“Less is More”
Millimetres can make a huge difference when it comes to nose surgery. Many of our patients want subtle surgery that nobody in their family or friends will notice. This could be to remove a subtle bump on the nose or to reduce the end of the nose.
Our surgeons have developed nose surgery techniques that allow these changes to be made without any scars on the nose. This is called “closed rhinoplasty”. Less experienced surgeons make a cut on the nose to “open” up the whole nose and then stripping all the nose skin off the bone. This is easier for the surgeon but can cause long term shrinkage of the skin and twisting of the nose.
Our surgeons use key-hole surgery to give you the best results without any scars on the nose. We never compromise on the final result. We can make subtle changes as required because …discretion is everything.
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.
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 from nose surgery 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.
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.
Remember that photos of other patients may have little to do with the results of surgery or your particular nose, because everyone is different.