Rhinoplasty is a term used to describe a number of operations designed to re-shape the nose. The nose may be straightened or a hump reduced in size. The tip of the nose may be altered. Dips and depressions on the bridge of the nose may be corrected. Abnormalities inside the nose causing twisting or blockage may be corrected.

• To improve the nose cosmetically and to maintain or improve function.
• To produce a nose that is in harmony with the face.
• To produce a result that has a natural, non-operated appearance

These aims are achieved through a careful pre-operative assessment of the individual to ensure that the surgical plan is tailored for each patient.

It is not possible to choose a new nose. The existing abnormalities dictate what can be achieved. Age, ethnic origins and skin type influence the possible final result. The effects of healing cannot always be predicted.

One, and sometimes two, consultations are required. Pre-operation digital photographs will be taken and an indication of the desired outcome may be demonstrated on the computer. The operative plan will be discussed in detail so that both patient and surgeon have realistic expectations.

Rhinoplasty is usually carried out under general anaesthesia. Cuts are placed inside the nose where they cannot be seen. Occasionally, a small cut is placed underneath the tip of the nose. The skin is lifted off the underlying bone and cartilage which can then be adjusted to create the desired shape. The nasal bones often have to be broken to produce a straight nose. Occasionally, a dressing is placed inside the nose to prevent bleeding.

If you plan to leave the London area during your convalescence, complications may need to be dealt with by your local NHS services.  Ideally, you should remain within the London area for ten days following nose surgery.

A small splint is placed on the outside of the nose which should be kept dry.  This is removed seven days post surgery.  Some bruising will occur around the eyes which will settle in seven to ten days.  The nose may produce small amounts of blood and crusts for one week and will be blocked for two to three weeks. 

It is advisable to avoid vigorous nose blowing.  The nose may feel stiff or numb especially around the tip.  Contact sports should be avoided for six weeks.  Exercise and flying should be avoided for fourteen days.  Obvious swelling will settle in two weeks; however subtle changes can be expected for several months.

• There is a small risk of suffering a nose bleed that requires further treatment.
• There is a very small risk of nasal infection.
• 5% of patients request revision surgery