Q. Aged 29 I had rhinoplasty about 4 years ago for a large nose with a diamond fracture, excessive cartiledge in the tip and it pulled to the right when I smiled. Ever since being done I have small bump on the left of bridge which isn’t visible to the eye but is to the touch and sometimes the tip looks bigger than the bones connecting in to it and can appear a bit bulbous at the end. I had an open rhinoplasty and when I smile its like the skin between my nostrils hasn’t settled properly and it can look a bit lop sided. I had to massage a lump of scar tissue on the inside of my nose for months to get the scar to settle. I went back to the original company that did the op but the surgeon had left so I saw another. He said I should be happy with the result and if I wanted to change it then it would mean another open rhinoplasty which I found off putting. I’m after a second opinion really about whether I should consider secondary rhinoplasty or just to be happy with the result. Thanks,

 

A. Thank you for your enquiry. This is a type of question that can only be answered properly after a consultation. If the problem that you are faced with is a relatively minor one, it may be more practical to accept the result for what it is. If you find that it constantly makes you think about it and does not give you peace, there may be some scope to have a consultation using the imaging in 2-D or in 3-D, to identify your target for change. One thing that is very important though is to appreciate that movement of the facial muscles distorts the nose in everybody, and there is very little value in pursuing surgery in the hope that the nose will stay the same when you smile.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

Tel. 0207 486 7757
Web: www.lucianion.co.uk

Q. I had rhinoplasty in 2007 to correct a hump on the bridge of my nose – the surgeon told me that I should have the tip lifted also, despite the fact I was fine with the way it looked before. At first things looked great but after the swelling went down, the tip of my nose has a huge cleff in it (one side of the cleff sticks out further than the other) and from the front in photos it looks like the bridge has been smashed, there is no real definition to it – it’s very wide and the hump seems to have been moved off to one side of my nose rather than removed. At my follow up appointment the surgeon told me after the surgery that I had a ‘difficult nose’ and he would not feel confident about correcting it. Is there anything that can be done? As this is would be revision rhinoplasty I really want to get it right – I also worry about the cost.,

 

A. Thank you for your question. Whilst it is possible to to improve on the appearance of the nose, one of the critical aspects at this stage is some accurate planning regarding what you would like to see as an end result. In some instances also, smaller adjustments, sometimes nonsurgical can bring sufficient benefits for patients to feel comfortable. With this in mind, I would suggest a consultation using computer based simulation either on standard photographs or 3-D imaging, to help you determine what it is you would like to achieve and communicate it clearly with me. It would be possible then to give you guidance regarding how much change can be operated safely, and what type of intervention may be best suited for the purpose. It is also advisable to see more than one surgeon to allow you to get the overview regarding the current situation and options for change.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

Tel. 0207 486 7757
Web: www.lucianion.co.uk

Q. My friends and family all say i am nuts and that there is nothing wrong with my nose but i am obsessed with it. I feel it is way too big for my face and want it making smaller. Is this possible to make somebodys nose smaller. It is not bent or hooked or anything like that just too big?,

 

A. Thank you for your enquiry. Yes it is possible to reduce the size of a nose that seems too big in proportion to the face. This is corrected by a technique of reduction Rhinoplasty. You will need to be assessed by a plastic surgeon or an EENT surgeon who has special interest and experience in Rhinoplasty. For more information please visit our website at http://aurora-clinics.co.uk or email us at info@aurora-clinics.co.uk Best Wishes, Prashant Govilkar Plastic & Cosmetic Surgeon Rhinoplasty Consultant, Aurora- Clinics

Mr. Prashant Govilkar

The Gatehouse
82 Billing Road
Northampton
NN1 5DF

Tel. 0800 328 5743
Web: www.aurora-clinics.co.uk

Q. My nose has always been something that has bothered me since I was a child and I have my profile. I have I large hump in the middle of my nose and makes me so self conscious. I am considering having nose surgery to remove the hump but am concerned I will not be happy with the result. I have waited so long to get the courage and know exactly what I want doing but what happens if I dont like my new nose? I dont know what I would do if I am not happy with my result of my rhinoplasty?,

 

A. Hi there. Removing bumps is a very common reason for people wanting a rhinoplasty, and you can read more about someone I did this on here: http://www.labelleforme.co.uk/rhinoplasty.html. If you don’t like the result then you do need to be aware of the risk of revision surgery. I have a one year aftercare policy and if you’re unhappy then you need to tell me within a year for me to do further surgery without charge. All surgeons have a revision rate, so you need to ask your surgeon what they would do if you don’t get the nose you want.

Mr. Taimur Shoaib

La Belle Forme Clinic
24-26 Wilson Street
Glasgow
G1 1SS

Tel. 0141 552 0828
Web: www.labelleforme.co.uk

Q. I have been wanting a nose reshaping for a long time i will be 48 years next year . i would like to change my hair style and also be able to wear hats always find my nose shape a problem in wanting to do this . i think ive got a wide nose. I look after my self keeping fit and a good diet .How do i find the right consultant .,

 

A. Thank you for your question. If you start looking into having the rhinoplasty operation, it is a good idea to have a look on the Internet for orientation regarding results, as surgeons frequently have a “style” of their own which may suit your preferences. In addition, expect them to have the right qualifications and training either through the channels of plastic surgery or ENT, but most importantly meet several surgeons so you can get a clearer idea of their approach and how it corresponds to your designs for change. I tend to favour using computer imaging and procedure planning during the consultation, but every surgeon will have their own approach. Finally, you can also ask your surgeon if they can put you in touch with previous patients that had surgery with him.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

Tel. 0207 486 7757
Web: www.lucianion.co.uk

Q. I am thinking of having a nose reduction, can u tell me how your consultation procedure goes and how long till the surgery can be completed?,

 

A. Thank you for your question. The first consultation for rhinoplasty takes on average 45 min and an second consultation is often advisable a few weeks later. Typically, between the time that you decide to have the surgery and the that time that we can fit you in for the operation varies between three and six weeks.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

Tel. 0207 486 7757
Web: www.lucianion.co.uk

Q. I would like the end of my nose reshaped but would rather not have surgery to fix the problem and wondered if there was a non surgical solution that could work for me. If there is would the solution be permanent or would I be required to return for further treatments?,

 

A. There are some non surgical solutions for some nasal changes we want to see but they don’t work for every change that people are looking for. Non surgical solutions are temporary I’m afraid, but they’re usually very straightforward treatments and take a 30 minute appointment to perform.

Mr. Taimur Shoaib

La Belle Forme Clinic
24-26 Wilson Street
Glasgow
G1 1SS

Tel. 0141 552 0828
Web: www.labelleforme.co.uk

Q. I had rhinoplasty in 2007 – however, the result has left me with an unusual shaped tip – and I do still have a lump on the bridge of my nose. Can you fix the problem with my nose shape and hump.,

 

A. Thank you for your email.I need some more information from you e.g. your age, gender, and type of rhinoplasty performed on you.I have following suggestions to help you further: 1) Please send me good quality before and after photos for my initial comments. 2) You may wish to arrange a detailed consultation to allow me to examine you and give my opinion. 3) Please visit our website: www.vadodariaplasticsurgery.com to allow you to develop better insight into the procedure. Please contact my office on 0208 997 3976 between 9.00 am and 5.00 pm or by email on info@vadodariaplasticsurgery.com for further guidance. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

Tel. 0208 997 3976
Web: www.vadodariaplasticsurgery.com

Q. What is the price range for a non surgical nose reshape please? This woudl be for one of yoru London clinics,

 

A. Hi – I have a clinic in Glasgow and my price for a non surgical rhinoplasty is £300 – £200 for the treatment and £100 for the consultation. You can have treatment on the same day as your consultation but it will have to be in Glasgow.

Mr. Taimur Shoaib

La Belle Forme Clinic
24-26 Wilson Street
Glasgow
G1 1SS

Tel. 0141 552 0828
Web: www.labelleforme.co.uk

Q. Im 14 and i have a extreamly wide and unnatractive ugly nose. i was just wondering when i hit 15 would i be able to have surgary? and whats thne cost,

 

A. Thank you for your enquiry. I’m afraid that I tend to do this type of surgery only after the age of 18, as the face continues to undergo significant changes during these years. This means that overall, planning for the end result continues to evolve, as the nose is assessed in the context of the rest of the face.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

Tel. 0207 486 7757
Web: www.lucianion.co.uk