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

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

129 Harley Street
London
W1G 6BA, UK

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

Mr. Prashant Govilkar

The Gatehouse
82 Billing Road
Northampton
NN1 5DF

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

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

10 Harley Street
London
W1G 9PF

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

10 Harley Street
London
W1G 9PF

Tel. 0208 997 3976
Web: www.vadodariaplasticsurgery.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