Q. I am female and of Hispanic desent and I have pretty thick skin. I had a reduction rhinoplasty around 4 years ago which resulted in a slight fullness just above the tip . As thing have got no better I have decided to now look into revision rhinoplasty. I have consulted 2 doctors and they told me they can help me achieve a more natural nose look but with an open rhinoplasty. I am really concerned about the scar that may be left on my nose. Is there a way that a revision rhinoplasty for my case can be done using the endonasal?,

 

A. Thank you very much about your enquiry, I think generally the scar from an open rhinoplasty is a very acceptable and it is in a hidden part of the nose where it is not seen. Although the scarring does vary between individual to individual I’ve never seen an unsightly scar in this area. Open-rhinoplasty just give the advantage of better exposure of the structure of the nose which gives the surgeon more freedom to look at all areas and correct the part which most concerns 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. Id like some information about nose reduction surgery please. My nose is way to big for my face and feel the bridge and tip need reducing as well as the width. Could you please give me an indication of how much this is likeley to cost as well as recovery time needed?,

 

A. Thank you for your inquiry. The reduction rhinoplasty procedure is likely to require approximately 2 weeks for return to work. It usually takes three weeks for return to exercise. For guidance regarding costs related to more common aesthetic surgery procedures, or combination of procedures, please visit my website at: http://aesthetic-plastic-surgery.co.uk/about-cost-of-surgery.php If you would like to find out regarding the cost of procedures not included in the list, or different combinations, as well as to book an appointment, kindly contact our office either by telephone at: 020 7486 7757, or by e-mail at: contact@aesthetic-plastic-surgery.co.uk , and my team will be delighted to help you. Kind regards Lucian Ion, FRCS(Plast)

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

Q. My nostril partition can be seen especially when looking from the side. My Doctor advised me I would be able to get this sorted with surgery but wasent able to go into anymore detail than that. As the surgery will not be done on the NHS I need to find a surgeon myself. Is this procedure something you have any experience with?,

 

A. Thank you very much for your enquiry, most specialist surgeons do have experience in the type of surgery you described. It’s very important that you see a plastic surgeon who specializes in nose surgery to give you the best possible result following your operation. If you would like to schedule a consultation with one of our specialist’s nose surgeons please ring us on 01844-214362. Many thanks for your enquiry, we do look forward to meeting you in the near future to discuss 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. I would like to have the area around the tip of my nose reduced please. My nostrils also flare and if possible I would like nostril area narrowed. Most of the advice I have been given so far suggest I will need to have some kind of casting around the nose, is this generally necessary for this kind of surgery?,

 

A. I think it’s possible to just do work around the tip of the nose and not put a cast on, so if you just want tip work then perhaps not. However, the recovery time for complex tip work is just as long as a standard rhinoplasty, and there will be bruising and swelling for several months after the surgery is done.

Mr. Taimur Shoaib

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

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

Q. When removing a hump from the bridge of a persons nose would the bone have to broken or do you just shave it off?,

 

A. I tend to use a rasp for reducing the bony hump and an external osteotomy with a small osteotome to perform infractures and prevent an open roof deformity.

Mr. Taimur Shoaib

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

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

Q. Hello, I am a youngish 62 and have a very large nose, I have always been conscious of it all my life which has made me quite insecure at times. Now though it seems even larger would I be suitable for a rhinoplasty?,

 

A. Hi there thank you for your enquiry. I would like to see you to discuss this in more detail. The issue of age and cosmetic surgery continues to come up for discussion. I have had some wonderful results with patients over 60 and they have been life-changing. However, this should only proceed once expectations and complications have been discussed. Please do give Janine or Kim a call on 0845 2600 261 or email help@paulebanwell.com. Cheerio 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. Dear Dr Banwell, I have a large nose with a bulbour tip and a kink in the bridge. I really want to get these things corrected and also my nostrils. However, I also have a large chin as well and was wondering if it might be possible to have this corrected too so that everything looks in proportion. What is this procedure called and what does it entail? Many thanks, Jess,

 

A. Hi Jess Thanks for your enquiry. it sounds as though you may need a rhinoplasty and chin reduction. I would be able to make a better assessment when I see you and we can then discuss this in more detail. Please do contact the office on 0845 2600 261 or email help@paulebanwell.com. Janine or Kim would be happy to help you. I look forward to meeting you! Take care Paul Banwell www.paulebanwell.com www.skininstituteuk.com

Mr. Paul Banwell

McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ

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

Q. I was told by a modelling agency that I would need to get a higher bridge which I think is nose augmentation. I just dont have the money at hand right now and I really need this job. Is there some way I could pay back or get a reduction in my paycheck or work it off, because they never signed me yet they wont pay for it – i feel so stuck. I would go to america where its $500 but I don’t even have that, help,

 

A. Thank you for your email. I am sorry to inform you that I am unable to help you because we do not have fianance facility in our practice. I have following suggestions for you. 1) Discuss with your G.P 2) Discuss with your current banker 3) Contact cosmetic surgery companies with fianance facilities. With very best wishes,

Mr. Shailesh Vadodaria

10 Harley Street
London
W1G 9PF

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

Q. I am interested in this procedure and would like to find out about nose reduction I only need a slight reduction in size as well as the main problem which is the skin above the lip connecting to high up the nose, I would be interested in an approximate price on this, and likely success rate without complication. Regards,

 

A. Thank you for your enquiry. The costs for your Rhinoplasty surgery would be in the region of £5300 which includes all of your surgery, and follow-up care. No reputable surgeon will guarantee you a 100% complication free surgery. Every operation has some risk but we work very hard in your interest to reduce the risks as much as possible. An accurate quotation will be provided following your consultation. Please call Anne or Kirstie on 02078633140, or email kirstie@lbps.co.uk who will be happy to arrange your consultation to dicsuss your concerns and the options. 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. Hi, the tip of my nose is large and bulbous; I feel that if it were smaller the appearance of my face would be greatly enhanced. Could you tell me what sort of surgery I would have to go for in order to make it smaller? Thank you.,

 

A. hi there You would probably need a reduction/tip rhinoplasty I would really need to see you in person to assess this so please do not hesitate to contact Kim on 0845 2600 261 or email help@paulebanwell.com cheerio Paul Banwell www.paulebanwell.com www.skininstituteuk.com

Mr. Paul Banwell

McIndoe Surgical Centre
Holtye Road
East Grinstead
RH19 3DZ

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