Mr Uppal is a member of the inner council of the British Society of Rhinoplasty Surgeons. He is a leading rhinoplasty surgeon in the UK and has helped to establish teaching courses for plastic surgeons who wish to learn nose surgery.
The goal of removing the bump on the nose or rhinoplasty is to improve the nose aesthetically (without creating a “surgical” look) in order to create harmony with other facial features. It can make a significant contribution to increasing one’s confidence. Patients wanting to know the price of a nose job in London should take a range of £4435 to £5675. If you are looking for one of the best rhinoplasty surgeon in London, you may chose Mr Uppal for his proven skills and experience.
Rhinoplasty is usually performed with general anaesthesia but is also possible under local anaesthetic with sedation. Most patients go home the same day.
Closed nose surgery without scars on the nose?
Most plastic surgeons who do not specialise in nose surgery make a cut under the nose on the skin to perform the surgery. This is called an OPEN rhinoplasty. The Open approach to rhinoplasty is easier to perform than CLOSED rhinoplasty which Mr Uppal specialises in and involves no scars. Mr Uppal uses keyhole surgery using cuts inside the nose so it’s all hidden. No one will know you have had surgery as there is no scar. The recovery is also much quicker and patients can return to work within 1- 2 weeks depending on the swelling and bruising.
Although closed rhinoplasty is more difficult for the surgeon, Mr Uppal uses his skills to get you the best results using his techniques and years of experience.
However, when thinking about rhinoplasty, the site of the incision is less important than the actual surgery that’s done. An example would be say a mechanic fixing an engine problem – it’s not how he looks inside your car that matters, but actually what he does when he gets there. A mechanic may open the whole engine of your car (open rhinoplasty) or fix what’s needed without opening up the whole engine unnecessarily. It’s best left to the specialist surgeon such as Mr Uppal to decide what’s best in your case.
Closed rhinoplasty incisions are made inside the nose in this way where they are invisible. In some rhinoplasty cases however, Mr Uppal does indeed use the ‘open’ approach with an incision made in the area of skin separating the nostrils. Mr Uppal will let you know what’s best for you to get the best results. Please do not get fixated on the incision. Rhinoplasty surgeons all over the world get good nose re-shaping results with either technique.
To reduce the bump on the nose, certain amounts of bone and cartilage are removed or rearranged to provide a newly shaped nose. If the patient has a deviated septum (cartilage and/or bone causing obstruction inside the nose), septal surgery, called septoplasty, is also performed. The incision is placed entirely inside the nose. The septoplasty removes portions of cartilage and/or bone that are causing the obstruction. The incisions are closed with fine sutures, followed by placement of a splint to the outside of the nose. The splint helps retain the new shape while the nose heals.
There are no packs or bandages put inside the nose.
The nose has very complex anatomy and rhinoplasty requires a surgeon with many years of experience such as Mr Uppal.
Mr Uppal often performs complex rhinoplasty for patients who have had nose surgery in the past but are still unhappy with their nose. He is an expert in the use of cartilage grafts to correct subtle abnormalities of the nose, especially the end of the nose. To learn more about cartilage grafts click here.
Usually no packing is placed inside the nose during surgery but in some cases if used it is removed the next morning following surgery. The nasal splint is usually removed seven days after surgery. At that time, tape is applied to the nose for another seven days and then removed. The majority of the bruising and swelling usually resolve two weeks after surgery. Cold compresses are used to help reduce the bruising and discomfort.
Although discomfort is minimal, pain medication is available if required. Vigorous activity is avoided for four weeks following surgery. Sun exposure and risk of injury must be avoided. If you wear glasses, tape is used to avoid putting stress on the nose.
All surgery has risks as well as benefits and this will be discussed in your consultation. Mr Uppal and his team will show you rhinoplasty before and after photos at your consultation. You can also see nose job or rhinoplasty before and after photos by clicking here. Remember that photos of other patients may have no bearing on the results of surgery to your particular nose as everyone is different.
Can I get the skin of my nose improved?
Yes we can an offer you a ‘peel’ of your nose skin which will improve large pores and black heads. It takes 20 minutes to perform and is like sun burn. The nose may blister or go red for a week before fresh new skin develops which is smooth and clean. This is usually done 4 weeks before rhinoplasty and costs £495.
Who is a good candidate for Rhinoplasty or nose surgery?
Anyone who is concerned about their nose should research on the Internet and see a specialist nose surgeon such as Mr Uppal. Rhinoplasty is one of the most complicated operations in plastic surgery as it requires great experience and specialist training which Mr Uppal has had. He has worked around the world where he has presented his own work on rhinoplasty and taken part in discussions on nose jobs and rhinoplasty.
Mr Uppal will give you an honest and independent opinion on whether nose surgery will improve the look of your nose or the breathing through the nose. Mr Uppal is skilled in performing precise adjustments to the end of the nose to get the shape that you want. He uses his proven techniques to adjust the small nose tip cartilages shown in the diagram below.