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
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
London Bridge Hospital
31 Old Broad Street
London
EC2 1HT
Tel. 0845 009 2775
Web: www.lbps.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
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
La Belle Forme Clinic
24-26 Wilson Street
Glasgow
G1 1SS
Tel. 0141 552 0828
Web: www.labelleforme.co.uk
Q. Im having real issue with snoring. Ive tried several things and also had an appointment with my GP but nothing has worked and he has suggested that surgery could be a possible option for a resolve to the situation as it may be an issue with my nasel septum. Im happy with the size and shape of my nose I dont want it to look any different. Could this be possble without chaging the shape of my nose?,
A. Absolutely. It sound as though you do not need to have a rhinoplasty but functional surgery with an ENT specialist Good luck Paul Banwell www.skininstituteuk.com
Mr. Paul Banwell
McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ
Tel. 0845 2600 261
Web: www.paulebanwell.com
Q. Im having real issue with snoring. Ive tried several things and also had an appointment with my GP but nothing has worked and he has suggested that surgery could be a possible option for a resolve to the situation as it may be an issue with my nasel septum. Im happy with the size and shape of my nose I dont want it to look any different. Could this be possble without chaging the shape of my nose?,
A. Absolutely. It sound as though you do not need to have a rhinoplasty but functional surgery with an ENT specialist Good luck Paul Banwell www.skininstituteuk.com
Mr. Paul Banwell
McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ
Tel. 0845 2600 261
Web: www.paulebanwell.com
Q. My nose has been through a lot of stress as it was broken as child and fixed twice then a few years after suffered valve collapase. During a visit to the doctors I told him about some breathing issues I had been having and he advise I MAY have a septum which deviates to the left but he cannot be sure as he is not a nose surgeon and suggested me seeing one. My nose is slightly bent and I wondered if more surgery would be a good idea to an already fragile nose. From information I have read the more surgery I have on the nose the more likely the complications after each procedure. Im very concerned about the breathing problem but I am prepared to puit up with it if it means I am not putting my nose in harms way once more. Thanks for any help you can offer. Pamela,
A. Thank you very much for your enquiry. I really would suggest that you see a nose surgeon and in fact an ENT surgeon would be the best person to advise you. The ear, nose and throat (ENT) surgeons specialize in breathing problems inside the nose and would be able to examine your nose internally to see what is causing the breathing problem. They also have a lot of expertise with reshaping the nose, which may be appropriate in your case. I wish you the best of luck with your consultation. I’m sure they’ll be able to help you decide the best way forward for you. Best Wishes, Yours sincerely Prashant Govilkar Plastic and Cosmetic Surgeon Consultant, Aurora Clinics
Q. My nose has been through a lot of stress as it was broken as child and fixed twice then a few years after suffered valve collapase. During a visit to the doctors I told him about some breathing issues I had been having and he advise I MAY have a septum which deviates to the left but he cannot be sure as he is not a nose surgeon and suggested me seeing one. My nose is slightly bent and I wondered if more surgery would be a good idea to an already fragile nose. From information I have read the more surgery I have on the nose the more likely the complications after each procedure. Im very concerned about the breathing problem but I am prepared to puit up with it if it means I am not putting my nose in harms way once more. Thanks for any help you can offer. Pamela,
A. Thank you very much for your enquiry. I really would suggest that you see a nose surgeon and in fact an ENT surgeon would be the best person to advise you. The ear, nose and throat (ENT) surgeons specialize in breathing problems inside the nose and would be able to examine your nose internally to see what is causing the breathing problem. They also have a lot of expertise with reshaping the nose, which may be appropriate in your case. I wish you the best of luck with your consultation. I’m sure they’ll be able to help you decide the best way forward for you. Best Wishes, Yours sincerely Prashant Govilkar Plastic and Cosmetic Surgeon Consultant, Aurora Clinics
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
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
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
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
The Wellington Hospital
Wellington Place
St John’s Wood
London
NW8 9LE
Tel. 0207 483 5090
Web: www.barbarajemec.com
Q. I have has three lots of sinus surgery using endoscopic technique to open passage ways of my nose and also to remove some polyps to help my breathing problems which have been causing me to have headaches especially in the mornings when I wake up. Yet i am still as bad as ever and I think that the surgeon is missing the fact that I think i have deviated septum as well but he insists everything is fine yet 6 months after final op I still cannot breath properly. Is this something i can come and get second opinion as I feel any further surgery on sinus alone is not fixing problem and something is wrong with actual structure of nose. I have lost faith in ENT after this and now wonder if plastic surgeons are more likely to be able to help me. Many thanks for getting back to me,
A. HI there Unfortunately it sounds as though you have a functional problem and usually this is very much the domain of the ENT surgeon. Depending on examination of your airways and nose, it could be that a SMR is indicated too. This is an operation performed by both ENT surgeons and Plastic surgeons but is being performed less often by plastic surgeons due to referral pathways. Best wishes Paul Banwell
Mr. Paul Banwell
McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ
Tel. 0845 2600 261
Web: www.paulebanwell.com
Q. I have has three lots of sinus surgery using endoscopic technique to open passage ways of my nose and also to remove some polyps to help my breathing problems which have been causing me to have headaches especially in the mornings when I wake up. Yet i am still as bad as ever and I think that the surgeon is missing the fact that I think i have deviated septum as well but he insists everything is fine yet 6 months after final op I still cannot breath properly. Is this something i can come and get second opinion as I feel any further surgery on sinus alone is not fixing problem and something is wrong with actual structure of nose. I have lost faith in ENT after this and now wonder if plastic surgeons are more likely to be able to help me. Many thanks for getting back to me,
A. HI there Unfortunately it sounds as though you have a functional problem and usually this is very much the domain of the ENT surgeon. Depending on examination of your airways and nose, it could be that a SMR is indicated too. This is an operation performed by both ENT surgeons and Plastic surgeons but is being performed less often by plastic surgeons due to referral pathways. Best wishes Paul Banwell
Mr. Paul Banwell
McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ
Tel. 0845 2600 261
Web: www.paulebanwell.com
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
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
La Belle Forme Clinic
24-26 Wilson Street
Glasgow
G1 1SS
Tel. 0141 552 0828
Web: www.labelleforme.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
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
London Bridge Hospital
31 Old Broad Street
London
EC2 1HT
Tel. 0845 009 2775
Web: www.lbps.co.uk
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
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
McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ
Tel. 0845 2600 261
Web: www.paulebanwell.com
