Nasal Surgery (Rhinoplasty)

It is hoped that the following will help to answer many of the questions which patients ask me and will also provide you with a useful introduction and pre-operative guide.

Before Your Operation

With your consent, we will take photographs which will help enormously during your consultation in order that you will be able to clearly visualise what can be achieved with surgery. Specialised Computer Imaging will be used during the consultation to this effect.

Generally the fewer people you tell about your proposed operation the better. By all means discuss your decision with a close friend – they will be in a position to give you sympathetic and unbiased advice. In contrast to this, members of your family will have known you from childhood and, for emotional reasons, are sometimes inclined to advise you against having any facial alterations despite your wishes.

If you smoke, I would strongly recommend that you cut down or stop for a week before your operation as smoke irritates the nose and leads to a greater degree of postoperative swelling around the eyes. Likewise, after your operation it is advisable not to smoke until your nose is healed. Healing problems are much rarer if you follow this advice.

Two weeks after your operation you will be free of any bruising or obvious swelling and you will be able to return to work without your colleagues recognising what you have had done. You will be most surprised to find that the majority of people do not recognise that you have had an operation although they will see that you have, in some way, undergone an improvement in your appearance.

Day of Operation

You will experience little or no pain from the operation, which is often commented upon with surprise by patients. Your nose will be rather blocked up so you must remember to breathe through your mouth. If your mouth becomes dry, ice chips or drinks will be provided to relieve this. The pack in your nose will be removed a few hours after your surgery, and this will ease your breathing.

It is better to lie with your head and shoulders raised on two or three pillows as this helps to reduce swelling around the eyes. I do NOT advise the use of ICE.  I find  Witch-Hazel compresses very helpful for alleviating the swelling.

Try to avoid coughing as this contributes to the swelling and bruising.

One Day After Your Operation

You will notice a small amount of bruising and swelling around your eyes and this is usually more marked if you tend to be a heavy smoker. You will be aware of a small amount of swelling in your upper lip and around your nostrils, which are quite normal and will subside within a week.

You will be shown how to clean your nostrils with Hydrogen Peroxide solution and then apply a small amount of anti-biotic ointment to your nostrils night and morning.  This will keep the interior of your nose more comfortable and your sutures clean.

Do not blow your nose, you should sniff! This will help avoid making your eyes unnecessarily swollen. Usually at this time you will be fit to go home and will be given an appointment for a return visit to my rooms in Harley Street.

Second Day After Your Operation

Continue with the regime for the care of your nose which was started on the first day after your operation until the plaster is removed. If you wear glasses the plaster will be in the way, and subsequently you will need to have a new frame to fit your OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow's Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling. Contact lens avoid these problems if you can wear them.