Treatment face
Rhinoplasty Surgery in the UK
- Refine the shape, balance and proportions of your nose
- Enhance appearance
- Natural, long-lasting results
- Expert technique
TrustScore 4.8 | 54 reviews
Treatment face
TrustScore 4.8 | 54 reviews
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
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
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:
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.
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 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 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.
Rhinoplasty can be further broken down into specific nose surgeries that aim to modify various portions of the nose:
benefits
Rhinoplasty offers several benefits, including:
candidates
A rhinoplasty may be suitable for individuals who:
What to expect
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.
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.
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.
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 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.
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.
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 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
As with any surgical procedure, rhinoplasty carries certain risks. These may include:
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.
Surgeon
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
FAQ
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.
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.
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.
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.
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.
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.
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.
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.
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
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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Discover behind-the-scenes moments, patient transformations, expert tips, and the latest in surgical treatments – all in one place.
Preservation rhinoplasty is about refining the nose while preserving its natural character and key structures where appropriate.
This lovely patient is 29 years old and is now 18 months post surgery. Her result shows a smoother bridge and a more refined tip, creating a softer, more balanced profile while keeping everything in harmony with her face.
Most importantly, she’s delighted with her result.
Swipe to view the result from another angle and learn more about preservation rhinoplasty.
Every rhinoplasty is planned individually following consultation.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #rhinoplastybeforeandafter #paulwilsonaesthetics
Before and immediately after preservation rhinoplasty.
These operating-theatre photographs show the change in profile directly after surgery. The bridge has been carefully refined while maintaining a natural shape that remains in keeping with the rest of the face.
Preservation rhinoplasty uses techniques designed to retain as much of the nose’s natural structure as possible while making the planned changes to its shape.
At this stage, swelling is already present and will continue to change during recovery, so this should not be viewed as the final result.
As with any rhinoplasty, the surgical plan is tailored to the individual patient’s anatomy and the changes they would like to achieve.
Images shared with patient consent. Individual results will vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PreservationRhinoplasty #Rhinoplasty #NoseSurgery #PaulWilsonAesthetics
A refreshed, natural result at six months.
This lovely 69-year-old patient came to see me hoping to improve the signs of ageing around her eyes, cheeks, jawline and neck, while still looking like herself.
She underwent a face and neck lift, upper and lower eyelid blepharoplasty, dermal fat grafting to the upper eyelids to improve hollowing, and silicone cheek implants to add support through the mid-face.
At her six-month review, she was delighted with the outcome, and I am very pleased with how naturally everything has settled.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#FaceAndNeckLift #deepplanefacelift #Blepharoplasty #FacialRejuvenation #paulwilsonaesthetics
A change in volume, while still keeping the result in proportion.
Breast augmentation is about much more than simply choosing a size. Implant width, profile and projection are all considered alongside the patient’s existing breast tissue, chest width and personal preferences.
The aim for this patient was to add volume and upper pole fullness while creating a shape that complemented her frame.
Every patient is different, which is why every surgical plan is individual.
Images shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #BreastSurgery #PaulWilsonAesthetics
Choosing to have surgery is a big decision, so feeling listened to and supported throughout the process really matters.
Thank you to this patient for taking the time to share such kind feedback about her body contouring experience with Paul and the team. It is always lovely to know that a patient felt informed, reassured and in safe hands from their first consultation onwards.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BodyContouring #PatientReview #PatientExperience #PlasticSurgery #PaulWilsonAesthetics
Two different operations, planned to create one balanced result.
This lovely patient came to see me with significant developmental breast asymmetry and a tuberous breast appearance. It had understandably affected her confidence, particularly when choosing bras and swimwear.
Her aim was for both breasts to look and feel as similar as possible. As each breast required a different approach, the surgery was carefully planned to achieve a more balanced result.
The surgical plan:
◽ Left breast: subfascial augmentation using a 315cc Silimed silicone implant
◽ Right breast: augmentation and reduction mastopexy using a 225cc implant, with 375g of breast tissue removed
I always explain that improving breast shape means accepting scars. These will continue to settle with time.
At six months, I am very pleased with the balance we have achieved and, most importantly, she is delighted with her result.
Images shared with the patient’s kind permission. Individual results vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAsymmetry #BreastAsymmetryCorrection #TuberousBreast #BreastAugmentation #paulwilsonaesthetics
Made it to Northwood on two wheels this morning 🚴♂️
Most of the team here are quite used to seeing me arrive by bike. I cycle into work whenever I can, as it’s a great way to enjoy some fresh air, fit in a little exercise and start the day feeling energised.
Now for a quick change out of the Lycra and on with the working day!
#paulwilsonaesthetics #cycletowork
Only three appointments remaining.
Once these appointments have been filled, you can request to join our priority cancellation list.
Meet Consultant Plastic Surgeon Mr Paul Wilson at Northwood Hospital, Bristol, on Saturday 12th September.
These complimentary 15–20 minute introductory appointments offer an opportunity to meet Paul, discuss the surgery you are considering, ask initial questions and understand the next steps.
This is an introductory appointment rather than a full clinical consultation. Advance booking is essential.
To request one of the remaining appointments:
DM us
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
A result worth revisiting.
Photographed just over two months following a deep plane facelift and neck lift, this result shows a fresher, more supported appearance without changing the patient’s character.
The surgery addressed the cheeks, early jowling and neck, creating a smoother transition through the lower face and jawline.
With the patient’s short hairstyle, the area around the ears is particularly visible, making the discreet appearance of the incisions an important part of this result.
The aim of facelift surgery is not to create a different face. It is to help the patient look refreshed while still looking like themselves.
What would you most like to know about deep plane facelift surgery?
Shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#DeepPlaneFacelift #NeckLift #FaceliftResults #NaturalResults #PaulWilsonAesthetics
Considering aesthetic surgery and unsure where to begin?
Join us at Northwood Hospital, Bristol, on Saturday 12th September for a complimentary 15–20 minute introductory appointment with Consultant Plastic Surgeon Mr Paul Wilson.
With extensive experience across facial, breast and body surgery, Paul offers a considered and individual approach to every patient.
You are welcome to discuss procedures including:
• Rhinoplasty
• Facelift and facial surgery
• Facial implants
• Hairline lowering
• Breast surgery
• Abdominoplasty and body contouring
• VASER liposuction
• Arm and thigh lifts
This relaxed one-to-one conversation provides an opportunity to meet Paul, ask initial questions, discuss whether the procedure may be appropriate for you and understand the next steps in your surgical journey.
This is an introductory appointment rather than a full clinical consultation.
Appointments are available between 10am and 2pm. Advance booking is essential, and a limited number of appointments are available.
To request an appointment:
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
Or send us a DM.
Please include the procedure you are considering and whether you would prefer a morning or afternoon appointment.
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
Choosing a surgeon for rhinoplasty involves more than considering the procedure itself. Experience, surgical approach, aftercare and the wider clinical team all form part of the decision.
Mr Wilson has more than 30 years of experience in facial surgery, including extensive experience in rhinoplasty. His practice has evolved from structural rhinoplasty to also incorporating preservation techniques, allowing the surgical plan to be adapted according to the patient’s anatomy and individual concerns.
A significant proportion of his rhinoplasty practice also involves secondary or revision surgery. These procedures are often more complex because the nasal structure may have already been altered by previous surgery, making careful assessment and detailed planning particularly important.
Patients undergoing surgery at Northwood Hospital are supported by an experienced surgical, anaesthetic and nursing team throughout their treatment journey. From the initial consultation and pre-operative assessment to surgery and long-term follow-up, the aim is to provide continuity of care within one clinical setting.
Ultimately, choosing a rhinoplasty surgeon is a personal decision. Patients should feel comfortable asking about experience, techniques, expected outcomes, limitations, risks and aftercare before deciding whether to proceed.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A lift with added volume, while still keeping everything in proportion with the patient’s frame.
For this patient, a mastopexy augmentation was used to lift and reshape the breasts while restoring upper-pole fullness with implants.
This procedure is not simply about increasing size. It is about improving shape, position and proportion.
Every patient’s anatomy and goals are different, which is why implant choice and surgical planning are always individual.
Thinking about this procedure? What would you like to know?
Shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck
☎️ Office: 0117 332 1585
📱 Enquiries via call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#MastopexyAugmentation #BreastLift #BreastAugmentation #naturalresults #PaulWilsonAesthetics