Text
Heading
Text
Heading
Text
Heading
Text
Heading
Text
Text
Heading
Text
Heading
Text
Heading
Text
Heading
Text
Cosmetic rhinoplasty
Surgery aimed at changing or refining the appearance of the nose is known as "cosmetic" or "aesthetic" nasal surgery. These procedures are known as rhinoplasty or septorhinoplasty.
Mr Thomas Jacques is a highly specialised nasal surgeon, with world-class expertise in rhinoplasty, revision (secondary) rhinoplasty, and functional or reconstructive nasal surgery. He is renowned for his bespoke approach to cosmetic nasal surgery and naturally beautiful results.
The decision to have surgery to change the appearance of your nose is a highly personal one. It is essential to work with your potential surgeon to discuss your aims and wishes in detail, and to have a full understanding of the procedure and its limitations. You should take all the time you need to arrive at a decision, and feel confident that your surgeon understands your aims, and is able to meet your expectations.
About cosmetic rhinoplasty
Rhinoplasty (also known as a nose job) is one of the most popular cosmetic procedures. It can be performed in order to address a range of concerns regarding nasal shape and proportions, and can also include improvements in the nasal airway.
Mr Thomas Jacques is highly specialised in nasal surgery and has performed over 1,000 rhinoplasty and septorhinoplasty procedures. He is dedicated to the highest standards in patient care, and is known for his natural and individualised approach to cosmetic nasal surgery.
Consultations for rhinoplasty take place in Chelsea, Belgravia and Marylebone. Surgical procedures are performed at Cadogan Clinic and HCA Lister Hospital, both in Chelsea.
AT A GLANCE
Anaesthetic
Duration
Hospital stay
Dressing removed
Back to work
Exercise
Final result
General
2-2.5 hours
Day case
1 week
2 weeks
4 weeks
12 months +
Surgical technique
Mr Jacques performs a majority of rhinoplasty procedures utilising the open approach. This approach allows for the greatest visualisation, flexibility and accuracy in surgical technique, and is increasingly the gold standard in complex procedures. It allows for meticulous control over soft tissue and any bleeding, limiting postoperative bruising.
The only external incision is across the thin strip of skin between the nostrils (the columella): this incision heals extremely neatly, and is very difficult to see in the vast majority of cases.
Surgery is performed under general anaesthesia and takes around two hours in most cases. Patients are able to go home the same day, a few hours after surgery ends. They are discharged with all the medication required for their recovery, following a review with Mr Jacques and the nursing team.
Patient journey
The rhinoplasty journey starts with an outpatient consultation in one of our clinics in Central London. We allow plenty of time for an unhurried and detailed consultation about your nasal concerns, a thorough examination and photography, followed by a discussion about what can be achieved in your case. Information about the procedure, its risks and limitations in your case are all covered in this consultation.
A second consultation is always arranged before surgery takes place (no fee is charged). This consultation is intended for the patient to raise any questions about the procedure that they may not have asked previously, and for a discussion of their photos and surgical aims. Simulated profile imaging (a "morph") is used in all cases to aid communication about what we want to achieve together. Following this, surgery can be arranged whenever you are ready to proceed. Some patients opt for a further consultation later, or close to the date of surgery, which can be arranged free of charge.
Dressing removal and clinic follow-up appointments will be arranged by Mr Jacques's team prior to your surgery. We are available for any questions around the time of surgery and throughout your journey.
Recovery and aftercare
Mr Jacques is dedicated to providing a reassuring and smooth journey through surgery, with the minimum discomfort possible. He does not utilise nasal packing or internal nasal splints. A moulded plastic dressing protects the nose after surgery and is removed after one week.
Patients are provided with pain relief medication, antibiotics, decongestant nasal medication and antibiotic ointment, for regular use during the first two weeks after surgery. Small stitches placed in the columellar incision dissolve on their own over approximately a week, and so do not need to be removed. Our patients typically report limited discomfort, and favourable levels of swelling or bruising compared to average or expected amounts.
Patients are able to self-care throughout the recovery period, and should feel ready for work after two weeks. There is some swelling present at this time, which will recede significantly over the first six weeks. It is unusual for other people to notice the presence of nasal swelling. Some milder swelling remains for up to a year as the nose gradually heals and achieves its final shape.
Limitations and risks of surgery
In all cosmetic procedures there can be some variation in the final outcome, and it is essential that patients are informed about the limitations of the surgery they are undergoing. Rhinoplasty is a safe procedure, but has some risks, which will covered in consultation and in writing.
Realistic expectations
Cosmetic rhinoplasty aims to provide significant improvement in the nasal appearance, but cannot produce perfect results, or a nose that is entirely free of imperfection, asymmetry or irregularities. The achievable end result can vary according to the patient's original nasal shape, their facial proportions, facial asymmetry, their skin type and the body's natural healing processes.
Mr Jacques aims to provide all patients with an individualised assessment of the limitations of surgery specific to their case. As in all cosmetic procedures, there is a chance that further surgery is necessary in order to progress the appearance of the nose closer to the original goal.