Rhinoplasty (Nose Job)

You are not able to have any surgery on the NHS for cosmetic reasons. However you may be able to have surgery on the NHS if it is for medical reasons: For example you are struggling to breathe.

Absolutely. Mr El Gawad reports that the number of men he books in for nose reshaping surgery or rhinoplasty, from his clinics in Manchester, Liverpool and nearby is rising year on year. Therefore both men and women are suitable to have rhinoplasty.

Injectable fillers or botox can be used as a non-surgical approach to alter the visible appearance of one’s nose. For example, a filler  can be used to change the shape of a bump in the nose by carefully injecting fillers into the various sections on the nose.

It must be noted that non-surgical rhinoplasty is not a permanent solution. Fillers that are commonly used in these procedures, such as Juvederm, Restylane and Radiesse, can be absorbed back into the body in as little as six months.

Other important things to consider –

Although the technique can temporarily even out the appearance of bumps etc, non surgical rhinoplasty actually enlarges the size of the nose without addressing the real problems that you was wanting to correct. The use of fillers in the nose may also lead to scar tissue forming which could make surgical rhinoplasty at a later date more difficult.

If you decide to have rhinoplasty in Liverpool, Manchester or nearby with Mr El Gawad, you will have one or more consultations before you have surgery.  During these, Mr El Gawad will discuss what will happen before, during and after the nose reshaping procedure. He will also prepare you for any pain you might experience.

Your face will be reassessed on the day of surgery. Photographs will be taken for your medical records.

Other considerations may include:

•  Smoking. If you smoke it is advised that you stop smoking before your surgery takes place. Smoking can significantly affect a person’s rate of recovery.  Wounds of smokers may heal more slowly compared to non smokers.
• To reduce the chances of you suffering from thrombosis (blood clots), it is advised that you stop the contraceptive pill four to six weeks before your surgery takes place.  Make sure that you use an alternative method of contraception during this time.

Nose reshaping cosmetic surgery is usually done under general anaesthesia. This means you will be totally asleep during the procedure.

If you are having a general anaesthesia you will be asked to avoid eating solids or anything to drink for several hours before you go in for surgery. However, it’s extremely important to follow your anaesthetist’s advice that will be relevant to you and your unique case.

Mr El Gawad offers both open and closed Rhinoplasty in Manchester, Liverpool, Newton Le Willows and Bolton.

Open rhinoplasty involves making one cut across the skin between the nostrils and closed rhinoplasty involves making tiny cuts inside the nostrils.  The procedure normally takes between 2 and 3 hours.

The following may also occur during your nose reshaping surgery:

• The nose may be made smaller by taking away some of the cartilage and bone (nose reduction)
• The nose may be made larger  by removing cartilage from the ear.  Very occasionally bone may be used from another area of the body (such as the ribs). These are then used to build up the nose (this is  also known as a “graft”) (nose augmentation)
• The shape of the nose may be changed (including the nostrils). This is done by breaking the nose bone and then rearranging the cartilage.
• The angle between the nose and top lip may be changed.

After rhinoplasty surgery the skin is repositioned over the nose skeleton.

• Most people would need to stay in hospital for one night after surgery.
• Whilst in hospital you will be fitted with packs (dressings) in each nostril. These will be removed before you are discharged from hospital.
• You will not be able to breathe through your nose until the packs are removed.
• A splint is usually held over your nose with tape.
• Any mild pain will be controlled with pain killers.
• You will not be able to drive after rhinoplasty surgery therefore someone would need to drive you home.

It’s recommended that you have someone stay with you for the following 24 hours after leaving hospital.

You may find the following helpful after having nose reshaping surgery:

• You will be advised to rest for a few days after surgery. You can help to reduce the swelling by propping your head up with pillows during this time and beyond.
• You will need to avoid getting your splint wet. Hot baths should be avoided.
• You will return to see the surgeon at a later date to have the splint removed. try to avoid blowing your nose until and do not remove any crusting before this appointment.
• To avoid any pressure on your nose try to sneeze through your mouth.
• avoid smoky or dusty places

If you have a closed rhinoplasty there usually is no visible scarring and this type of procedure also causes less swelling. Unfortunately it is not always possible to have this and it does depend on your individual case.  You will be able to discuss which type of rhinoplasty you would be eligible to have based on your needs in your initial consultation.

Contact Mr El Gawad here to book in for a FREE consultation to determine whether you would be suitable to have open or closed rhinoplasty in Liverpool, Manchester, Bolton and Newton Le willows.

It usually is several months before you can see the full effect of rhinoplasty surgery.  The swelling usually is completely gone by six months post surgery.

Your individual recovery and the job that you do will effect when you can return to work. Someone who works in an office would be able to return much quicker than someone who had a much more physical job. We would advise to leave up to 2 weeks before returning to work to maximise recovery although this does vary depending on each person and some will be able to return sooner.

You are advised to avoid lifting anything heavy, including small children, for around 10 days after rhinoplasty surgery. You will be able to do light exercise by about 3 weeks after the procedure. You will be able to do more strenuous activities by around 4 to 6 weeks. You are advised to not do any contact sports until approximately 3 months after rhinoplasty surgery. This does depend on the individual person therefore you should ask your surgeon for tailored advice.

Price of Rhinoplasty in Liverpool, Manchester, Bolton and Newton Le Willows. With expert cosmetic surgeon Mr El Gawad.

Guide Prices

Rhinoplasty Cost. £5950

This usually happens in the early few hours to few days. This may require a visit back to theatre.

This usually happens in the first few days after rhinoplasty surgery. This may need a course of antibiotics.

This would would show after swelling settles. This might need correction. This could be done surgically or non surgically.

Scaring may occur at the outer skin incision or the internal wounds.

This should improve on its own in few months’ time after your nose reshaping surgery has taken place. However, in some cases, it could be permanent.

This should improve on its own in few months’ time after your rhinoplasty surgery has taken place. However, in some cases, it could be permanent.