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December 2, 2010

I visited my GP recently as in the summ i fell up the stair and banged my nose

Q. I visited my GP recently as in the summ i fell up the stair and banged my nose, since this there has been a dull pain to it & it slighlty effects by breathing… GP felt it & said that there is some old scarring there but said there was nothing that could be done about it from her side! I also have a small lump to the right hand side of my nose – which i’v had since my realy 20s…. is there anything that can be done about it? I hate to look in the mirror & feel conscious when talking to other people that they are looking at my nose. Every one else thinks there is nothing wrong with it, but I am unhappy about it.,
 
A. Thank you for your enquiry. In a situation like this, and a consultation using computerised imaging and planning either on standard photographs or in 3-D, can clarify whether there is justification for surgical intervention. In some instances, body dysmorphic disorder is the source of this unhappiness about the appearance of part of the body, and surgery is not likely to give you peace of mind. With regards to the pain, chronic pain after trauma or surgery is well recognised. It is not usually easy to treat, and some instances can become worse after more intervention to the area, such as with surgery.
mr. lucian ion

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

Q. I visited my GP recently as in the summ i fell up the stair and banged my nose, since this there has been a dull pain to it & it slighlty effects by breathing… GP felt it & said that there is some old scarring there but said there was nothing that could be done about it from her side! I also have a small lump to the right hand side of my nose – which i’v had since my realy 20s…. is there anything that can be done about it? I hate to look in the mirror & feel conscious when talking to other people that they are looking at my nose. Every one else thinks there is nothing wrong with it, but I am unhappy about it.,
 
A. Thank you for your enquiry. In a situation like this, and a consultation using computerised imaging and planning either on standard photographs or in 3-D, can clarify whether there is justification for surgical intervention. In some instances, body dysmorphic disorder is the source of this unhappiness about the appearance of part of the body, and surgery is not likely to give you peace of mind. With regards to the pain, chronic pain after trauma or surgery is well recognised. It is not usually easy to treat, and some instances can become worse after more intervention to the area, such as with surgery.
mr. lucian ion

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

November 24, 2010

I had a rhinoplasty many years ago, but have had problems ever since

Q. I had a rhinoplasty many years ago, but have had problems ever since. My noseis noticeably crooked, and one nostril is completely blocked. I often suffer from sore throats and suspect there’s a connection. Could revision nose surgery possibly help my problem?,
 
A. Thank you for your enquiry. Overall, the revision nose surgery can address the shape and the nasal airway. It is difficult however to be sure whether your sore throat problems is a direct consequence of the nasal airway difficulties. It may also be related to tonsil problems, and it would be a good idea to discuss this with an ENT specialist.
mr. lucian ion

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

Q. I had a rhinoplasty many years ago, but have had problems ever since. My noseis noticeably crooked, and one nostril is completely blocked. I often suffer from sore throats and suspect there’s a connection. Could revision nose surgery possibly help my problem?,
 
A. Thank you for your enquiry. Overall, the revision nose surgery can address the shape and the nasal airway. It is difficult however to be sure whether your sore throat problems is a direct consequence of the nasal airway difficulties. It may also be related to tonsil problems, and it would be a good idea to discuss this with an ENT specialist.
mr. lucian ion

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

October 14, 2010

I cannot breath through one nostrial

Q. I have broken my nose before. I can not breath through one nostrial. Could i get cover by insurance at all?,
 
A. Certainly, if you have broken your nose and have a blocked airway, your insurance provided will usually cover the surgery. You will need to get a letter of referral from your GP to arrange your consultation. Please call Anne or Kirstie on 0207 863 2140 or email kirstie@lbps.co.uk who will be happy to assist you. Best regards Christopher Inglefield BSc MBBS FRCS(Plast)
mr. christopher inglefield

Mr. Christopher Inglefield

London Bridge Hospital
31 Old Broad Street
London
EC2 1HT

Tel. 0845 009 2775
Web: www.lbps.co.uk

Q. I have broken my nose before. I can not breath through one nostrial. Could i get cover by insurance at all?,
 
A. Certainly, if you have broken your nose and have a blocked airway, your insurance provided will usually cover the surgery. You will need to get a letter of referral from your GP to arrange your consultation. Please call Anne or Kirstie on 0207 863 2140 or email kirstie@lbps.co.uk who will be happy to assist you. Best regards Christopher Inglefield BSc MBBS FRCS(Plast)
mr. christopher inglefield

Mr. Christopher Inglefield

London Bridge Hospital
31 Old Broad Street
London
EC2 1HT

Tel. 0845 009 2775
Web: www.lbps.co.uk

October 8, 2010

I suspect I need some kind of nose surgery as the right side of my nose seems closed

Q. I suspect I need some kind of nose surgery as the right side of my nose seems closed and I have great difficulty breathing. The problem seems to have got worse over time and I would like to know what my options are to get this fixed. Regards,
 
A. hi there. if it’s just a breathing issue then you may be able to get help on the NHS. I would see your GP in the first instance. If you want a shape change as well, then I would be happy to see you at my clinic in Glasgow city centre. Kind regards
mr. taimur shoaib

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 suspect I need some kind of nose surgery as the right side of my nose seems closed and I have great difficulty breathing. The problem seems to have got worse over time and I would like to know what my options are to get this fixed. Regards,
 
A. hi there. if it’s just a breathing issue then you may be able to get help on the NHS. I would see your GP in the first instance. If you want a shape change as well, then I would be happy to see you at my clinic in Glasgow city centre. Kind regards
mr. taimur shoaib

Mr. Taimur Shoaib

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

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

August 30, 2010

want to reduce the size of my nose and improve the breathing of my nose as it gets blocked up alot

Q. Hello, what are the costs of rhinoplasty? I want to reduce the size of my nose and improve the breathing of my nose as it gets blocked up alot.,
 
A. Thank you for your email. It appears that you are seeking advice for septorhinoplasty. The cost ranges from 4000 pounds onwards.I have following suggestions to help you further: 1) Please send me good quality 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 (section of rhinoplasty, photo gallery and price guide) 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

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

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

Q. Hello, what are the costs of rhinoplasty? I want to reduce the size of my nose and improve the breathing of my nose as it gets blocked up alot.,
 
A. Thank you for your email. It appears that you are seeking advice for septorhinoplasty. The cost ranges from 4000 pounds onwards.I have following suggestions to help you further: 1) Please send me good quality 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 (section of rhinoplasty, photo gallery and price guide) 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

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

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

August 26, 2010

I have some difficulty breathing through one of my nostrils and think this may be due to a deviated septum

Q. I have some difficulty breathing through one of my nostrils and think this may be due to a deviated septum. I also have a ‘bump’ on the top of my nose and was wondering what procedure I would need if I wanted to tackle both of these issues at the same time and how much this would cost.,
 
A. It sounds like you’d need a humpreduction, with infracture and a septal correction, ie a septorhinoplasty Best wishes Barbara see www.barbarajemec.com for information on procedures, prices and consultations
ms. barbara jemec

Ms. Barbara Jemec

The Wellington Hospital
Wellington Place
St John’s Wood
London
NW8 9LE

Tel. 0207 483 5090
Web: www.barbarajemec.com

Q. I have some difficulty breathing through one of my nostrils and think this may be due to a deviated septum. I also have a ‘bump’ on the top of my nose and was wondering what procedure I would need if I wanted to tackle both of these issues at the same time and how much this would cost.,
 
A. It sounds like you’d need a humpreduction, with infracture and a septal correction, ie a septorhinoplasty Best wishes Barbara see www.barbarajemec.com for information on procedures, prices and consultations
ms. barbara jemec

Ms. Barbara Jemec

The Wellington Hospital
Wellington Place
St John’s Wood
London
NW8 9LE

Tel. 0207 483 5090
Web: www.barbarajemec.com

August 7, 2010

I have had two Septo-rhinoplasty operations in the past few years for breathing problem

Q. Hi. I have had two Septo-rhinoplasty operations in the past few years for breathing problems which have left my nose miss-shapen, one nostril has collapsed. My breathing is 10 times worse now than before I started this and my nose now look hideous. What I was looking for was somebody who has experience of fixing these kind of specific problems as I do not think I could have any more surgery after this one and am hoping to find somebody who can give me my life back. Hope to hear you views soon.,
 
A. Thank you for your email. I am sorry to hear about your problems. I have following suggestions to help you further: 1) Please send me good quality 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 (section of rhinoplasty, photo gallery and price guide) 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.4)It is a good idea to discuss your issues with the surgeon who performed your previous operations. 5) You may wish to discuss your breathing difficulties with your G.P and he can refer you for further management within NHS hence you do not need to pay for your treatment. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon
mr. shailesh vadodaria

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

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

Q. Hi. I have had two Septo-rhinoplasty operations in the past few years for breathing problems which have left my nose miss-shapen, one nostril has collapsed. My breathing is 10 times worse now than before I started this and my nose now look hideous. What I was looking for was somebody who has experience of fixing these kind of specific problems as I do not think I could have any more surgery after this one and am hoping to find somebody who can give me my life back. Hope to hear you views soon.,
 
A. Thank you for your email. I am sorry to hear about your problems. I have following suggestions to help you further: 1) Please send me good quality 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 (section of rhinoplasty, photo gallery and price guide) 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.4)It is a good idea to discuss your issues with the surgeon who performed your previous operations. 5) You may wish to discuss your breathing difficulties with your G.P and he can refer you for further management within NHS hence you do not need to pay for your treatment. Mr.Shailesh Vadodaria FRCS (Plastic surgery) Consultant Plastic Surgeon
mr. shailesh vadodaria

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

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

August 5, 2010

I have had closed rhinoplasty done over a year ago, and I am unhappy

Q. I have had closed rhinoplasty done over a year ago, and I am unhappy. My nose is fine at the top but tilts at the bottom where the septum is, the surgeon on my return said that he would not try and help any further as i had it done on NHS. It is affecting my life greatly I avoid smiling, eye contact and photographs, plus I spend on average about a few hours a day looking in the mirror wondering what to do. I realise this is a ridiculous but im desperate. With things like Facebook around I find it increasing harder for me to cope. Plus I constantly have breathing problems please can you advise me on this. Thank you,
 
A. Hi and sorry to hear about your problems. If you’re getting nowhere with a rhinoplasty that was performed on the NHS, then perhaps you could ask your GP to refer you to a different NHS surgeon for a second opinion. It’s important to find a surgeon you trust and believe to be able to give you the results you want and sometimes you can have this on the NHS, and sometimes you have to pay for it.
mr. taimur shoaib

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 had closed rhinoplasty done over a year ago, and I am unhappy. My nose is fine at the top but tilts at the bottom where the septum is, the surgeon on my return said that he would not try and help any further as i had it done on NHS. It is affecting my life greatly I avoid smiling, eye contact and photographs, plus I spend on average about a few hours a day looking in the mirror wondering what to do. I realise this is a ridiculous but im desperate. With things like Facebook around I find it increasing harder for me to cope. Plus I constantly have breathing problems please can you advise me on this. Thank you,
 
A. Hi and sorry to hear about your problems. If you’re getting nowhere with a rhinoplasty that was performed on the NHS, then perhaps you could ask your GP to refer you to a different NHS surgeon for a second opinion. It’s important to find a surgeon you trust and believe to be able to give you the results you want and sometimes you can have this on the NHS, and sometimes you have to pay for it.
mr. taimur shoaib

Mr. Taimur Shoaib

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

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

August 4, 2010

I have been a user of cocaine for a good few years and now my breathing it totally gone

Q. I have been a user of cocaine for a good few years and now my breathing it totally gone. Even though I stopped using a year ago my breathing is still getting worse. Do you have much experience of correcting problems with the nose following damage from drug use and if so what are the chances of success. Regards,
 
A. Thank you for your enquiry. I am very pleased to hear that you have managed to stop fo rover a year. This type of surgery involves quite complex reconstructive techniques with a success rate of around 80%. 10 to 15% of patients need secondary surgery to improve the result further. You will need a detailed assessment at the tim eof your consultation to determine what the problems are and the options for reconstruction. Please call Anne or Kirstie on 0845 009 2775 who will be happy to assits you in arranging a consultation to discuss you concerns. Best regards
mr. christopher inglefield

Mr. Christopher Inglefield

London Bridge Hospital
31 Old Broad Street
London
EC2 1HT

Tel. 0845 009 2775
Web: www.lbps.co.uk

Q. I have been a user of cocaine for a good few years and now my breathing it totally gone. Even though I stopped using a year ago my breathing is still getting worse. Do you have much experience of correcting problems with the nose following damage from drug use and if so what are the chances of success. Regards,
 
A. Thank you for your enquiry. I am very pleased to hear that you have managed to stop fo rover a year. This type of surgery involves quite complex reconstructive techniques with a success rate of around 80%. 10 to 15% of patients need secondary surgery to improve the result further. You will need a detailed assessment at the tim eof your consultation to determine what the problems are and the options for reconstruction. Please call Anne or Kirstie on 0845 009 2775 who will be happy to assits you in arranging a consultation to discuss you concerns. Best regards
mr. christopher inglefield

Mr. Christopher Inglefield

London Bridge Hospital
31 Old Broad Street
London
EC2 1HT

Tel. 0845 009 2775
Web: www.lbps.co.uk

ollowing an accident when I fell over and hit the pavement my nose broke but I did not seek any treatment from a doctor

Q. Dear Sir. Following an accident when I fell over and hit the pavement my nose broke but I did not seek any treatment from a doctor. Since then I have struggled to breathe out of one of my nostrils, as I think my nose set funny after the accident. I have just put up with it though it is uncomfortable and it makes my mouth really dry breathing through my mouth. It now seems to constantly sound like I have a cold and is getting worse. Is there any surgery that is going to fix this and what is recovery going to be like ie pain , breathing, bandages etc. Sorry for so many questions. Thanks,
 
A. Hello there thank you for your email You sound as though you have classical breathing problems following a traumatic injury with a nasal fracture. In actual fact, depending upon where you live, you may be eligible for NHS treatment. This would legitimately be a operation for functional reasons (ie. breathing problems) and not cosmetic (ie. appearance reasons). If this is unsuccessful please do give Kim a call on 01342 330302 or email help@paulebanwell.com take care Paul Banwell www.paulebanwell.com
mr. paul banwell

Mr. Paul Banwell

McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ

Tel. 0845 2600 261
Web: www.paulebanwell.com

Q. Dear Sir. Following an accident when I fell over and hit the pavement my nose broke but I did not seek any treatment from a doctor. Since then I have struggled to breathe out of one of my nostrils, as I think my nose set funny after the accident. I have just put up with it though it is uncomfortable and it makes my mouth really dry breathing through my mouth. It now seems to constantly sound like I have a cold and is getting worse. Is there any surgery that is going to fix this and what is recovery going to be like ie pain , breathing, bandages etc. Sorry for so many questions. Thanks,
 
A. Hello there thank you for your email You sound as though you have classical breathing problems following a traumatic injury with a nasal fracture. In actual fact, depending upon where you live, you may be eligible for NHS treatment. This would legitimately be a operation for functional reasons (ie. breathing problems) and not cosmetic (ie. appearance reasons). If this is unsuccessful please do give Kim a call on 01342 330302 or email help@paulebanwell.com take care Paul Banwell www.paulebanwell.com
mr. paul banwell

Mr. Paul Banwell

McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ

Tel. 0845 2600 261
Web: www.paulebanwell.com

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