The Best Rhinoplasty and Nose Surgeons in the UK

The Best Nose Surgeons in the UK

Rhinoplasty is one of the most sought after surgical procedures in the cosmetic surgery field. It alters the dimensions of the nose by reshaping, cutting and grafting the human nose using an advanced system of techniques that are constantly being improved as thousands of surgical procedures every year are being carried out in the UK alone.

Rhinoplasty in London and the UK

Most of the best nose surgeons in the UK specializing in rhinoplasty are members of the BAAPS (British Association of Aesthetic Plastic Surgeons) and any patient looking for rhinoplasty surgery should check that the surgeon under consideration is a certified member of the BAAPS. Rhinoplasty in the UK is available nationwide in various private clinics and many of the best in Britain are found in Harley Street, London. The Harley Street Medical Group is one of the most successful plastic surgery clinics in the UK and it has branches in many UK cities including Harley Street.

Choosing a Rhinoplasty Surgeon

Choosing a surgeon you trust and with whom you feel comfortable is incredibly important when it comes to undergoing rhinoplasty.

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You should start your search with your GP, as they know the best local surgeons within the NHS along with those who operate privately. They are also aware of your existing medical conditions and your medical history, and can alert you to anything that could be potentially problematic. It is wise to visit several clinics and have consultations with a number of surgeons before making your final choice. You should ask your potential surgeon a number of questions during these consultations, and gather information about things like cost (and payment plans/financing), the length of the recovery time and post-operative care available, whether there are any additional costs associated with unexpected post-operative care, how long you’ll need off work, and what you can expect in terms of results. You should also obtain proof of their qualifications, and ask detailed questions about their experience. This can include seeing before and after pictures, and obtaining the details of past patients so that you can contact them for testimonials.

Once you have had a number of meetings with surgeons, you can compare notes and make your choice. It’s important to note that your chosen surgeon should operate locally, as you want to avoid travel after undergoing a rhinoplasty procedure.

Qualifications to Look For

You should ensure that each surgeon is a registered with the General Medical Council (GMC), and ideally they will be a member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS).

You should also ensure that the hospital or clinic is registered with the Care Quality Commission (CQC), and you should ask for proof of this along with recent inspection scores. You can also cross-reference their registration certificate against the CQC database of registered providers. A surgeon with the letters FRCS (Plast) after his or her name is a Fellow of the Royal College of Surgeons, meaning they have passed specialist exams that have qualified them to carry out any kind of cosmetic surgery. As a rhinoplasty is surgery affecting the nose, you may wish to seek out a specialist Otolaryngological surgeon, who focusses on ear, nose and throat surgeries. This surgeon will have the letters FRCS (Otol) after his or her name.

It is important to ask plenty of questions to confirm a surgeon’s qualifications and find out more about their experience. Specifically, you may want to ask about the number of times they have performed this surgery and how recently, how often they need to do revision or corrective surgery and why, and what the success and patient satisfaction rates are like.

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Ethnic Rhinoplasty in the UK

Ethnic rhinoplasty is a specialist area as it often involves the specific alteration of nasal structures that are usually (but not always) characteristic of a particular ethnic group and in many cases reducing the ethnic appearance of the patient. This type of rhinoplasty must be carefully carried out so that the altered nose is still in proportion to the other features of the patient's face which may also be characteristic of their ethnic group. This would suggest that a surgeon would advise the patient the limitations involved so that, for example, a West African male from sub Saharan Africa, does not end up with a nose like a quintessentially English schoolgirl. This requires the skills of a top nose surgeon with the experience of dealing with ethnic rhinoplasty over many years.

About The Surgery

Prior to your surgery, you will have a pre-operative consultation, during which your surgeon will detail what you can expect from your procedure.

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A rhinoplasty operation can take anywhere up to three hours to complete, but this will vary depending on the type of procedure you are undergoing. During reduction rhinoplasty, the nose is made smaller. In this procedure, the surgeon will make incisions inside the nostrils in order to access the nose bone and cartilage. As the incisions are made inside as opposed to on the exterior of the nose, there are no visible scars left behind, and so this procedure is commonly referred to as closed rhinoplasty. It takes less time than other procedures, and in general results in less swelling and a faster recovery. In the event your surgeon is unable to carry out closed rhinoplasty, they will create an incision through the skin between your nostrils. This is referred to as open rhinoplasty, and while this method yields good results, it also results in a visible scar. Your surgeon will remove or rearrange the bone and cartilage as needed to reduce the shape of your nose, but the skin remains unaffected. Your surgeon may decide however to make your nostrils smaller to remain in proportion with your nose, and so this may result in further scarring on the sides of your nostrils.

Augmentation rhinoplasty is used to make the nose larger in size. To do this, the surgeon creates an incision either inside or between the nostrils, in a similar fashion to reduction rhinoplasty. They will then begin reshaping the bone and cartilage, using extra where needed to build up the desired shape (a bone or cartilage graft). The cartilage material for the graft can be taken from your ears, while bone is normally taken from areas such as the elbow, rib, skull or hip. In some cases, the surgeon may choose to use implants instead. Your surgeon complete the procedure by suturing closed the incisions using dissolvable stitches for interior cuts, and removable stitches to close cuts on the exterior of your nose.

Aftercare and Recovery

Immediately after the surgery, you will still feel the effects of the anaesthetic. As this wears off, it is normal to experience some pain, which can be managed with over-the-counter medications such as paracetamol or ibuprofen as needed.

Once the anaesthetic has worn off completely, you may feel as though you have a cold, as your nose will feel blocked. This is due to the swelling, and may be due to the presence of dressings in each nostril designed to stop you breathing through your nose. Your surgeon may also have inserted splints inside the nostrils as well as over the bridge of your nose in order to keep the nasal bones in place. You may be able to leave hospital on the same day, or shortly afterwards depending on the type of surgery you’ve had. You will not be able to drive, so you should make arrangements to have somebody take you home from the hospital. As you are discharged, you will be provided with a full list of post-operative instructions, along with a date for a follow-up appointment.

If you have been under general anesthetic, you will likely find that it will take a while for the effects to fully pass. It is therefore recommended that for the first 24 hours you are at home, you have someone with you to ensure you do not drink alcohol, sign any important documents or operate any machinery. This is because general anesthesia can impair your motor and decision-making skills. To speed up your recovery, it’s recommended that you keep your head up, and use pillows for support wherever possible. You should keep the splints on your nose dry and clean, and refrain from having hot baths until it’s been removed. Be gentle with your nose in the weeks after the surgery – refrain from blowing it, and instead wipe gently if needed, and don’t remove any crusts or build-up. You should also refrain from smoking and smoky places, along with strenuous exercise throughout the course of your recovery.

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