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Cosmetic Rhinoplasty

In my practice, I see many patients who feel self-conscious about their nose—whether it’s the size, shape or how it fits with the rest of their face. Around 5,000 cosmetic rhinoplasty procedures are performed in the UK annually; making it one of the most sought-after cosmetic surgeries.

For me, cosmetic rhinoplasty is never about chasing perfection. It’s about creating a nose that is natural-looking and in harmony with your features. A nose that looks like you could have been born with it.

As a Consultant Rhinologist, ENT surgeon and facial plastic specialist, I carry out hundreds of nasal surgeries every year. My deep understanding of nasal structure and function means I will never compromise the integrity of your nose for the sake of appearance. Form and function must always go hand in hand.

Common aesthetic requirements

Patients come to me with a wide range of concerns. Here are some of the most common reasons people seek cosmetic rhinoplasty:

  • Dorsal hump – a visible bump on the bridge of the nose (dorsal convexity).
  • Crooked nose – asymmetry or deviation (nasal deviation), sometimes from injury or trauma.
  • Wide nasal bones – a broad upper third of the nose (bony vault widening).
  • Bulbous tip – a rounded or heavy-looking nasal tip (tip bulbosity).
  • Drooping tip – a tip that points downward, especially when smiling (ptotic tip).
  • Over-rotated tip – a nose that appears too short or “turned up” (excessive tip rotation).
  • Visible nostrils – excessive nostril show (alar-columellar disproportion).
  • Flat bridge – lack of height or definition (low radix).
  • Pinched tip – narrow or collapsed tip (alar cartilage collapse).
  • Excessively wide nostrils – overly flared or broad nostrils (alar base flare)
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My approach

I believe in refinement, not reinvention and by only performing cosmetic rhinoplasty that is sympathetic to a person’s appearance, I have very high levels of patient satisfaction.

My goal is to enhance your natural features, not erase them. Every nose I shape is designed to be in proportion with your face, to age well and to preserve the nose’s function. If a request risks the long-term health or function of your nose, I will not perform the procedure.

The Consultation Process

Your journey begins with a detailed consultation. I’ll ask you to describe what you dislike about your nose and what you hope to change. We’ll look at your nose together in the mirror and in photographs, and you’re welcome to bring examples of noses you like (although I’ll always explain what’s realistically achievable for your unique anatomy).

I’ll take clinical photographs, and from these, we’ll create a digital mock-up of your potential result.

At your second appointment, we’ll review the mock-up together. This isn’t a guarantee, but it’s a valuable tool to guide our discussion and ensure we’re aligned on expectations. I’ll explain what’s surgically possible, what’s not advisable and why. If a change could compromise the structural integrity of your nose or lead to long-term problems, I won’t perform it. My role is to guide you safely and honestly.

Before any procedure is booked, I’ll take time to explain all risks and complications in detail, including scarring, asymmetry, breathing changes, and the possibility of revision surgery. You’ll have plenty of time to ask questions and reflect.

The Surgical Process

Cosmetic rhinoplasty is usually performed under general anaesthetic and takes between 1 to 3 hours, depending on the complexity. There are two main approaches:

  • Open rhinoplasty – a small incision is made across the columella (the skin between the nostrils), allowing full access to reshape the nose.
  • Closed rhinoplasty – all incisions are made inside the nostrils, with no external scar. This is suitable for more straightforward cases.
  • Diamond rhinoplasty – also known as ultrasonic or piezoelectric rhinoplasty – is a modern surgical technique that uses high-frequency sound waves to precisely sculpt nasal bones without damaging surrounding soft tissue. This method reduces bruising, swelling, and recovery time. It’s typically performed as an open procedure and is valued for its accuracy, especially in complex or revision cases

During surgery, I may reshape the nasal bones, refine cartilage, adjust the tip, or use grafts (often from your own septum or ear) to support or enhance the structure. Every step is done with precision and care to preserve both appearance and function.

After surgery, you’ll have a plaster on your nose and possibly small internal splints (much less common). Most patients go home the same day or after one night in hospital.

Recovery and Aftercare

  • Week 1: You’ll return to clinic to have your plaster removed. Expect swelling, bruising around the eyes, and some nasal congestion.
  • Weeks 2–3: On week 2 you will return to have any splints removed (much less common).  Bruising fades, and you’ll start to see early changes in shape. You can usually return to work after 10–14 days.
  • Weeks 4–6: You can resume light exercise. Avoid contact sports for at least 6 weeks.
  • 3–6 months: Swelling continues to settle, especially around the tip.
  • 12 months: Final results are visible. 
  • Ongoing: I’ll see you regularly during recovery to monitor healing and answer any concerns. You’ll also receive detailed aftercare instructions and support from me.

If you are unhappy with the appearance of your nose and are looking for a surgeon whose ethos is grounded in natural looking results which are sympathetic to the essential structures of your nose and won’t compromise your nasal function. Click here to make an enquiry.