Treatment face
Secondary (Revision) Rhinoplasty
- Refine the shape, balance and proportions of your nose
- Enhance appearance
- Natural, long-lasting results
- Expert technique
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Secondary rhinoplasty, also known as revision rhinoplasty, is a surgical procedure performed to correct or enhance results of previous nose surgery.
It is designed to address issues such as nasal asymmetry, breathing difficulties, scarring, or dissatisfaction with aesthetic outcomes following the initial procedure. Patients may seek secondary rhinoplasty to refine, optimise the nasal shape or improve facial harmony.
About
What is Revision Rhinoplasty?
Mr Paul Wilson is an expert in secondary rhinoplasty, known for his meticulous attention to detail and ability to manage complex cases. Revision rhinoplasty requires advanced surgical skill due to the altered nasal structure and potential scarring from the initial surgery. Mr Wilson uses his extensive experience and artistic approach to deliver natural-looking results tailored to each patient’s needs. Patients trust him for his compassionate care, precision, and dedication to achieving both functional and aesthetic goals.
If you’ve had a rhinoplasty before, it is likely that your septum would have been harvested and used for reconstruction. Most cases of secondary rhinoplasty require the use of cartilage grafts either from the ear or rib. Rib may be harvested from your own ribcage (autograft) or cadaveric rib, off the shelf (allograft). Fascia may also be harvested from the muscle lining within your temple. Mr Wilson will talk you through the options for the best result.
For those seeking improved outcomes or enhanced confidence, Mr Wilson provides expert solutions in secondary rhinoplasty, combining advanced techniques with a patient-centered approach.
Due to the complex nature of this surgery, secondary rhinoplasty requires exceptional surgical skill and expertise. For this reason, it’s crucial to choose a highly experienced surgeon like Mr Wilson.
The first step in secondary rhinoplasty is an in-depth consultation. During this session, Mr Wilson assesses the nasal structure, skin quality, and concerns related to the previous surgery. Digital imaging may be used to help visualise potential outcomes, allowing for a shared understanding of what’s achievable. A tailored surgical plan is then created, focusing on achieving natural, balanced results while addressing structural or functional problems.
Secondary rhinoplasty is typically performed under general anaesthesia and involves more intricate techniques than primary rhinoplasty due to the altered anatomy and possible scar tissue from the first procedure. Mr Wilson may perform an open rhinoplasty which involves a small external incision at the columella (the tissue between the nostrils). This allows for comprehensive access to the nasal framework, making it ideal for addressing significant structural concerns or asymmetry.
However, if Mr Wilson decides a closed rhinoplasty is a more suitable approach, all incisions are made inside the nostrils, leaving no visible scars. Closed rhinoplasty is often used for minor revisions or adjustments to the nasal shape.
In many cases, secondary rhinoplasty requires the use of cartilage grafts to rebuild or strengthen the nasal structure. Cartilage is often sourced from the patient’s septum (the partition separating the two nasal chambers), ear, or rib. Advanced techniques ensure precision and durability, providing both functional and aesthetic improvements.
Once the corrections are complete, incisions are meticulously closed, and a nasal splint is applied to protect the structure during healing. Depending on the complexity of the surgery, internal nasal packing may also be used temporarily.
benefits
What are the benefits of revision rhinoplasty?
Ear reshaping surgery may offer a number of benefits, including:
- Enhances facial harmony by refining the nasal shape, correcting asymmetry, or reducing bumps and irregularities.
- Restores proper nasal function, addressing breathing issues or structural deficiencies.
- Provides patients with a nose that complements their facial features, enhancing self-esteem.
- Tailored to each individual’s needs, ensuring natural-looking, personalised outcomes.
- Addresses dissatisfaction or complications from the initial surgery.
Recovery
Recovery and results of secondary rhinoplasty
Following secondary rhinoplasty, patients can expect some swelling, bruising and nasal congestion. These effects are normal and begin to subside within a week or two. Mr Wilson provides detailed aftercare instructions to promote healing, including keeping the head elevated, avoiding strenuous activities, and taking prescribed medication to manage any discomfort. Nasal decongestants and saline spray are provided. Splints and internal packing are usually removed 7-10 days after surgery. Bruising typically resolves after 2 weeks, though swelling may persist longer. Most patients can return to work or light activities after 2 weeks, depending on the nature of their work and the complexity of surgery.
While significant improvements can be seen as initial swelling subsides within 4 weeks, it may take up to a year for the final results to fully emerge as the nasal tissue settles. Patience is key during this process, as the healing timeline varies based on individual factors and the extent of revisions made.
The cost of each secondary rhinoplasty is tailored to the individual procedure.
FAQ
Frequently Asked Questions
Is secondary Rhinoplasty safe?
Secondary rhinoplasty is considered a safe procedure when performed by an experienced surgeon like Mr Wilson. While it is more complex than primary rhinoplasty due to scar tissue and altered anatomy, Mr Wilson’s expertise and experience ensures that risks are minimised, and outcomes are optimised. Comprehensive pre-operative assessments and tailored surgical planning further enhance safety. Patients should follow all aftercare instructions and disclose their full medical history to optimise outcomes and reduce the likelihood of complications.
Is secondary Rhinoplasty painful?
Pain after secondary rhinoplasty is typically mild to moderate and can be managed with prescribed pain relief. Swelling, bruising, and nasal congestion are common but improve over time. Most patients report discomfort rather than significant pain, especially in the initial recovery phase. Mr Wilson provides detailed instructions and post-operative support to ensure a smooth and comfortable healing process.
What are the aftercare instructions?
Aftercare includes keeping the head elevated, avoiding strenuous activities, and following a prescribed medication regimen. Patients should refrain from blowing their nose and keep incisions clean and dry. Nasal splints or packing may be in place temporarily, and Mr Wilson provides comprehensive guidance to promote healing and optimise results.
When will follow-up appointments be scheduled?
Follow-up appointments are typically scheduled within a week of surgery to monitor healing and remove any splints or packing. Additional check-ups are arranged at intervals during the recovery process to assess progress and ensure satisfaction with results. Mr Wilson’s team remains available to address any concerns between appointments.
Can I request surgery with Mr Wilson if my initial surgery was with another surgeon?
Mr Wilson specialises in secondary rhinoplasty and frequently performs revisions for patients who had their initial surgery elsewhere. He takes a patient-centered approach, listening carefully to concerns and designing a personalised plan to achieve the desired outcome. Mr Wilson welcomes patients seeking a second opinion or wishing to refine previous results.
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 ear reshaping surgery is the right option for you.
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Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: What’s the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃
Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results
The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
🦋From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose — high radix, dorsal hump, an over-projected tip and a hanging columella. ✂️ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? 👇
✅ Accredited BAAPS Plastic Surgeon
✅ Dual-qualified
✅ Preservation rhinoplasty specialist — less disruption, more natural outcomes
✅ Brand new, state-of-the-art CQC registered hospital
✅ Perfectly located in Bristol — easy reach from London & the South-West
Nature, meet refinement. 🏥✨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face — and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2–4 hours, with most patients returning to everyday life within 2–3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION ↗
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. 🦴✨
Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙
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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
🔗 Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
⭐Patient Testimony⭐ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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
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