The operation usually requires general anaesthesia but we can also offer local anaesthesia. Depending on your needs, the surgical approach will vary. This might include:

• Trimming and repositioning the cartilage for tip elevation or reduction.
• Dorsum reduction for a reduction in the size of the nose or shape of the bridge.
• Altering the septum to address breathing difficulties.
• Tip restoration and reconstruction using cartilage to restore its shape. It may be necessary to use a nasal implant to reshape the nose.
• Alar base reduction surgery to reduce the size of the nostrils.

Improvements will be visible upon the removal of your cast. Over six months to a year, your nose will continue to change shape. During this time, swelling should reduce and you should start to see the final results towards the end of 1 year.

The results of a rhinoplasty procedure last a lifetime; however, as you age, the cartilage and underlying bone structure can begin to weaken, which can cause the nasal tip to droop ever-so-slightly. Other changes could occur if you broke or damaged your nose in some way.

The speed of recovery varies from patient to patient. We may require you to wear a nasal splint for the first week following your operation.

Swelling and significant bruising around the eye and nose area may occur and will continue to improve over the course of 2-3 weeks. Discomfort may be felt during this time. Numbness felt at the tip of the nose is normal, and will resolve over a few weeks. Some patients can experience a stuffy sensation up the nostrils, and the nose may become runny with fluid or blood.

As with all surgeries, there are risks. Some of the risks may include:

Unsatisfactory result
Anaesthesia risks
Infection
Poor wound healing or scarring
Difficulty breathing – stuffy sensation up the nose which can also be linked to your sinuses.
Numbness or pain
Perforated septum
Skin discolouration
Pollybeak deformity

A closed incision will leave no visible remaining scars. This approach may be taken if the surgeon needs to remove cartilage or changes to the bone structure need to be made.

An open incision will leave a minimal scar that is virtually undetectable to the naked eye. This option is usually favourable if the surgeon needs to reconstruct the nasal tip.

Yes. A Rhinoplasty can have aesthetic and respiratory benefits on the nose, where alongside changing the shape of the nose, many patients also report that they can breathe easier after a Rhinoplasty.

Generally, a Rhinoplasty will not change your voice but may have positive impact on a very nasal-sounding voice. During a Rhinoplasty, Dr Yannis is able to resolve blockages or structural problems (such as a deviated septum), which may resolve a nasal voice.

Immediately after a Rhinoplasty you can expect your voice to sound more congested than usual and this is very normal too. You’ll be congested because of the splint and packing placed in the nose to keep it in place and protected after surgery. Once this is removed your voice will be back to normal.

Mentions of Rhinoplasty go back to as far as 2500 BCE where people where reported to repair a broken nose. Generally, mentions of Rhinoplasty are littered throughout history, for example, some people even wore fake metal noses instead of having a nose operation.

The word Rhinoplasty was derived from the Greek words rhis meaning nose, and plassein meaning to shape, however, Rhinoplasty techniques were refined by surgeons like Karl von Grafe (Germany) Joseph Constantine Carpue (UK) and Gasparo Tagliacozza (Italy).

With every surgery there are risks involved, however, the space of risk gets smaller and smaller when performed by an experienced surgeon – like Dr Yannis.

The first few days after a Rhinoplasty are usually the worse as this is when your nose will be quite achy and sore. However, as each day passes, you can expect your nose to feel better and better.

During your consultation, we will assess your suitability for a non-surgical rhinoplasty and discuss your aesthetic concerns.
We may apply a topical numbing cream to minimise discomfort if you desire.

At 111 Harley St., we typically use Juvéderm or Restylane Lyft filler. Through a series of injections, we will administer the filler which we mould and massage to shape until you are happy with the result. We will give you a hand-held mirror to assess the progress during treatment.

The treatment is suitable for those who would like to alter the shape of their nose. A liquid rhinoplasty usually works best for those with mild irregularities in their nose, like a small bump, or undefined nasal tip or bridge. A non-surgical nose job is highly diverse and can treat a range of irregularities, such as lifting the tip of the nose or making the nose appear straighter.

Approximately 15-30 minutes.

• Asymmetry or irregularities.
• Undesirable results – the patient can choose to have the filler dissolved with hyaluronidase.
• Bruising, swelling and redness.
• More severe complications include vascular occlusion.

Performing a non-surgical rhinoplasty takes a highly skilled and knowledgeable nurse or plastic surgeon. Incorrect placement of the filler could reduce the blood flow or cause direct blockage to the arteries that feed into the retina of the eye, resulting in blindness. Your injector should have the appropriate training (as well as certification and evidence of experience) and a deep understanding of the nasal anatomy. To minimise risk, you should seek out an injector who performs this treatment frequently.

The longevity depends on the patient and the type of filler used. Typically, it can last anywhere from 9-12 months.