A nose job is one of the most commonly performed cosmetic operations that Dr Julian De Silva completes for patients in London. The most common reasons people seek nose surgery is for reshaping of the nose, a high dorsal hump, lack of tip definition, a large or wide size of their nose. Dr De Silva believes that refinement in surgery is the key to a natural-looking result where the surgical technique is tailored to the individual.
Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.
Dr Julian De Silva’s series of Rhinoplasty Animation Videos show how different nose types can be improved with surgery. The aim of these videos is to provide information to patients so they can make an informed decision about undergoing nose reshaping.In particular when considering these four increasingly specialised and sophisticated techniques on the horizon:
A sculpted and lifted tip of the nose can be achieved by internal stitches, sculpting of cartilages and cartilage grafts.
In the past, cartilage reshaping could be imprecise, leading to misshapen results. Now, by using pieces of your own cartilage to assess and correct internal contour irregularities,
Dr De Silva can create more symmetrical results.
Although many patients are focused on the appearance of the nose, rhinoplasty often makes your nose smaller, breathing is important! Often a combination of straightening your septum (cartilage in the middle of nose) and graft material is required to ensure good breathing.
Your surgeon can now cut through bone with extreme precision. This advanced osteotomy technique is highly successful.
It prevents damage to the surrounding blood vessels and tissue while cutting bone, and it may lead to less swelling and bruising. Not necessary for all patients.
Previously, lower nose cartilage was trimmed to correct bulbous features. Now, we know that the nose must be properly approached with a combination of trimming and specialised suturing. This dual technique creates better proportions and a more uniform appearance.
Healing can be enhanced with the use of anti-inflammatory medicine after surgery, this can be particularly important for revision rhinoplasty, ethnic rhinoplasty and patients with thicker skin.
Most patients are able to return to social and professional activities after one to two weeks. The truth is that recovery after rhinoplasty does depend on several factors.
Dr De Silva MBBS, MD is one of the best London facial cosmetic and plastic surgeons, he is an expert on the latest advances in facial cosmetic surgery and does not perform any body plastic surgery. Please note all information contained in these videos represent an overview and simplification of techniques and procedures, and at no time do they attempt to include all aspects necessary to complete surgical procedures.
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All these patients underwent Rhinoplasty with Dr De Silva. We encourage patients to watch one or two videos of patient experiences to have a good understanding of healing and the recovery period. Dr. De Silva and his team will provide support and reassurance during your recovery, we believe that being a well-informed patient is helpful to most patients undergoing Rhinoplasty.
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Dr De Silva completed his surgical training in University Hospitals around London, which are amongst the best institutions in the UK, including Moorfield’s Eye Hospital. He remains the only cosmetic surgeon to have had trained in the cosmetic meccas of Los Angeles and New York, and it was there that he acquired skills in scar-less surgery and micro-incision techniques that he brought back to London. He was the only surgeon in his specialty to have been awarded funding for training in the US.
A nose job does not require an overnight stay with our specialised form of “twilight anaesthesia”, all patients go home within one hour of surgery. Dr De Silva and his team will give you recovery guidelines. You will also be able to call them anytime for any surgery-related concerns.
It will take time for you to recover, but healing can be faster if you keep your head raised when sleeping, avoid blowing your nose and refrain from heavy lifting and exercising.
Your nasal dressing may make it hard for you to breathe the day after your surgery. Swelling can also contribute to this. Ultimately, if you are bothered by the swelling, you can put an ice pack on the area for approximately 10 minutes.
Dr De Silva has a large number of patients that live overseas. Our specialist team can help you organise a virtual consultation and coordinate your trip to the UK.
You would need to say in the UK for approximately 10days, prior to covid, many patients would fly internationally to London to undergo rhinoplasty before returning to their home country.
We are able to utilise the latest technology to enhance your recovery including oxygen therapy, medications, lymphatic drainage and regenerative medicine.
Most patients who look to undergo nose reshaping have felt self-conscious about their nose for many years before attending the consultation.
A nose that is out of balance with your face often becomes apparent in teenage years, though many patients take years to look into changing their nose.
Rhinoplasty is most commonly completed in patients aged twenty to forty-five, and Dr De Silva has completed surgery for some teenagers and patients in their 80s. Dr De Silva has had patients travel long distances and internationally for opinions on their nose, sometimes they have been refused surgery by local surgeons.
Often there may be additional factors to consider with increasing age, these can include breathing issues, drooping tip (termed ptosis) and increase irregularity, and these may require additional treatments at the same time to ensure a successful result.
Dr De Silva sees many younger patients for nose shaping in their teenage years. Many of these patients have disliked the appearance of their nose for many years before attending a consultation, and some have associated breathing issues and have been teased about their appearance.
Of key importance before considering rhinoplasty is the patient understands the implications of surgery, recovery, and expectations.
Utilising modern surgical techniques are important to ensure a long-lasting natural result. Dr De Silva completes nose reshaping on younger patients only when it is in their best interest and some patients travel long distances to London.
Rhinoplasty is commonly completed in a general hospital with other surgical procedures in a general private hospital. Patients often are concerned about issues with general hospitals such as MRSA and hospital-acquired infection. Dr De Silva has built a custom state of the art facility including a private operating theatre to enable complete specialisation for every patient.
Watch a series of videos showing the recovery process for Rhinoplasty procedures by Dr Julian. Review Dr De Silva’s patient’s day-by-day account of the recovery period after surgery.
Consider these aspects to help you find the best rhinoplasty surgeon in London, or wherever else you may find yourself in the world.
Specialist
Artistry
What do Patients say?
Cosmetic Surgery
Revision rate
Affiliation
Ask your surgeon what their revision rate is. Every surgeon will have a revision rate, this should be a relatively low number in comparison to the number of treatments that they carry out.
Revision surgery can require more complex surgical techniques, look for an expert who specializes in complex revision surgery.
You are invited to set up a consultation with Dr De Silva in his London private practice and discuss your needs. Out of town patients often send photos via email and interact with him on Skype prior to a face-to-face meeting.
Dr De Silva frequently combines rhinoplasty with other facial procedures to give a natural-looking result and avoid the use of scars associated with conventional techniques:
When looking for the best rhinoplasty results in London then costs should not be a consideration, but rather focus on the facility, qualification, experience, and technique of your surgeon. Given these considerations, expect to pay anywhere between £5,000 to £15,000 for a nose job in London, UK.
For the best rhinoplasty in London, consult Dr De Silva for a cost breakdown.