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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.
Fees
What is the cost of a rhinoplasty?
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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Meet the Team | Karen
Karen is often the first person you`ll speak to when you contact the clinic.
She plays a central role in coordinating consultations and guiding patients through each stage of their journey. From arranging appointments to answering practical questions, Karen ensures the process feels organised and clear from the start.
Surgery can feel like a significant step, and having someone experienced and approachable at the other end of the phone can make all the difference. Karen works closely with Mr Wilson to ensure communication remains consistent and patients feel supported throughout.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Liquid Rhinoplasty | Is Surgery Always Necessary?
I`m often asked if surgery is the only way to reshape the nose.
In some cases, the answer is no.
For a small bump, a shallow dip along the bridge, or a lack of definition at the tip, carefully placed filler can sometimes improve balance without the need for an operation.
It`s important to understand the treatment`s capabilities and limitations. Filler adds volume; it cannot make the nose smaller. Indeed, in some cases, it can make the nose appear straighter by adjusting the contour rather than reducing its size.
It`s also not suitable for everyone. The nose has a complex blood supply, and the treatment requires careful assessment and experience.
When someone consults me, we openly discuss both surgical and non-surgical options. The right approach depends on anatomy, expectations and long-term goals.
If you`re unsure which route may be suitable, please contact the clinic, and we can discuss it in detail.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Welcome to Northwood Hospital
Have you visited us before?
Choosing surgery is rarely an easy decision. It often comes with questions, anticipation, and sometimes a little nervousness.
Northwood Hospital provides a private and discreet environment where that decision is met with calm professionalism and considerate care.
From the moment you arrive, you are supported by experienced nursing and theatre teams who understand that attention to detail matters, not just in the operating theatre, but in the way you are received, prepared for, and cared for afterwards.
The surroundings are modern and purpose-built for specialist surgical care, but what truly defines the experience is the quiet reassurance that everything is structured and well managed.
When you feel confident in the setting and the team, the entire journey feels more manageable.
If you would like to arrange a consultation, please contact the clinic directly.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Surgery is just one part of the process.
What happens before and after is equally important.
Our nursing team at Northwood Hospital plays a vital role in supporting patients throughout their time with us. From preparation and monitoring to answering questions and providing reassurance, their experience and professionalism help ensure that each stage is handled with care.
Recovery is closely supervised, and patients are supported in a calm and well-managed clinical environment.
Successful outcomes depend on more than just surgical technique; they rely on a structured team approach and attentive care throughout.
If you would like to learn more about the process, please contact the clinic to arrange a consultation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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3 Reasons Patients Consider Vaser Liposuction - the body sculpting alternative for total definition.
Liposuction is designed to remove localised fat deposits and is not a weight loss procedure.
In practice, it is usually considered when someone has reached a stable weight but feels there is a specific area that has not responded to diet or exercise.
This may be persistent fat around the abdomen or flanks.
Alternatively, it may be a specific area that feels out of proportion.
Sometimes, it is simply about refining a contour rather than seeking a significant change.
The key is careful selection. Skin quality, overall health and realistic expectations all matter.
Not everyone who enquires about liposuction is advised to proceed. A thorough consultation is essential.
If this sounds like you, contact us to arrange a consultation and discuss your options.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Behind the Treatment | Arm Reduction Surgery
Arm reduction surgery is not simply about removing excess skin. It is about understanding how the arm sits and planning the correction properly.
On the day, I mark carefully based on what we discussed in consultation. That determines where the incision will sit and how much skin can be safely removed. In theatre, the work is steady and controlled. Skin and soft tissue are addressed carefully. If appropriate, liposuction can help refine the contour. The focus is always on proportion and healing.
Recovery takes time. Swelling settles gradually and scars continue to mature over the following months.
If you are considering arm reduction surgery and would like straightforward advice about whether it may suit you, would you like to come in and discuss it properly?
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital | Wood MediSpa | St Joseph`s Hospital
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Choosing to explore surgery is a significant decision. Our role is to ensure the process feels clear, structured, and properly guided from the outset.
Consultations are thorough and unhurried. We take the time to understand your concerns, review your medical history, and assess your suitability in detail. The discussion is open and honest.
If surgery is appropriate, you will receive a clear explanation of what it involves, the recovery process, and the potential risks. We discuss expectations carefully. We do not advise every patient to proceed, and that judgement is made responsibly.
Procedures take place in a modern, well-equipped clinical setting with experienced surgical and nursing teams. Safety and considered planning remain central throughout. From your first appointment through to follow-up, the emphasis is on careful assessment, thoughtful decision-making, and consistent support.
If you would like to arrange a consultation, please contact the clinic directly.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital | Wood MediSpa | St Joseph’s Hospital
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Neck Lift | Is it safe?
A neck lift is generally considered a safe procedure when performed by a qualified and experienced plastic surgeon. However, as with any operation, it carries risks and should be approached with care.
Safety begins with a thorough consultation and medical assessment. Not everyone is a suitable candidate, and this process involves discussing your health, expectations, and potential risks in detail.
In my practice, I use careful planning and established surgical techniques, alongside strict operating protocols designed to minimise complications.
Possible risks include bleeding, infection, scarring, and temporary changes in sensation. These are uncommon, but can occur, and are always discussed beforehand.
Choosing a surgeon with appropriate training and experience is an important part of ensuring the procedure is carried out safely and responsibly.
If you are considering a neck lift and would like clear information about whether it may be suitable for you, please get in touch to arrange a consultation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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Behind the Treatment | Vaser Liposuction
Many people think liposuction is simply about removing fat. It isn`t.
What matters is judgement: where to reduce, where to leave volume, and how to keep the contour smooth.
Before surgery, I mark carefully. These markings guide the plan we discussed in consultation.
In theatre, it`s controlled and methodical, with small adjustments and ongoing assessment. The aim is balance, not overcorrection.
Vaser Liposuction is not a substitute for weight loss and it is not suitable for everyone. Skin quality, overall health and expectations all matter.
If you would like to explore whether liposuction is appropriate for you, get in touch to arrange a consultation to discuss your options.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#liposuctionbristol
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Rhinoplasty | Before & After
She came to see me because she felt her nose was slightly dominant in profile. It wasn`t a dramatic concern, but it was enough for her to notice.
We discussed what bothered her and, just as importantly, what she liked about her face. The aim wasn`t to change who she was, but to soften her profile so that all her features sat more harmoniously. In surgery, I refined the bridge and made a measured adjustment to the tip; nothing excessive. The priority is always structural integrity and long-term stability.
Recovery requires patience. The initial swelling improves within weeks, but the nose continues to settle and refine over time.
No two noses are the same, which is why a thorough assessment and an honest discussion always come first.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Precision in every detail. 👨⚕️✨
When it comes to Hairline Lowering Foreheadplasty, patients choose Mr. Paul Wilson for his advanced surgical expertise and dedication to natural-looking results.
How it works: 1️⃣ Personalised Planning: Mr. Wilson evaluates your facial structure and marks the new position for an aesthetically pleasing result. 2️⃣ Strategic Incision: Placed along the natural hairline to ensure minimal visibility, blending seamlessly into the surrounding hair. 3️⃣ Advanced Anchoring: The scalp is repositioned and anchored with the Endochor device (carpet gripper) to prevent tension and ensure long-lasting results. 4️⃣ Follicle Protection: Special care is taken to avoid disrupting hair follicles, maintaining healthy hair growth.
Achieve a permanent solution with a compassionate approach. 🤍
📥 DM us to enquire about our next availability in Bristol, Newport, or Devon.
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✨ Creating Facial Harmony with Hairline Lowering ✨
Did you know that a high or receding hairline can make the forehead appear disproportionately large? Hairline lowering surgery, also known as forehead reduction, is a highly effective procedure designed to shorten the distance between the hairline and the eyebrows.
The goal? A more balanced, youthful, and proportional facial appearance. 🤝
At a Glance: ⏱ Treatment Time: 2 hours 💤 Anaesthesia: General anaesthetic 🏠 Recovery: 1 week 💼 Return to Work: 10 days ✨ Results: Long-term and transformative
By combining artistry with precision, Mr. Paul Wilson helps patients enhance their confidence through a seamless, satisfying journey.
🔗 Tap the link in our bio to learn more about this procedure or to book your consultation.
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