A woman is having her Rhinoplasty nose cast removed


The Preservation Rhinoplasty, also known as an ‘ultrasonic Rhinoplasty’ or the ‘Piezo Rhinoplasty’, revolutionising traditional Rhinoplasty and all because of the use of one innovative tool: a Piezo. A Piezo is an ultra-fine instrument that emits ultrasonic energy directly to the bone to create a less invasive transformation. As the name suggests, this type of expert Rhinoplasty works to preserve the nose as much as possible and does not use more invasive mechanical tools.

A doctor smiles at a patient who is looking in the mirror happily


Using unique surgical techniques, the Ultrasonic Piezo Rhinoplasty works inside the nostrils, meaning any incisions and subsequent scarring will be hidden inside the nose. Two of the biggest benefits of this procedure are that one, the concern of scarring will be significantly lower and two, the procedural length is significantly shorter than a classic Rhinoplasty (usually only around 60 minutes).

During the procedure, there is less structural modification and the ultrasonic waves do not comprise the blood supply or nerves, which means better healing and minimal scarring ensues.


Some of the biggest benefits of the Piezo Rhinoplasty are:

  • Shape and symmetry is improved
  • Trims and sculpts without the use of mechanical tools
  • Increased accuracy, finesse and precision
  • Quicker recovery time
  • Less downtime and less traumatic to the bone
  • Can correct humps, reshape, and shorten the nose
  • Offers a more natural appearance of the tip of the nose


The main difference between Open and Closed Rhinoplasties are in how invasive the procedure is. While an Open Rhinoplasty offers the surgeon increased access to the total structure of the nose, it can help them to create a greater result. However, this often means that recovery time will be extended. Closed Rhinoplasty or Preservation Rhinoplasty, on the other hand, does the opposite.

The two traditional types of Rhinoplasties are Open and Closed, however at 111 Harley St., we also offer a vast range of other types of Rhinoplasties that can be performed using an open or closed methodology to help you achieve the best result in line with your surgical goals. During your consultation, Dr Yannis will decide on a case-on-case basis which he feels would be more appropriate based on your goals and a closer examination of the nose.

Dr Yannis has been a practising surgeon for over twenty years, so you can be assured of his finesse and expertise.



A before and after Rhinoplasty photo


Reduction Rhinoplasty / Nostril Reduction

This surgery aims to reduce the overall size and volume of the nose. Reducing the size of the nose can dramatically improve the proportions and visual harmony of the face. The approach to surgery usually involves reducing the size of the nostrils, and we’ll also resolve irregularities and bumps on the bridge of the nose if necessary.

Augmentation Rhinoplasty

Augmentation Rhinoplasty involves altering the nose to improve its shape. This approach would be suitable for patients who feel that their nose lacks definition, length, or has an undesirable shape. It’s also suitable for those with congenital abnormalities. This surgery enhances and augments the nose by using autogenous tissues or a silicone implant. The surgeon may also decide to perform bone grafting on the nose to recreate the tip.


Beautiful Asian woman touching nose smile with clean and fresh skin

Alar Reduction

Alar Reduction focuses on the width of the base of the nose and nostrils – often nicknamed by patients as a ‘Wide Nose Rhinoplasty’. During this procedure, Dr Yannis will narrow the width of the nostril base to encourage a slimmer front and side nasal profile – depending on what you think is desirable.

Tip Refinement

During a nose tip surgery, Dr Yannis will target the nasal tip, which is ideal for anyone looking for a subtle, but lasting aesthetic change or transformation. A tip rhinoplasty works with the lower third of the nose, preserving the rest of the nasal structure and would be best for anyone looking to diminish the appearance of a large or bulbous nasal tip.

A beautiful woman whose nose is outlined in dashed lines

Post-Trauma Rhinoplasty

Our Post-Trauma Rhinoplasty procedure addresses previous trauma to a nose with structural damage. Most suitable for a person whose nose has changed in shape or asymmetry from an earlier accident. During this procedure, your surgeon will help rebuild the nose to restore its original appearance.

Revision Rhinoplasty

A corrective operation inspired by Dr Yannis’ extensive experience in Reconstructive and Craniofacial Surgery which would be ideal for patients with severe injuries and congenital abnormalities.

Dr Yannis performing a surgery


A septorhinoplasty reshapes your nose and your septum (the cartilage that divides the two nostrils inside the nose). It can alter the appearance of your nose and improve breathing difficulties. This type of surgery addresses both aesthetic and medical concerns.

Two photos of the same woman: in the left photo her nose is hooked and in the right photo it is smooth


A Septoplasty does not address cosmetic concerns, but instead, corrects a deviated septum and improves the nasal passages which can improve breathing and prevent snoring. It’s less invasive than other Rhinoplasty procedures when performed on its own, but many patients opt to combine it with other techniques to improve the appearance nose.



How long does recovery take?

For all our Rhinoplasties, recovery time can alter depending on the procedure conducted. Yet it’s estimated that a full recovery can be between 6 months to a year, whereas the first, visible signs usually diminish between 2-4 weeks (such as bruising and superficial swelling). This is often the time when you can continue your usual activities, but not strenuous exercise.

Where shall I go for my Rhinoplasty?

Whatever your nose concern it is essential you choose the right surgeon, and fundamental that that person is a licensed doctor. Our resident doctor, Dr Yannis MD FACS, is a triple board-certified doctor and a member of both the General Medical Council and American Society of Plastic Surgeons.

When will I see results?

The results of a Rhinoplasty can be enjoyed as soon as the healing process is over – which can be up to a year. Once your cast or dressings is removed, however, it takes a little time for your nose to fully adjust to its new position and settle permanently. We will offer you our complimentary 111 Harley St. inaugural healing serum, Dr Yannis’ eponymous Y Theorem Serum, to rapidly accelerate your skin’s repair functions.

Speak to our expert team to book

Rhinoplasty Before & After

Dr Yannis’ Rhinoplasty before and after photographs speak volumes for his expertise and excellence. So, if you’re looking for one of the top Rhinoplasty surgeons in London, then look no further. See the results for yourself.



Dr Yannis Alexandrides MD FACS

Not only 111 Harley St.’s Founder and Medical Director, Dr Yannis is also our triple-board certified resident doctor.

Rhinoplasties are a speciality of his that has been crafted through his 20+ years of medical expertise, combined with his deep understanding of the facial architecture and extensive knowledge of anatomical harmony. Alongside creating exceptional transformations, his excellent eye and skill has ensured that 111 Harley St. remain at the forefront of surgical innovation.

Alongside being our Rhinoplasty expert, he is also the founder of 111SKIN.


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