+44 (0) 20 3196 0130

9 Harley Street, London W1G 9QY

Frequenly Asked Questions

At Rhinoplasty London, we’re with you every step of the way, from the initial consultation, through your procedure and while we manage your aftercare.   We take a holistic approach so that we can help you adapt your lifestyle if necessary. Our team will be able to guide you through your treatment plan and will be on hand to help you take the steps towards a full recovery and a new, better life.

Rhinoplasty London is more than just about having an operation- we want to promote your health and wellbeing from your skin outside to your internal health- both physical and mental.

Successful surgery can revolutionise a person with more confidence, self esteem and a better outlook on life. We realize that surgery can be stressful but we want your journey to be as unimpeded as possible to a better you.

So we are developing scientifically researched and tested supporting treatments and supplementation to optimize your health before and speed your recovery after surgery.

Being fit, prepared and supported before surgery has been shown to result in fewer complications, faster healing and better outcomes.

Our bodies need adequate resources to repair, regenerate and protect ourselves.

From the outside, our skin must be healthy and a vital aid is the use of antioxidants before and after surgery. We will give you advice regarding pre- surgery skin boosting treatments and recommend a program for your skin type to reduce inflammation, redness and UV damage, particularly in the first 3 months following your operation.

Internal health is also important- we may look well but low levels of body antioxidants eg carotenes,lycopene,Vit C can have an adverse effect on healing.

We will regularly recommend pre operative supplementation with pharmaceutical grade nutrients together with skin supplements.

Mental wellbeing is also important and for those people who may need psychological support we have specialists on hand.

Over the coming months we will be developing our wellness program with resources to help you not only look better but feel better and more importantly allow you to have a means of monitoring your own ‘Healthscore’
Charles East

The Rhinoplasty London Team

At your initial consultation we will take a full medical history,discuss your specific nasal dislikes and perform a detailed examination,externally and internally of the nose including clinical photography. This forms part of your official medical record and is stored confidentially.

Sometimes special tests may be required,especially for functional problems eg nasal endoscopy,allergy tests,CT scanning and are usually performed at the primary or subsequent consultations.

In discussing possible changes to your nose we often use simulations of your existing photos to communicate in a clear way how we can get to the nose you wish for. Simulations are only an ‘estimate’ and not a guarantee of outcome, but our experience means we will not show images that are unreasonable possible  options.

Many patients find this reassuring and in our view it really helps both the surgeon and patient be sure they are heading for the same goal and hopefully avoids the problems of the past of ‘getting a result you did not expect or like’.

This operation is all about you and sometimes reflection for a period of time is useful to consider everything before making a decision. We feel it is important you feel confident, informed with all the questions answered so more than one visit pre operatively may be recommended.

At Rhinoplasty London, we’re with you every step of the way, from the initial consultation, through your procedure and while we manage your aftercare.   We take a holistic approach so that we can help you adapt your lifestyle if necessary. Our team will be able to guide you through your treatment plan and will be on hand to help you take the steps towards a full recovery and a new, better life.

We understand that you probably have lots of questions and we’ve tried to think of the things that we are asked most frequently and listed them below. We want you to have all the information you want and need, so if your question isn’t there do get in touch with us here.

General Surgery F.A.Q.

Charles and Lydia perform most of the operations at The London Clinic and they also have admitting rights at The Weymouth St Hospital.  These hospitals have outstanding reputations for patient care second to none within the UK.  They have dedicated nursing and theatre staff.  You will be admitted on the day of surgery and most patients are able to go home the same day, although some choose to stay overnight.

It is helpful to improve your health and well-being prior to surgery and to optimise your skincare.  We take a holistic approach so we can help you adapt your lifestyle, if necessary.   Our team will be able to guide you through your treatment plan and will be on hand to help you to take the steps towards a full recovery and a better life.  It is important to avoid taking Aspirin and non- steroidal anti-inflammatories such as Ibuprofen or Neurofen. There is no need to take arnica. If you are a smoker it is helpful to stop for two weeks before the operation.

On the day of surgery please remove all makeup and wash your face with a simple soap cleanser

The operation is performed under a general anaesthetic.  Our team of anaethetists are: David Enderby, Anna Fowler, Rina Mehrotra and Priya Suaris and all are extremely experienced and safety is always paramount.  They have worked together as a top surgical team and have worked with Charles and Lydia for many years.

Rhinoplasty F.A.Q.

Any alteration to the shape of the nose must be handled with great care.  No other form of cosmetic surgery will alter the face or how it is perceived quite like rhinoplasty.  Each procedure is unique as no two faces or two noses are the same. The approach is either endonasal (with no external scars) or external (with an incision at the collumella, which is the skin that separates the nostrils) this area heals very well.  Occasionally an alar-based reduction is used, where the scars are at the sides of the nostrils.  During the operation the skin and soft tissues are elevated from the bony and cartilaginous framework.   Then the nose can be sculpted to the desired shape.  When the surgery is finished there are dissolvable stitches inside the nostrils and if there are skin incisions those stitches are usually removed at five to seven days. There is a plastercast placed on the nose, which stays on for about a week.

You will experience a feeling of congestion in the first few days and there may be some bleeding from the nose.   Be sure to arrange for someone to drive you home after your surgery and to help at home for the first few days.  You could feel quite tired after the anaesthesia.  You will need to rest and not over-exert yourself in the first few days. You may sniff to clear nasal secretions immediately and blow your nose gently after 3 days. You will see a difference in your nostril shape from day to day.   You may have some throat discomfort and see bruising under the eyes. You must use the ointments and drops which were dispensed for you and sleep with your head slightly up for 72 hours.  Avoid putting tissues, buds and fingers into your nose to try and clear crusts.

Any operation carries a risk but rest assured that we provide the highest standard of care.  Serious complications are rare.

  • Risks to nasal surgery including bleeding, infection, smell, disturbance, congestion, tightness of nose, uneven healing, scarring, bruising and swelling and unsatisfactory outcome.  There may be others relevant to you depending on your health and wellbeing.
  • Bleeding:  It is common to notice a little bleeding for the first two days after surgery and it generally settles on its own.   More severe nosebleeds should be treated by sitting upright taking some deep breaths and resting while cold compresses are applied. The vast majority of nosebleeds will stop in fifteen minutes. Very rarely would the nosebleeds be severe enough to warrant packing or dressing inside the nose.
  • Infection:  This is exceedingly uncommon but there is a theoretical risk as the nose is not a sterile organ. Prior to surgery a swab is taken to check you are not an MRSA carrier. A slight infection around the nostril hairs can happen and it usually resolves by the application of antibiotic ointments.   Both Charles and Lydia will often give you a course of oral antibiotics prophylactically to prevent infection. Infection risk is higher in revision cases and when grafts are used, but not significantly so. Severe infection is one thing that can make your nose worse after surgery.
  • Revision: The majority of patients are extremely satisfied with their result and report an increased self confidence as the result of their appearance. There is a small group between five to eight percent of patients who may require more surgery to correct an irregularity and both the patient and their surgeon feel it is necessary so that the result is satisfactory. This risk is higher in patients that have had previous nasal surgery or have severe deformities and nothing in medical care can ever be 100 percent guaranteed. There are other risks which are even more infrequent than the ones mentioned and happily patients of neither Lydia or Charles have suffered those.                                                                   Even in the most experienced hands there is a risk of revision.   At rhinoplasty London the risk of major revision is less than 1%.   The risk for requiring further refinement is 7%.   If you are having revision surgery there is a risk 15% chance that you will require further minor correction.
  • Other uncommon problems will be discussed and can include numbness, asymmetry, scarring, functional impairment, skin redness, irregularities, temporary smell loss and epiphora (watery eyes).

We understand further surgery creates anxiety and in many cases we let the tissues settle for sometimes several months before proceeding. There are many consulting room manoeuvres we can do to help the nose settle in the early months. Should you require a further operation you will still be charged for a facility fee at the hospital and anaesthetic fee.

Procedure time:  1 to 3 hours
Anaesthetic: General
Time in hospital: Day case
Time off work: Two weeks
Sensitivity time: Two to four weeks
Back to normal: Sports in four to six weeks
Full healing time: Up to one year

Facial Surgery F.A.Q.

Once the anaesthetic has been administered and you are asleep we prepare the hair and face for surgery (no hair is shaved during face lift surgery as it can be parted with hair gel). By applying a salt solution containing local anaesthetic (tumescent infiltration), we can reduce swelling and bruising following surgery.  This improves scaring after facelift surgery.  The incisions are made around the ear and extending into the scalp. Sometimes an additional incision under the chin is made to allow fat removal and tightening of the neck muscles centrally.

The skin of the face and neck will be carefully lifted from the underlying muscle and fatty tissue. Fat is trimmed from around the neck and chin to improve the contour of the jaw line.  The underlying muscle and fatty tissue (SMAS) will also be tightened before pulling the skin back, and removing the excess. Stitches will be used to secure the skin and close the incisions, sometimes metal clips are used in the scalp as this is beneficial for hair growth.

A head bandage is applied around the face and neck on the first night but this will be removed before you leave hospital the following day. There will always be a certain amount of bruising and for this reason it is a good idea to take a scarf and dark glasses to the hospital to wear on your way home. An overnight stay in hospital is all that is normally required. However, if you do not live locally an extra nights stay in hospital may be suggested for your personal comfort.

A certain amount of bruising always occurs and therefore most patients choose to stay one night in hospital.  A light dressing is applied for the first day and it is best to lie in bed with the hear upright as it helps to prevent further swelling.  You should rest at home for at least a week after the operation.   It is important to avoid any heavy lifting or bending forwards.  Your stitches and clips will be removed and seven and ten days following the operation.  Most patients return to their normal activities two weeks after surgery but they do not see themselves at their best until four weeks after surgery when all the tissues have settled and the fine swelling has subsided.

We will at all costs take great care in order to minimise any possible risk.  However, risks may occur between one and three percent of all the facelift procedures.

  • Bleeding also known as a haematoma can sometimes occur and it does it often happens within the first eight hours after surgery when you are still in the hospital.  Occasionally this needs to be drained.   Although this is not a happy experience it does not normally influence the outcome of the operation.
  • Infection is extremely rare but it can sometimes occur and it is occasionally linked with the haematoma problem.
  • Skin sensitivity and areas of numbness, around the cheeks particularly are not uncommon and as the skin and tissues settles and recovers some patients notice (pins and needles).
  • Scars are normally well hidden around and behind the ear and within the hair, however some patients are more aware of those than others.

Procedure time: 4 hours
Anaesthetic: General
Number of night in hospital: 1 night
Time of work: 2 weeks
Sensitive period: 2 weeks
Back to normality: 2 weeks

+44 (0) 20 3196 0130