergoing complex procedures such as revision or reconstructive surgery (using cartilage grafts), where clear access to your nasal skeleton is preferred by rhinoplasty surgeons.

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.

Nose surgery procedures are usually performed under local anaesthetic, but in some cases, total intravenous anaesthesia may be needed.

We are one of very few clinics in the UK to provide direct Online Messaging Services 24 hours a day with 2 dedicated members of our rhinoplasty clinical team who are on hand to assist you during your recovery. 

BEFORE YOU LEAVE OUR HOSPITAL

Our priority is that your rhinoplasty recovery process is as comfortable as possible. You will be provided aftercare instructions by our surgeon and nursing team once ready to discharge you from the hospital. This will include any pain medications and antibiotics (if applicable). All nasal packs are removed completely before you leave the hospital.

We want to ensure that you can get home safely. For this reason, all rhinoplasty patients are chauffeur driven home complimentary (Within London/Greater London) as a part of our aftercare to you.

THE FIRST 24 HOURS AFTER SURGERY

You will feel slightly tired from the general anaesthetic medication until it wears off. You may also be generally fatigued from the experience of a long day, At this point, any swelling to the nose will be increasing together with a blocked nose. Slight breathing difficulties are expected. Bleeding may also continue slightly within the first 24 hours and padding is provided to absorb any slight discharge.

THE FIRST 3 DAYS AFTER SURGERY

Patients feel a lot better after the first and the second day after the nose job, with more energy and a sense of returning to normal indoor activities. Bruising and swelling reaches their maximum point within the first 72 hours and you may notice you are more swollen than when you left the hospital on the day of your cosmetic surgery.

Pain and discomfort are generally very low and can be managed with over-the-counter medication. Most patients report that breathing from their mouth creates the most discomfort, but no pain.

5 DAYS AFTER SURGERY 

Generally, the healing process is well underway and all patients will see a significant improvement in swelling and bruising. Bruising discolouration has subsided and turned yellow in colour and swelling has noticeably reduced.

7 DAYS AFTER SURGERY 

You will return to the hospital for your first post-operative review, in which any stitches are removed together with your nasal splint. We often tell our patients to soak their nasal splint the night before their appointment to make it pain-free to remove.

Though our surgeons use dissolvable skin sutures, we will check to make sure your incisions have healed. You will also be assessed with any leftover swelling and any advice to help improve your rhinoplasty recovery time. Any international patients are able to travel by air at this point (unless otherwise agreed to depart earlier).

8-10 DAYS AFTER SURGERY 

Your nose may slightly widen 24 hours after removing your nasal splint but this usually resolves back to normal within 24-48 hours. Your nose will start to take better shape and although you will still have tip swelling, you will certainly notice the change in shape and size of your nose. You can start to resume very light gym and cardio in moderation. Mostly all patients will return to work at this stage in recovery with no signs that a surgical procedure has taken place.

1 MONTH AFTER SURGERY 

Your nose will be improving in shape and size. It is advisable to monitor progress on a 6-weekly schedule instead of a daily observation. This helps patients take the attention off their nose, and gives a greater sense of calmness during the recovery.

3 MONTHS AFTER SURGERY 

You will have been booked for your second post-operative appointment with our dedicated nursing team or Surgeon. This appointment is to evaluate the initial results and recovery progress, including:

1. Taking your first set of post-operation photos
2. Comparing your pre-surgery and initial post-surgery photos
3. Assessing how your bones are healing and swelling reduction and where we expect to see further reduction and change.
4. Advising any treatments that we may want to perform or advise to help with your recovery for both aesthetic and functional purposes.

6 MONTHS AFTER SURGERY 

Your third post-operative appointment with be around the 6-month stage. This review is much like the 3-month review but a continuation of observing your nose which will be closer to its final result and assessing the finesse differences between your 3-month recovery photos and the new gallery of photos taken on this day.

1 YEAR AFTER SURGERY 

As a part of your aftercare, we advise all patients to book around their anniversary stage for a final assessment of the results. The full recovery after a nose reshaping surgery takes up to 12 months, but can sometimes continue with minor internal healing. This is because we include all the hidden aspects of the recovery such as internal cartilage scar healing and superficial swelling reduction.