Rhinoplasty (or nose reshaping) is designed to help reshape and reform a patient’s nose, either for aesthetic or medical reasons. 

Your nose is one of your most defining features and its appearance can have a huge impact on your confidence and how you perceive yourself, socially.

"The results are fantastic and I am very very happy it is life changing. "

A McIndoe Centre Patient

Rhinoplasty is one of the most common surgical procedures in the UK and has changed the lives of thousands of patients, for both medical and cosmetic reasons. Whether you’re unhappy with the appearance of your nose, or you’re looking to reshape it after an injury or accident, our specialist consultants provide exceptional surgical care and advice.

For more information, we would be delighted if you wanted to arrange a consultation with us. You can call the Helpline for free and professional advice.

What is rhinoplasty?

Rhinoplasty (or ‘nose job’), is a cosmetic surgery performed to improve the appearance of the nose. This procedure involves operating on the bones and the cartilage in the nose that gives it its shape and structure. The procedure can be used for medical or cosmetic reasons.

The advantages of rhinoplasty

Rhinoplasty remains one of the most popular surgical procedures because of its minimal invasiveness, fast recovery time and exceptional results. Other advantages include:

  • Improved self-confidence
  • Correction of health-related issues (such as injuries to the nose)
  • Improved breathing (regarding snoring and other sinus-related problems)
  • Correcting structural abnormalities within the nose

Whether you have elected this procedure for medical or cosmetic reasons, rhinoplasty is able to drastically improve your quality of life.

The different rhinoplasty procedures

There are many variations of rhinoplasty surgery - the shape of the nose can be changed, the bridge repositioned, bumps removed, the nostril shapeshifted or the tip reshaped. All rhinoplasty procedures aim to enhance or correct the appearance of the nose, but certain procedures are performed in different ways and come with their own advantages and disadvantages:

Open rhinoplasty

Open rhinoplasty procedures involve using a minor bridging incision, known as a trans-columellar to connect the right and left nostrils. This allows the surgeon perfect visualisation of the lower nasal skeleton, meaning the nose can be intricately evaluated. This procedure’s main advantage is that it allows vastly improved surgical access to the nose.

Closed rhinoplasty

Closed rhinoplasty involves making incisions from within the nose, allowing for intricate assessment and reshaping. The main advantage of this surgery is that it comes with minor swelling and a faster healing process. It also eliminates scarring along the front of the nose.

The differences between closed and open rhinoplasty:

*
Closed Rhinoplasty
Open Rhinoplasty
Visualisation
Good
Very good
Sculpting ability
Good
Very good
Swelling and bruising post-surgery
Minimal and swift recovery
Slightly more swelling and bruising
Scar visibility
No visible scarring
Only noticeable from the undersurface

Other Types of Rhinoplasty

Revision rhinoplasty

This is simply a follow-up procedure to rectify or further enhance a previous rhinoplasty surgery. Some patients may elect to have a follow-up procedure, but the vast majority of patients are happy with their primary rhinoplasty results.

Non-surgical rhinoplasty

Also known as ‘liquid rhinoplasty’, involves the use of injectable (dermal) fillers and is not a service we provide and can lead to severe side effects (such as skin necrosis) if performed by inexperienced practitioners.

Why you might need rhinoplasty

You may be unhappy with the natural shape of your nose, which could be disproportionate to the rest of your face or you may have suffered an injury which could have altered its form. Rhinoplasty can sculpt a new shape for your nose, naturally fitting it to your face.

How to prepare for rhinoplasty

Adhering to a healthy lifestyle is the most important step towards preparing for your rhinoplasty surgery. This includes maintaining a healthy diet and exercise routine as well as stopping smoking. There are no specific preparation requirements for your surgery, any questions you have will be answered during your consultation ahead of surgery.

Candidates for rhinoplasty

For some patients, rhinoplasty is an elective surgery and can help restore confidence. The procedure also helps to correct medical issues and injuries sustained to your nose. Good candidates for rhinoplasty procedures are patients who:

  • Are physically healthy
  • Do not smoke
  • Have a positive and realistic outlook on the procedure.

Rhinoplasty recovery

As part of the procedure, the surgeon will normally make alterations by accessing your nasal shaft internally, possibly requiring a small incision to the nostril base. Bone structure and tissue can be manipulated to achieve the desired result.

Following surgery, a splint will be fitted to your nose to maintain the new shape, and this should be worn for approximately a week. You will also experience bruising and swelling around the nose and eyes, as well as pain, which can be managed with painkillers for a few days.

Scarring will be minimal, due to the internal access and any small incision scars will quickly fade. Each patient will undergo a different rhinoplasty recovery time based on the type of surgery and their individual healing process.

Your consultant will provide an aftercare plan that may include:

  • How to assess and care for your nose
  • Prescribe medication for minor swelling and/or bruising
  • When to consult and follow up with your surgeon

We also encourage you to ask questions post-surgery to ensure you fully understand your aftercare process. Questions may include:

  • What medication will I be given?
  • When can I remove my dressings/bandages?
  • How are my stitches removed and when?
  • How long until I can return to work and resume normal activities?
  • What other aftercare advice can you offer me?

Your results

Rhinoplasty is designed to be a lifelong procedure and patients are usually very pleased with their results. Once the initial stages of bruising and swelling have subsided you should be able to notice your results. However, your full results may take up to one year to show, but you will notice gradual improvements up to this point.

Although your results are long-lasting, age will, of course, impact your appearance and therefore your nose. However, your improvements should remain permanent regardless of your natural ageing process.

Rhinoplasty cost

Everyone's treatment plan is tailored to their own individual needs, so no treatment price is ever the same.

We do offer guide prices on our website, but you can expect to pay anywhere between £3,700 to £5,000+ (average).

Is rhinoplasty covered by health insurance?

As this procedure can be performed in a medical sense (to help improve breathing or reconstruct the nose due to accidents/injuries), your medical insurance may cover it. The procedure is therefore considered reconstructive, even if combined with cosmetic rhinoplasty.

We do strongly advise you to check with your medical insurance to ensure the procedure will be covered.

Your consultation

During your consultation, your consultant will first assess your nose to confirm you are a candidate for the procedure. They will then explain the procedure process in detail and discuss the different types of rhinoplasty procedures and which treatment is most appropriate for your personal needs requirements.

You should also be prepared to discuss the following:

  • Your surgical goals and expectations
  • Current medical conditions (and if you’re on any medication)
  • Previous surgeries (if any)

Other topics might include:

  • Your treatment options (open, closed or revision rhinoplasty)
  • Take measurements
  • Recommend a course of treatment
  • Explain your results post-surgery and aftercare routines
  • Arrange your consultation today

How to Find Us

See directions from our most popular locations: London, Tunbridge Wells, Reigate, Redhill, Haywards Heath, Horsham, Dorking.

For more information, we would be delighted if you wanted to arrange a consultation with us. You can call the Helpline on 01342 488054 for free and professional advice.

This article was written by The McIndoe Centre, in collaboration with Asit Khandwala MBBS MS MCh FRCS (Plast) Consultant Plastic and Reconstructive Surgeon. All information, advice and procedures were updated on 17th September 2019.

Find out more about The McIndoe Centre

We provide outstanding patient experiences

As a nationally recognised hospital of excellence in plastic, reconstructive, ophthalmic and maxillofacial surgery, we have demonstrated ourselves to be: effective, responsive, caring, safe and well-led. Recently rated ‘good’ by the CQC, we are committed to treating our patients and each other with kindness, respect and dignity resulting in life-changing outcomes. 

Read our patient testimonials

Find out what it’s like to be a patient, from the people who matter the most.

Patient Testimonials

  • A Mr Asit Khandwala patient

    Nose Reshaping (Rhinoplasty) | The McIndoe Centre

    "Dr Khandwala is an incredible surgeon. He is patient, understanding, caring, honest and funny. He did an amazing rhinoplasty on myself which was quite a tricky procedure. The results are fantastic and I am very very happy it is life changing."

  • A Mr Marc Pacifico patient

    Nose Reshaping (Rhinoplasty) | The McIndoe Centre

    "Not only did he truly understand the problem but he took the time to find a solution that was right for me and my lifestyle. A year on, I still can’t help but smile when I look in a mirror."

  • A Miss Elena Prousskaia patient

    Nose Reshaping (Rhinoplasty) | The McIndoe Centre

    "From the very first appointment she was totally honest about the process and the results achievable. She at no time tried to sell this procedure to me. Rhinoplasty is an operation that she explained was much more psychologically challenging to recover from with mixed emotions following the operation. If she had not prepared me for that I think I would have really struggled in the weeks immediately following the operation. I could not have been happier with the service I received pre, during and post op! I am over the moon with the results, she is fantastic at what she does!"

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