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If you’re unhappy with your nose’s size, shape, or symmetry, or have breathing difficulties, rhinoplasty may be an option. This procedure enhances facial harmony while preserving natural features, addressing both cosmetic and functional concerns for subtle, transformative results.
At Paul Wilson Aesthetics, our caring team of accredited professionals is here to support you every step of the way, ensuring you feel informed and supported throughout your journey.
About
What is rhinoplasty surgery?
Rhinoplasty, commonly known as nose surgery or a nose reshaping procedure, is a surgical treatment that alters the structure of the nose to improve its appearance, function, or both.
The procedure can refine the bridge, tip, nostrils and overall proportions of the nose, as well as correct internal structural issues that affect breathing.
Types
Types of rhinoplasty surgeries
There are many different types of rhinoplasty, as the procedure is highly personalised. The technique used depends on your facial anatomy, your goals and whether the focus is cosmetic, functional, or both. The main types include:
Open rhinoplasty
This approach is used for more complex nose reshaping where precise structural changes are required. It provides the surgeon with full visibility of the nasal framework, making it ideal for significant reshaping, correction of asymmetry, or revision surgery. Open rhinoplasty offers highly controlled results when more detailed work is needed.
Closed rhinoplasty
All incisions are made inside the nose, meaning there is no visible external scarring. This technique is typically suited for patients seeking a more subtle refinement of the nasal bridge or tip and usually involves a shorter recovery period.
Preservation rhinoplasty
Preservation rhinoplasty is the primary technique used by Mr Wilson for most rhinoplasty procedures. Rather than removing and rebuilding the nasal bridge, this approach preserves the existing structure while still altering the shape, projection and profile of the nose. By maintaining the natural framework of the nose, preservation rhinoplasty typically results in a more predictable outcome and reduces the likelihood of revision surgery. It’s particularly suited to patients who are happy with how their nose looks from the front but wish to improve their profile.
Piezo-surgery
Piezo-surgery is often employed in primary rhinoplasty to make precise bone cuts, known as osteotomies. The method uses a tool called a piezotome, which safeguards soft tissues while allowing for accurate shaping of the bone.
Other rhinoplasty surgeries
Rhinoplasty can be further broken down into specific nose surgeries that aim to modify various portions of the nose:
- Radix Modification Rhinoplasty brings the radix (the area where the nasal bridge meets the forehead) into harmony with the bridge and tip.
- Nasal Dorsum Rhinoplasty is a procedure that modifies the nose bridge.
- Tip Modification Rhinoplasty can adjust the tip’s elevation, reduce its size or alter its definition and projection.
- Nasal Base Rhinoplasty is a rhinoplasty procedure that alters the size and shape of the nostrils.
- Lateral Osteotomy Rhinoplasty involves controlled fracturing of the nasal bones to narrow or widen the nose, or to straighten misalignment.
- Premaxillary Augmentation Rhinoplasty uses implants at the base of the nose to increase the projection of the nasal tip or lengthen the upper lip.
benefits
What are the benefits of a rhinoplasty?
Rhinoplasty offers several benefits, including:
- Improved shape and balance of the nose
- Smoother nasal profile, including reduction of bumps or humps
- Enhanced facial symmetry and harmony
- Refinement of the nasal tip and nostrils
- Correction of crooked or asymmetrical noses
- Improved breathing by addressing internal structural problems
- Increased confidence in facial appearance
candidates
Who is a good candidate for rhinoplasty surgery?
A rhinoplasty may be suitable for individuals who:
- Are in good overall health
- Are non-smokers, or willing to stop smoking before and after surgery
- Have realistic expectations about results and recovery
- Are unhappy with the size, shape, symmetry, or proportion of their nose
- Wish to correct a nasal bump, crooked bridge, wide nostrils, or a downturned or bulbous tip
- Experience breathing difficulties due to internal nasal structure issues
- Have had previous trauma to their nose, leading to a crooked nose with breathing difficulties
What to expect
What to expect during a rhinoplasty?
Consultation
During your consultation, your surgeon will conduct a thorough assessment of your nose. This includes evaluating the nasal bridge, tip, nostrils and internal nasal structures that may affect breathing. They will review your medical history, discuss your aesthetic goals and explain how rhinoplasty can reshape the nose to improve proportion, symmetry and airflow where required.
Your surgeon will also outline what to expect during recovery and will provide personalised advice on how to prepare for surgery. 3D images are also taken using Vectra software, allowing your surgeon to show you what your results might look like.
This appointment is your opportunity to ask questions and feel fully informed and confident before proceeding.
Anaesthesia and procedure time
A rhinoplasty is performed under general anaesthesia. When performed alone, the procedure usually takes 1.5 – 2 hours. The duration depends on how complex the changes are and whether the surgery addresses cosmetic reshaping, breathing correction, or both.
Your surgeon will confirm the expected duration of your procedure during your consultation, based on your individual treatment plan.
Surgery
During rhinoplasty, the surgeon carefully reshapes the bone, cartilage and soft tissues of the nose to achieve the desired appearance and improve function when required. The procedure may involve refining the nasal bridge, reshaping the tip, narrowing the nostrils, or correcting internal structures such as a deviated septum.
Incisions are made either inside the nostrils (closed rhinoplasty) or across the narrow strip of skin between the nostrils (open rhinoplasty), depending on the complexity of the surgery and the level of precision required.
Closure
Once the reshaping is complete, the incisions are closed using fine sutures. A splint is placed over the nose to protect the new contours and support healing. Soft plastic splints may also be used to stabilise the nasal structures during the early healing phase.
Recovery
Recovery and results of a rhinoplasty
Recovery varies from person to person and depends on the extent of surgery and whether the procedure was focused on cosmetic reshaping, functional breathing correction, or both.
What to expect
When you wake from surgery, small internal nasal packs may be in place to support the tissues during the early stages of healing.
If the nasal bones have been repositioned, a protective splint or cast will be fitted over the nose to support healing and maintain the newly refined shape. This is typically worn for around one week.
Swelling and bruising are most noticeable for the first few days and usually peak by day two or three. Bruising around the eyes is common and usually fades within 10 to 14 days.
Swelling resolves gradually in stages. Most of the swelling settles within the first three to four weeks, allowing the new shape of the nose to become clearly visible. However, finer swelling, particularly at the tip of the nose, can take several months to fully subside. The final definition continues to refine subtly over time as healing progresses.
Activity and movement
Light walking is encouraged soon after surgery to support circulation and reduce the risk of complications. Strenuous exercise, heavy lifting, bending and activities that significantly raise your heart rate should be avoided for at least two weeks, or as advised by your surgeon. Contact sports and any activity that risks nasal impact should be avoided for several weeks.
Follow-up care and long-term results
Follow-up appointments will be scheduled to monitor your healing and remove splints or sutures if required. As swelling continues to resolve, the nose’s shape becomes more refined over the following months.
Final rhinoplasty results are typically visible between three and six months, with continued subtle refinement for up to 15 months. Results are long-lasting and permanent once healing is complete.
Risks & complications
Risks and potential complications of a rhinoplasty
As with any surgical procedure, rhinoplasty carries certain risks. These may include:
- Infection
- Bleeding or haematoma (blood collection under the skin)
- Delayed wound healing
- Prolonged swelling
- Changes in skin sensation, including numbness
- Asymmetry or irregularities in nasal shape
- Breathing difficulties (temporary or, rarely, long-term)
- Adverse reaction to anaesthesia
Your surgeon will discuss all potential risks with you during your consultation to ensure you are fully informed before making any decisions.
The cost of a rhinoplasty depends on the complexity of the surgery and whether it is performed for cosmetic, functional (such as correcting breathing issues), or a combination of both reasons. A personalised quote will be provided following your consultation and surgical assessment.
Results
Rhinoplasty before and after photos
FAQ
Frequently Asked Questions
Is rhinoplasty surgery dangerous?
When performed by a qualified and experienced plastic surgeon, rhinoplasty is considered a safe procedure. As with all surgery, there are risks such as infection, bleeding, or adverse reactions to anaesthesia, but serious complications are rare.
How long does a rhinoplasty take to heal?
Initial healing usually occurs within 2 to 3 weeks, with most bruising and swelling resolving during this time. However, full healing is a gradual process. Subtle swelling, especially at the tip, can take up to 15 months to completely settle, with final results continuing to refine over this period.
How long after a rhinoplasty can I work out?
Light walking is encouraged within the first few days after surgery to support circulation.
However, strenuous exercise, heavy lifting and activities that significantly raise your heart rate should be avoided for at least 2–3 weeks. Contact sports or activities that risk nasal impact should be avoided for 6 weeks or longer, depending on your surgeon’s guidance.
How do I clear a blocked nose after a rhinoplasty?
Nasal congestion is very common after rhinoplasty due to swelling and internal healing. Saline nasal sprays are usually recommended to gently keep the nasal passages moist and clear. You should avoid forcefully blowing your nose until your surgeon confirms it is safe, as this can disrupt healing during the early recovery phase.
How do I sleep after a rhinoplasty?
You will need to sleep on your back with your head elevated for the first few weeks after surgery. This helps reduce swelling and protects the nose from accidental pressure. Extra pillows or a wedge pillow can help maintain the correct sleeping position.
How long after rhinoplasty can I wear glasses?
Glasses should not rest on the bridge of the nose for at least 4 to 6 weeks, as pressure can interfere with bone healing and affect the final shape. If glasses are essential, your surgeon may recommend taping them to your forehead or propping them up on your cheeks.
Are there ways to reduce the healing period and minimise bruising and swelling after rhinoplasty surgery?
The best way to minimise bruising after rhinoplasty is not to use any products containing aspirin for at least 2 weeks, instead, Mr. Wilson recommends the following: Arnica gel which helps minimise swelling after cosmetic surgery and promotes healing; Vitamin C, daily for 2-3 weeks following surgery which helps promote healing; and Zinc, once a day, for 2-3 weeks following cosmetic surgery, which helps with bruising and promotes tissue repair. Non-steroidal anti-inflammatory tablets such as Ibuprofen 200mg three times a day will also help reduce the inflammation. A cooled topical gel shield can also be applied with care not to displace the nasal splint.
Are there alternatives to rhinoplasty?
No alternative can match the permanent structural changes achieved with rhinoplasty. Non-surgical options, such as injectable fillers, can offer temporary cosmetic enhancement for minor concerns, but they cannot reshape bone or cartilage, correct significant deformities, or address breathing problems. For lasting improvement in either appearance or nasal function, surgery remains the only effective option.
What if I have previously undergone rhinoplasty
Secondary rhinoplasty can be performed to address concerns arising from an earlier procedure, whether they are aesthetic or functional in nature. This often necessitates additional cartilage grafts, and the surgery typically lasts approximately 3 to 4 hours.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if rhinoplasty surgery is the right option for you.
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A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Her primary concern was not size, but rather the degree of ptosis (drooping) and the altered shape of her breasts.
This distinction is important, as it fundamentally changes the surgical approach.
In this instance, the breasts required lifting and reshaping, not merely augmentation. We discussed achievable outcomes, the degree of support the existing tissues could provide, and the appropriate implant volume to achieve optimal results once the breasts were repositioned. The procedure combined a mastopexy with implants to address these issues concurrently, with the aim of creating a more balanced overall appearance.
These procedures require a meticulous approach. The patient`s initial anatomy, tissue quality, and the extent of lift required all influence the surgical plan.
The result shown here is the outcome of that process, although healing continues well beyond the initial stages.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #augmentationmastopexy #breastliftwithimplants #breastsurgerybristol #northwoodhospital
Abdominoplasty | Before & After
The abdomen can be one of the most challenging areas to restore after the tissues have been stretched. Even in individuals who are otherwise fit and healthy, excess skin and reduced support can persist.
In a suitable patient, abdominoplasty can improve the abdomen`s shape by removing excess tissue and addressing the underlying support where necessary. The aim is not to create an artificial appearance, but to restore a contour that feels more proportionate to the rest of the body.
As with any surgery, healing is an integral part of the process. Swelling subsides over time, scars soften gradually, and the final result continues to improve.
See the result in more detail.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
INDIRECT LIP LIFT + TRANSNASAL ALAR CINCH — REVISION CASE ✨
Top: before. Bottom: after revision.
This patient presented after a previous lip procedure left him with an excessively long upper lip at 18mm, minimal vermillion show, and a wide alar base disrupting central facial harmony.
Post-revision: philtral length reduced to 12mm — a 6mm correction into ideal proportion (12–15mm is the youthful range for men) — paired with a refined, narrower nasal base.
Two procedures, one harmonious result:
🔸 Indirect Lip Lift (Subnasal Bullhorn) — precise excision of skin beneath the nose to shorten the upper lip, increase pink lip show, and restore the cupid’s bow. No filler.
🔸 Transnasal Alar Cinching Suture — a rhinoplasty technique specialised by Mr Wilson. A hidden suture passed through the nose draws the alae medially, narrowing flared nostrils with no visible external scarring — a major advantage over traditional alar base reduction.
Revision work demands exact measurements, respect for existing scar tissue, and meticulous management of altered tension vectors. There is no margin for over-correction.
The synergy is what creates harmony: a shorter lip without a refined base looks disproportionate; a narrowed base alone leaves the lower face heavy. Together — balanced, masculine, natural.
Procedure by Paul Wilson Aesthetics at Northwood Hospital.
📍 Consultations — link in bio
#LipLift #BullhornLipLift #AlarBaseReduction #TransnasalCinch #Rhinoplasty RevisionSurgery PaulWilsonAesthetics NorthwoodHospital FacialHarmony MaleAesthetics BeforeAndAfter
✨ Revision Rhinoplasty at Paul Wilson Aesthetics ✨
Precision. Expertise. Artistry.
Revision rhinoplasty is one of the most technically demanding procedures in facial plastic surgery — and it’s a cornerstone of our practice at Northwood Hospital. Patients travel to us from across the country because secondary nasal surgery requires a level of skill, planning, and experience that few surgeons offer.
Every revision case is unique. Scar tissue, altered anatomy, and previous structural changes mean there’s no room for a one-size-fits-all approach. We rebuild with care — restoring both function and the natural, balanced result patients hoped for the first time.
🔬 National experts in revision rhinoplasty
📍 Northwood Hospital
👃 Functional + aesthetic refinement
💙 Patient-centered care from consultation to recovery
If your first rhinoplasty didn’t deliver the result you deserved, a second opinion can change everything.
📩 DM us or visit the link in bio to book a consultation.
#RevisionRhinoplasty #Rhinoplasty #PaulWilsonAesthetics #NorthwoodHospital #FacialPlasticSurgery NoseJob SecondaryRhinoplasty PlasticSurgery BeforeAndAfter FacialHarmony
✨ Hairline Lowering / Foreheadplasty ✨
Measuring up for a beautifully balanced result 📏
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
Welcome to Paul Wilson Aesthetics — where surgical precision meets artistry. Led by Mr Paul Wilson, our clinic specialises in advanced facial and aesthetic procedures designed to enhance your natural features and restore facial harmony. With years of expertise and a meticulous, patient-first approach, we’re proud to be a trusted name for those seeking refined, natural-looking results.
All surgical procedures are carried out at Northwood Hospital, Bristol 🏥 — a private hospital known for its exceptional standards of care, comfort, and clinical excellence.
One of our signature procedures? Hairline lowering surgery (foreheadplasty).
A high or elongated forehead can throw off the natural proportions of the face — and for many of our patients, it’s something they’ve felt self-conscious about for years. Hairline lowering brings the hairline forward in a single procedure, instantly restoring balance to the upper third of the face.
What it can do:
🌿 Reduce forehead height by up to 2.5cm in one procedure
🌿 Create softer, more feminine facial proportions
🌿 Frame the face beautifully
🌿 Deliver immediate, natural-looking results
Every journey at Paul Wilson Aesthetics begins with precise measurements and a personalised consultation — because no two faces are the same, and careful planning is what turns a good result into a stunning one.
Ready to feel more confident in your reflection? 💌
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
#HairlineLowering #Foreheadplasty #PaulWilsonAesthetics #BristolSurgeon #NorthwoodHospital FacialHarmony AestheticSurgery CosmeticSurgery FacialProportions HairlineSurgery BristolAesthetics ConfidenceBoost BeforeAndAfter
Sometimes, the first signs of ageing appear around the eyes.
Excess skin or heaviness in the upper eyelids, or puffiness beneath the eyes, can make the face look more tired than it feels. Blepharoplasty is designed to address these changes with a careful, tailored approach to the upper eyelids, lower eyelids, or both.
The aim is not to change the eyes` appearance, but to restore a fresher, more open look while ensuring the result is natural and in harmony with the rest of the face.
As always, the most suitable surgical plan depends on the individual, their anatomy, and the underlying cause of their concerns.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Foreheadplasty | Before & After
This type of surgery is less about changing a feature and more about restoring balance.
Where the forehead feels too dominant, lowering the hairline can alter the proportions of the upper face in a meaningful way. The procedure, often referred to as forehead reduction or hairline lowering, advances the scalp to reduce forehead height, with the plan carefully tailored to the individual.
As always, what matters most is choosing the right operation for the right reason, then allowing time for healing and scar maturation afterwards.
See the results for yourself.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
The setting matters, but so do the people within it.
At Northwood Hospital, patients are supported by a team whose role goes far beyond logistics. Their priority is to create an environment that feels calm, professional, and reassuring from the moment you arrive.
Excellent surgical care is never delivered by one person alone. It depends on experienced theatre staff, nursing teams, hospital support, and clear communication at every stage.
This is the team that helps make that positive experience possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Over time, she felt her breasts had lost fullness, shape, and position. Her main concern was not simply size, but the way her breasts sat and the lack of support in the upper part of the breast.
We discussed the changes she had noticed and the type of result that would feel balanced for her figure. The plan was to restore upper fullness and improve breast position in a way that looked proportionate and in keeping with her frame. To achieve this, I combined a breast lift with implants, allowing both shape and volume to be addressed in the same operation.
Augmentation mastopexy is a procedure that requires precision and judgement. The tissues need to be managed carefully, and the surgical plan must be tailored to the individual anatomy, rather than following a standard formula.
The early result is only part of the process. The breasts will continue to settle, soften, and refine as they heal over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Abdominoplasty | Before & After
Changes to the abdomen can involve multiple concerns simultaneously. Excess skin, reduced abdominal wall support, and an altered overall contour can all affect how this area sits in relation to the rest of the body.
In this case, the aim of surgery was to improve the abdominal contour in a way that looked balanced and suited the individual. As always, this begins with a careful assessment, a clear plan, and an honest discussion about what surgery can realistically achieve.
Healing takes time. Swelling settles gradually, scars continue to mature, and the result refines over the following months.
Take a closer look at the result.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Not all facelift techniques work in the same way.
A deep plane facelift goes beyond the surface, releasing and repositioning the deeper facial tissues that have shifted with age. This allows the cheeks, jawline, and neck to be addressed more comprehensively, with results designed to look balanced and long-lasting.
The goal is not to create a different face, but to restore support, contour, and harmony while respecting the individual features already there.
The following facial rejuvenation procedures are available:
* Minimal incision browlift
* Deep plane facelift
* Deep neck lift
* Lower eyelid bleapharoplasty
* Upper eyelid bleapharoplasty
* Chin implant
* Cheek implants
* Lip lift
* Earlobe reduction
* Buccal fat reduction
* Fat transfer
* Full face CO2 resurfacing
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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