Q. I am a 22 year old female. About 2 years ago I had open rhinoplasty surgery which I am not happy with. If anything I think I am more self conscious now! Is it possible to make subtle amendments, (particularly correcting the tip of the nose which point up and my nostrils looked flared? Please let me know what experience you have of secondary rhinoplasty?,

 

A. Thank you for your enquiry. Open rhinoplasty’s do take longer to settle down than a close rhinoplasty’s as a residual swelling and numbness of the skin of the nose plus can persist for up to 6 to 8 months after an open rhinoplasty. You say that it is now 2 years since you had an open rhinoplasty so I’m quite sure that the effects of the open rhinoplasty would have settle down by now.Subtle adjustments can be made to the tip of the nose but this again would need open rhinoplasty as you need to be very clear in visualization of the adjustments that need to be done on the tip of the nose .This may need ex channels surgery in the form of alar base reduction that you would entail putting a scar on the base of the tip of the nose. You would need a detailed consultation with a plastic surgeon who is undertaking rhinoplasty and regular bases. For more information please visit our websit 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. I have had rhinoplasty before in 2001. I am not happy with the results and would like some more detailed advice on revision rhinoplasty. Do you perform revision rhinoplasty regularly? If so how often? Is it a successful procedure?,

 

A. Thank you for your enquiry. A revision rhinoplasty is a more demanding procedure than a primary rhinoplasty. The surgeon has to contend with the effects of a scarring from previous surgery as well as unsatisfied patient who is not happy with the results of the primary rhinoplasty. It is absolutely essential that you have a detailed consultation with a surgeon, other plastic surgeon or ENT surgeon who is qualified in udertaking primary and secondary rhinoplasty’s. Yes I do perform revision rhinoplasty regularly and would on an average I do 5- 8 revision rhinoplasty’s every year.I would say that revision rhinoplasty is a successful procedure but it would depend on what the patient expects to achieve after a secondary rhinoplasty and it is for this reason that a detailed consultation is absolutely essential. For more information please visit our websit 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. 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. Dear sir i wanna to know about the cost fo nose rhinoplasty. And also wanna to know the payment system & any student discount .. Please kindly reply me . Thank u very much your sincerly Varsha,

 

A. Thank you for your email. The cost for such procedure ranges from £3500 and £4500 depending upon the extent of the procedure.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 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. Dear Dr Govikar, I am a mature woman who has had 2 previous rhinoplasty procedures, the last being in 2007. I am seeking to further reduce the size and shape of my nose. I am in good health. My contact details are 07## ### ####.,

 

A. I will pass on your contact number to my secretary to arrange for a consultation and appointment to see me in my clinic if you so desire. Thank you.

Mr. Prashant Govilkar

The Gatehouse
82 Billing Road
Northampton
NN1 5DF

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

Q. I am considering a revision to reduce the size of my nostrils. Is this a complicated procedure and do I have to wait 6-12 mths as this seem to bge the way for the other clinics I have contacted? Many thanks for your help,

 

A. Thank you for your enquiry. If your interest is purely to reduce the width of the nostrils, a period of six months after your operation may be sufficient. If there is significant swelling in the tip of the nose, it would be better to wait a little bit longer so that the decision regarding the extent of the changes is based on a more stable shape. The procedure may be straightforward or slightly more complicated depending on the shape of the nostrils which can vary extensively. In some instances a more significant alteration in the shape of the nostril and base of the nostril can require some cartilage grafting for support, but in most cases it is just a matter of removing some tissue at the base of the nostrils, restoring the contour and closing the wound.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

Q. hi. 7 years ago i had a rhinoplasty. it went wrong. it was a close operation so no scar but the tip is messed up now. the surgeon has taken too much away from one nostril too much and it looks like a bone is protruding out of my tip. wnder if non surgical rhino can fix it,

 

A. Thank you very much for your enquiry, it maybe that a non-surgical rhinoplasty could improve the appearance of the tip of your nose but I would really need to see you in person to discuss the best way for you as the best treatment varies from individual to individual. If you would like to schedule a consultation please ring us on 01844-214362. In the mean time, I think it would be worthwhile having a look at our website which has lots of information about rhinoplasty. 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 wonder of you could give me an indicatiopn of the typical cost of revision rhinoplastly at your clinic please?,

 

A. Thanks very much for your enquiry about rhinoplasty surgery, the cost of the operation is X amount. For more information about what’s involved in the procedure please visit our website http://aurora-clinics.co.uk where you’ll find lots of information about the procedure. If you feel you would like to proceed with the consultation please ring us on 01844-214362. One of our patient coordinators would be happy to discuss the best time for your free consultation with one of our nose specialists. Many thanks for your enquiry, we look forward to meeting you in the near future. Best Wishes, Yours sincerely Adrian Richards 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. This is more a question than an enquiry at the moment. Im doing some research into finding a surgeon for a rhinoplasty and wonder why some do nasal packing after the op and some dont?,

 

A. Thank you for your enquiry. Rhinoplasty procedures vary significantly with regards to do amount of work carried out inside the nose. As far as my practice is concerned, I use silicone nasal splints inside the nose rather than nasal packs, and their purpose is to prevent contact between the lateral walls and the nasal septum whilst the swelling is present. This prevents formation of scar tissue between the septum and lateral walls (most frequently with the inferior turbinates) also known as synechiae.

Mr. Lucian Ion

129 Harley Street
London
W1G 6BA, UK

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

Q. I am looking at having revision surgery and have consulted with 2 surgeons so far. As far as the 2 surgeons go they were ok but their fees were overly cheap, which concerns me. I know I should not choose a surgeon based on their fees but im not exactly flushed at the moment either. The revison surgery I need is just on the nose tip and I wanted to know where I can view any previous work and your prices plase.,

 

A. Revision rhinoplasty surgery is very unique, so although I can show you pictures of some of my patients who have had rhinoplasties before, I probably don’t have a picture of a revision that would be similar to your nose. Nevertheless I can show you examples of some of my work but beyond that, if you’re looking for a particular outcome or several before and after photos for me to show you, that may not be possible. For revision work, it’s a lot harder to do, as well, as there’s more scarring and a greater degree of unpredictability in the final results. My prices are fixed and they’re on line at http://www.labelleforme.co.uk/cosmetic_surgery_prices.html. I think you are right to proceed with caution, but at some point you may have to decide what you think about all your consultations and go with the surgeon you feel most comfortable with.

Mr. Taimur Shoaib

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

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