Open Rhinoplasty England

What is Rhinoplasty? Rhinoplasty is also known as a ‘nose-job’.  It is an operation which changes the shape of the nose to give a more aesthetically balanced appearance or perhaps to correct an established deformity.  There are a combination of changes which can be made to improve the appearance of the nose which include reshaping the bridge of the nose (usually reducing a hump), refining the tip of the nose, improving the projection of the tip, shortening the nose or narrowing wide nostrils.  The aim is to shape the nose so that it is more in keeping with the desired appearance of the patient and also in balance with the proportions of the face. What does the surgery involve? Rhinoplasty is typically carried out under general anaesthetic and you can go home on the day of surgery.  Sometimes a single night in hospital is advised.  The shape of the nose is determined by a framework of cartilages and bones.  Small cuts are made inside the nostrils to access the framework and reshape it.  Occasionally it is also necessary to have a small scar at the base of the nostrils or across the central strut (‘columella’) of the nose or tiny access incisions on the side of the nose.  The operation takes about 90 minutes. At the end of the operation a small splint and some tapes will be positioned and packs are inserted into the nostrils.  This is done to support the new shape of the nose while it sets.  Some cases are more complex and may require internal access to the central strut deep inside the nose ‘septum’ which is necessary to correct shape, airflow or to obtain cartilage grafts to assist with shaping the nose.  This is known as septo-rhinoplasty.

Consultations are typically 30-40 mins and involve a thorough discussion about case history, treatments, review of example cases and photos and physical examination.It may be possible to arrange a free 15 minute consultation or teleconsultation if you are unsure about committing to a full appointment. Consultations are at the McIndoe Centre, East Grinstead. Sussex RH19 3UD.  Wednesdays or Fridays.   other locations - KIMS hospital, Maidstone; North Downs Hospital, Caterham.

Does Breast Implant Surgery require a general anaesthetic or hospitalisation? Breast Implant Surgery is usually a 1-night-stay or a day-case operation which is carried out under general anaesthetic. What are my options for the type of implants? Various types of Breast Implants are available and the optimum implant for you will depend on your goals and existing size and shape. Breast implant types are Silicone or Saline filled, round or teardrop shaped and can be low, medium, high or extra high profile in order to achieve the best aesthetic natural result.  There are differences in the outer layer of implants also.  I usually use Motiva or Mentor implants which ahve a good safety and manufacturing record. Where will the implants be placed in Breast Augmentation Surgery? Breast implants can usually be placed directly behind the breast tissue.   If the breast tissue is thin over the upper part of the breast then it may be preferable to place the implant more deeply, under the pectoral muscle. In either position, what you will see and feel is your own breast tissue.  The goal is to achieve the optimum natural appearance of your breasts. How long is the recovery time? Most patients report that their surgery was much less painful than they expected. Moderate pain / discomfort is expected for 3 – 5 days. You may return to your normal daily activities the next day if you feel ready and comfortable to do so.  You should however avoid strenuous exercise / activity for 6 weeks. It will be necessary to wear a support bra for the first 3 weeks, day and night and the second 3 weeks during the day. The majority of swelling will resolve in 2 – 3 weeks but it will take up to 3 months for the breast to return to normal feel.