BOOK A RHINOPLASTY CONSULTATION TODAY

BOOK A RHINOPLASTY CONSULTATION TODAY

What to expect from a rhinoplasty

Rhinoplasty surgery is one of the commonest cosmetic surgery procedures performed. The nose plays a central role in defining the overall appearance and attractiveness of the face.

For many patients a large nose, or a shape they’re unhappy with, can be a significant source of distress and affect their confidence and social interaction.

A rhinoplasty (or ‘nose job’), by improving the nose shape and balancing it with the facial proportions, can make a very significant improvement to a patient’s appearance and confidence.

Some patients may have suffered trauma to the nose or have breathing problems, also requiring correction by rhinoplasty surgery.

A significant proportion of the patients we see have had previous rhinoplasty surgery elsewhere, are dissatisfied with their results, and are requesting revision surgery. Assessment requires discussion of the original aims the patient had for their surgery and where the results have differed from that which was expected.

The surgical plan will vary between patients, depending on the previous surgery performed and the desired results. This plan will be discussed with the patient usually over a number of consultations to ensure that their desired result is produced with the revision procedure.

Why have a rhinoplasty

  • REMOVING OR REDUCING A HUMP ON THE BRIDGE

  • STRAIGHTEN NOSE

  • MAKE NOSTRILS NARROWER

  • CHANGE ANGLE OF THE NOSE

  • RESHAPING THE TIP OF THE NOSE

  • IMPROVING ASYMMETRY

  • IMPROVE BREATHING FUNCTION

THERE ARE SO MANY GOOD THINGS TO SAY ABOUT MR TULLEY.

I had a revision rhinoplasty and am so pleased I chose Mr Tulley to do the operation. He has done an amazing job and I am really grateful to him.

One of the things that struck me about Mr Tulley was he listened to what I wanted and did not suggest I should have or need any other procedures as my previous surgeon did many years ago. Believe me there are quite a few more I need! If you ask him though he will offer his advice/opinion. He is honest about what he can and can’t do and very generous with his time.

I really can’t put into words how impressed I am with Mr Tulley as this would turn into a book! If I choose to have more surgery at any time in the future I would, without question, go straight back to Mr Tulley.

THERE ARE SO MANY GOOD THINGS TO SAY ABOUT MR TULLEY.

I had a revision rhinoplasty and am so pleased I chose Mr Tulley to do the operation. He has done an amazing job and I am really grateful to him.

One of the things that struck me about Mr Tulley was he listened to what I wanted and did not suggest I should have or need any other procedures as my previous surgeon did many years ago. Believe me there are quite a few more I need! If you ask him though he will offer his advice/opinion. He is honest about what he can and can’t do and very generous with his time.

I really can’t put into words how impressed I am with Mr Tulley as this would turn into a book! If I choose to have more surgery at any time in the future I would, without question, go straight back to Mr Tulley.

Procedure at a glance

Here is some key information about the rhinoplasty procedure. Mr Paul Tulley will discuss the procedure in more detail at your consultation to ensure you’re fully informed before you make the decision to proceed.

Anaesthetic

General

Surgery Time

1 – 3 hours

Hospital Stay

Day Case

Time off work

2 weeks

Exercise

After 6 weeks

Sleeping on Back

4 weeks

Driving

2 weeks

Full Recovery

6 – 8 weeks

RHINOPLASTY FAQS

WHAT DOES A RHINOPLASTY INVOLVE?

The aim of a rhinoplasty is to produce a nose of more ideal shape and size in relation to the rest of the face. This usually involves adjustment to a number of different parts of the nose. Usually there is some adjustment to the tip cartilages to optimise tip shape, and reduction of the dorsum or bridge, to remove any ‘hump’ and straighten the profile.

The nose is usually narrowed to some extent at this stage.

Often the length of the nose is reduced and the angle of the lower nose with the upper lip corrected. Additional support may be added to the tip in many cases, and the tip is refined using tip sutures. In some patients adjustment to the nostril widths may be needed using alar base reductions.

Steristrips and a plaster are applied to protect the new shape, and an internal pack added which is removed a day post op.

WHAT IS THE DIFFERENCE BETWEEN AN OPEN AND CLOSED RHINOPLASTY?

There are a number of different types of rhinoplasty techniques. With the closed technique incisions are made inside the nostrils only.

With the open technique a small incision is made across the skin between the nostrils in addition which is not normally visible post-op. This allows the full skin envelope of the nose to be raised, the skeleton of the nose to be visualised directly, and very precise adjustments to be made.

WHAT IS THE RECOVERY PROCESS LIKE AFTER A RHINOPLASTY?

The surgery is performed under general anaesthetic either as a day case or with a stay overnight. The pack is removed the following day, a small number of stitches removed at day 5-7 and the plaster removed at day 7-10.

At this stage the new shape of the nose is visible but there is some swelling, and bruising in some cases. Steristrips are applied for a further 4-5 days to help this settle quicker.

Patients should allow 2 weeks away from work and social activities, although they can work from home after a few days. There is little discomfort or pain after rhinoplasty surgery.

By 4-6 weeks the swelling is much more settled, but the final result of the rhinoplasty is not usually fully apparent for at least 9 months until the swelling around the tip has completely settled.

CAN A CHIN AUGMENTATION BE PERFORMED WITH A RHINOPLASTY?

Some patients discussing rhinoplasty surgery may benefit from a chin augmentation to balance their facial proportions if they lack chin projection. This will be discussed with the patient where appropriate to see if they would like to undertake this treatment also.

OUR RHINOPLASTY RESULTS

AWARD-WINNING COSMETIC SURGEON

Paul Tulley is an award-winning Consultant Plastic, Reconstructive and Cosmetic Surgeon practising in London and the South East.

His main areas of interest are surgery for facial palsy (facial reanimation), breast reconstruction and all areas of cosmetic surgery. These include facial rejuvenation, rhinoplasty, cosmetic breast surgery, liposuction and body contouring procedures.

He is a member of the British Association of Aesthetic Plastic Surgeons (BAAPS) and the American Society of Plastic Surgeons (ASPS).

 

LOCATIONS

 All Mr Tulley’s consultations and operations are carried out at leading private hospitals and clinics in London and Surrey

152 Harley Street
London
W1G 7LH

The Lister Hospital
Chelsea Bridge Road
London, SW1W 8RH

Weymouth Street Hospital
42-46 Weymouth Street
London, W1G 6NP

BMI The Runnymede Hospital
Guildford Road
Surrey, KT16 0RQ

Cadogan Clinic
120 Sloane Street
Chelsea
London, SW1X 9BW

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