Nose Re-Shaping (Rhinoplasty)

Results

FACELIFT SURGERY IN HARLEY STREET

Rhinoplasty (Nose Re-Shaping) Before & After Gallery

This woman in her 40s was unhappy with the large bump on the bridge of her nose and droopy tip. 

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In addition she complained of troublesome breathing with a deviated septum and sinusitis. Dr De Silva completed a combined open rhinoplasty and septoplasty including reduction of her nasal bump. In addition he performed sculpting of her nasal tip and elevation of the nasal tip to a more attractive position. The reviewed photograph was taken approximately 8-weeks after surgery, the photograph shows an improved nasal profile, with a straight nose, attractive and natural looking nose, in addition to improvement in breathing.

This man in his 20s was unhappy about the large size of his nose and large bump on his nasal bridge.

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On review of her photograph he had a relatively large nose in proportion to his relatively tall physique. Dr De Silva performed open rhinoplasty with a reduction of nasal hump with additional support of the bridge of his nose with sculpted grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the ‘post’ photograph shows a straight nose, subtle elevation of tip and a nose that is harmony with the proportions of his face.

He was very happy with the final result and wrote the review below. The patient wrote this review “I had rhinoplasty performed. Leading up to the procedure, Dr Julian was very helpful and welcoming, along with his delightful team. The procedure went extremely well and am very happy with the result, I would recommend Dr Julian to anyone considering facial surgery. I would definitely use him again if I was considering a different procedure.”

This young Middle Eastern woman in her 20s was unhappy with a relatively large nose for her facial appearance and physique, the nasal bump and the relatively large bulbous nasal tip.

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Dr De Silva performed open ethnic rhinoplasty that included a reduction in the size of her nose, sculpting and specialised re-stitching with elevation of the nasal tip and the use of support grafts. On review of her photograph taken at 8-weeks after surgery, she has increased shape and definition of her nasal tip and almost invisible scar at 8-weeks after surgery. Recovery after Middle Eastern ethnic rhinoplasty often results in increased swelling in the nasal tip, Dr De Silva treats this with anti-inflammatory medications to speed up the recovery process

This 23 year old woman was concerned about the relatively large size of the tip of her nose and width of the nostrils. 

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On review of her photograph he had a relatively bulbous nasal tip and relative flaring of the nostrils. Dr De Silva performed open rhinoplasty with a shaping of the nasal tip cartilages with additional support of the bridge of his nose with sculpted grafts. In addition she underwent measured nostril reduction with hidden incisions and preserving normal breathing. Review of the ‘post’ photograph at 4-months shows a straight nose with refined nasal tip and reduced nostril size.

This 25 year old woman was concerned about the large bump on the bridge of her nose and relatively large size of her nose, she also was keen on conservative surgery and no “big change”. 

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On review of her photograph she had a large nasal bump and over-projection of her nose. Dr De Silva performed rhinoplasty with a reduction of the nasal bump with additional support of the bridge of his nose with grafts to protect breathing and nasal function. In addition the nose was shortened and projection reduced again with supporting cartilage grafts. Review of the ‘post’ photograph at 6-weeks shows a straight nose with refined nasal tip and a natural looking result. The patient was able to return to work 10-days after surgery without fellow employees noticing her surgery. The woman was very happy with the natural looking results and fast recovery. The surgery is considered an ethnic rhinoplasty as the patient had relatively thick sin and weak nasal cartilages.

This woman in her 20s was unhappy with the large bump on the bridge of her nose and relatively large size of her nose. 

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On review of her photographs she had a large nasal bump, a droopy nasal tip and deviation of the nose to her left side. Dr De Silva performed rhinoplasty with septoplasty including a reduction of her nasal bump with additional support of the bridge of his nose with grafts to protect nasal function. In addition the tip of her nose was elevated and projection reduced again with supporting cartilage grafts. Review of the ‘post’ photograph at 8-weeks shows a straight nose with improved profile, lifted nasal tip and straighter nose. The woman was very happy with the natural looking results.

This young woman was concerned about the width of her and relatively large tip, she also was keen on conservative surgery and no “big change”. 

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On review of her photographs she had a wide tip with no light reflex and relatively wide nostrils. Dr De Silva performed rhinoplasty with shaping of the nasal tip cartilages. In addition the nostrils were narrowed. Review of the ‘post’ photograph at 4-weeks shows a more refined nasal tip with a light reflex, swelling is still present and the tip will continue to improve of the next 6 months. The patient was able to start a new job 10-days after surgery. The woman was very happy with the results.

This man in his 20s was unhappy about the large size of his nose and large bump on his nasal bridge. 

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On review of her photograph he had a relatively large nose in proportion to his face with a large nasal hump. Dr De Silva performed rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the ‘post’ photograph which is taken only 1-week after surgery shows straight nose, subtle elevation of tip and a nose that is harmony with the proportions of his face. Although only one week after surgery and there is swelling present, a marked improvement can be seen.

This Afro-Caribbean woman in her 20s was unhappy with the shape of the bridge of her nose, bulbous tip and large nostrils. 

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She had undergone previous rhinoplasty by a general plastic surgeon who had removed large amount of cartilage resulting in reduced nasal support, a septal hole and alar retraction. Dr De Silva completed a revision ethic rhinoplasty and septoplasty augmenting her nasal bridge with graft material giving her a smooth and more elegant nasal profile. Dr De Silva shapes the graft material to the individual person so no two are identical. In addition Dr De Silva supported her nose with supporting grafts to maintain the nasal architecture long-term. In addition Dr De Silva used conservative techniques to reduce the size of her nostrils. The reviewed photograph was taken 6-weeks after surgery, the photograph shows an improved nasal profile, with a straight nose with reduced nostril show, and overall an attractive and natural looking nose. At 6-weeks after revision rhinoplasty there is still swelling in the tip of the nose, this will improve over the next 6-months and more definition will be apparent in the nasal tip. The patient was very happy with the results of her revision rhinoplasty.

This woman in her 20s was unhappy with size and shape of both her nose and chin. 

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She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After a detailed consultation with Dr De Silva she underwent a rhinoplasty with chin augmentation under sedation anaesthesia. Dr De Silva shaped her nasal tip cartilage with a combination of sculpting techniques and special stitches, reduced her nasal bump with a specialised micro-refining instrument and improved the lower third of her face with chin augmentation. After surgery she took a selfie photo at 1-week after the surgery that showed a marked improvement in her facial balance. The after photographs taken only 6-weeks after surgery show a refined nasal tip, feminine nasal bridge and shaped nasal tip. The patient was very happy with the final result.

This Caucasian woman did not like the shape of her nose including a bump and droopy tip. 

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She looked to find a plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, both her objectives from surgery and expectations were discussed. She underwent an open rhinoplasty with septoplasty under sedation anaesthesia (twilight anaesthesia). Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of his nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery.

This man was unhappy with the asymmetry of his nose on the front view and relatively large size of his nasal tip. 

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He looked for a surgeon specialising in the face who would be able to improve the appearance of his nose. After an assessment and discussion with Dr De Silva he underwent an open rhinoplasty under sedation anaesthesia. Dr De Silva shaped his nasal tip cartilage and utilised cartilage from his septum as graft tissue to improve his symmetry. The after photographs show a straighter nose with a refined nasal tip, more in balance with his face. The patient was happy with his final result.

This woman was unhappy with shape of both her nose and had previously undergone filler treatment with limited results. 

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She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After consultation with Dr De Silva she underwent a rhinoplasty under sedation anaesthesia. Dr De Silva allows extra time for every patients surgery and removing the filler took almost 1-hour longer than planned. The patient was very happy with the final result.

This woman in her 20s was unhappy with size and shape of both her nose and chin. 

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She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After a detailed consultation with Dr De Silva she underwent a rhinoplasty with chin augmentation under sedation anaesthesia. Dr De Silva shaped her nasal bridge reducing the high bridge to make a smooth and even bridge, and improved the lower third of her face with chin augmentation. The after photographs taken 6-weeks after surgery which show an improved facial balance and harmony, a more feminine nasal bridge and shaped nasal tip. The patient was very happy with the final result.

This woman was looking to improve the shape of her nose while looking the same and keeping a natural result. 

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She had a relatively long nose with high bump on the bridge of her nose. At her consultation Dr De Silva advised her to have chin augmentation with her rhinoplasty to improve the final result by improving her facial balance. The patient underwent rhinoplasty with septoplasty with chin augmentation under twilight sedation with Dr De Silva. The photos shown at only 6-weeks shows an improved nose with lifting of the tip, shaping of the bridge and tip and improved straightness. The patient was happy with the results from her rhinoplasty.

This stunning young woman came to see me for a refinement, although she was already great looking….she had always disliked her nose. 

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It really was a refinement she was looking for, more refined tip, smaller and no hump. Rhinoplasty is a surgery of millimetres, and refinement rhinoplasty is often more challenging as it is all about the real fine details. It is important that a patient appreciate your nose can be improved however perfection is very difficult to obtain. Although about 50% of rhinoplasty is technical detail and measurements the other 50% is artistic licence that is difficult to objectively measure. I completed my signature rhinoplasty, septoplasty under sedation anaesthesia. Wow! she had an amazing result, natural, feminine and in proportion to the rest of her face. She was very grateful for a stunning result!

This magnificent patient had not liked her nose and ear for many years, she had particularly noticed the irregularity and asymmetry, as well as a bump on the bridge and protruding ears. 

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I completed a thorough evaluation of her nose as patients with deviated nose nead a cautious approach to evaluate the septum and breathing, the function of your nose is as important as the appearance. I completed my signature natural rhinoplasty with septoplasty and otoplasty. I used some of the cartilage from her septum as graft material to make her nose straighter and improve her breathing, termed spreader grafts. There was notable asymmetry of her bones and she needed osteotomies to improve this. Piezo ultrasound technology can be used to reduce the bones a controlled way. With her ears there were two parts to improving the shape of ears, reducing the volume of cartilage in the ear and enhancing a crease at the top of ear to tuck the ears in. Your ears are made out of cartilage with a memory so they want to go back to their original shape, care is required to ensure they stay as they are in their new position. I am sure you agree she looks absolutely great, natural and beautiful in every way possible.

This Middle Eastern woman in her 30s did not like the appearance of her nose with a high bridge and unflattering profile view, with a droopy nasal tip and relatively wide nostrils.

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With a consequence of her ethnicity the anatomy of her nose was characterised by relatively thick skin, wide nasal tip and large asymmetrical nostrils. Dr De Silva specialises in ethnic rhinoplasty and completed an ethic rhinoplasty that included specific grafting techniques to improve the definition in her nasal tip in addition shaping her nasal bridge with special instruments. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. The reviewed photograph was taken 3-months after surgery, the photograph shows an improved nasal bridge and profile with a more balanced looking nose. At 3-months after ethnic rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-18 months as more definition will be apparent in the nasal bridge and nasal tip. The open rhinoplasty scar is difficult to see at 3-months after surgery, Dr De Silva uses multiple stitches and layers to improve the healing of the scar in most patients requiring open rhinoplasty.

This Asian woman in her 20s did not like the appearance of her nose the relatively large width, lack of definition, low nasal bridge and possible history of keloid scarring. 

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She looked for a surgeon who specialised in Asian rhinoplasty to improve the appearance of her nose and was personally recommended to see Dr De Silva. After a detailed consultation with Dr De Silva she underwent open ethnic rhinoplasty with septoplasty under sedation anaesthesia. Dr De Silva shaped her nasal tip cartilage with a combination of sculpting techniques and dissolvable stitches, the use of specialised graft material to increase the definition the in her nasal bridge and tip, and narrowing of her nostrils (alar reduction). After surgery there is a marked improvement in the definition in her nose and the after photographs taken 3-months after surgery show a more defined nasal bridge and narrower more refined nasal tip. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. At 3-months after ethnic rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-18 months as more definition will be apparent in the nasal bridge and nasal tip.

This man in his 30s was unhappy about the large size of his nose and large bump on his nasal bridge. 

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On review of his photograph he had a relatively large nose in proportion to his face with a large nasal hump. He had wanted very natural looking surgery so that is work colleagues and friends would not be able to tell her underwent surgery. Dr De Silva performed an ethnic rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the “after photographs are shown at 1-week and at 6-weeks. At 1-week an improvement in his profile can be seen, although a normal amount of swelling is present. At 6-weeks after surgery although there is swelling present, a marked improvement can be seen, with a more balanced profile and the patient was very happy with the results. The patient took two weeks off work and the result from his surgery was natural. Dr De Silva specialises in natural looking ethnic rhinoplasty, each surgery is tailored to the individual needs of each patient, for this reason ethnic rhinoplasty takes 3 hours for most patients.

This young woman in her 20s had not liked her nose for many years, she had particularly noticed a wide tip and increasing bump on the bridge of her nose. 

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She looked for a facial cosmetic surgeon who would be able to both improve the appearance of her nose for an important event coming up in the summer. After a detailed consultation with Dr De Silva she underwent a rhinoplasty with septoplasty under sedation anaesthesia. Dr De Silva shaped her nasal tip cartilage with a combination of sculpting techniques and special stitches, reduced her nasal bump with the signatures specialised micro-instrument and improved her breathing with a combination septoplasty and turbinate procedure. She had very thin skin and Dr De Silva used specialised graft material to enhance the quality of her skin to give her a better long-term result for years to come. After surgery her nose was markedly improved and the after photographs taken only 6-weeks after surgery show a refined nasal tip, feminine nasal bridge and subtly raised nasal tip. The patient was very happy with the natural looking final result.

This woman had not liked the overall shape of her nose including a nasal bump and undefined nasal tip. 

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She looked to find a facial plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, spent time to discuss her nose as she was looking for conservative “refinement” rhinoplasty. She underwent rhinoplasty with septoplasty under twilight anaesthesia with Dr De Silva. Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of her nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery. Click here to view video testimonial.

This Middle Eastern man in his 20s was unhappy about the large size of his nose and large bump on his nasal bridge. 

Read more

On review of his photograph he had a relatively large nose in proportion to his face with a large nasal hump. Dr De Silva performed rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the “after” photograph shows a nose that is harmony with the proportions of his face. Six weeks after surgery although there is swelling present, a marked improvement can be seen, the patient was very happy with the final result.

This woman had not liked the shape of her nose including a bump and droopy tip for over twenty years. 

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She looked to find a facial plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, both her objectives from surgery and expectations were discussed. She underwent rhinoplasty with septoplasty under twilight anaesthesia. Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of his nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery. Request a consultation at our office in London to take the next step and learn more about your cosmetic options.

This woman in her 20s was concerned about the relatively large size of the tip of her nose and shape. 

Read more

On review of her photograph he had a relatively bulbous nasal tip and droopy nasal tip. Dr De Silva performed open rhinoplasty with a shaping of the nasal tip cartilages with additional support of the bridge of his nose with sculpted grafts. Review of the “post” photograph shows a more refined nasal tip with subtle elevation of her nose keeping the same characteristics of her face at the same time as shortening her nose and resulting in better facial harmony. Before the surgery she had been very anxious about undergoing rhinoplasty under sedation anaesthesia, however was very happy with her decision as she had an enhanced recovery with minimal swelling and no bruising. Click here to view video testimonial.

This ethnic woman in her 30s did not like the appearance of her nose following undergoing rhinoplasty with a local plastic surgery. 

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With a consequence of her ethnicity the anatomy of her nose was characterised by relatively thick skin, wide nasal tip and large asymmetrical nostrils. Dr De Silva specialises in ethnic rhinoplasty and completed a revision ethic rhinoplasty that included specific grafting techniques to improve the definition in her nasal tip in addition to conservative narrowing of her nostrils. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. The reviewed photograph was taken 3-months after surgery, the photograph shows an improved nasal tip and a narrow more balanced looking nose. At 3-months after ethnic rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-months as more definition will be apparent in the nasal bridge and nasal tip. The patient was very happy with the results of her surgery.

This Asian woman did not like the appearance of her nose the relatively large width and low bridge. 

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With a consequence of her ethnicity the anatomy of his nose was characterised by a relatively thick skin and a low nasal bridge. Dr De Silva completed an Asian rhinoplasty that included specialised grafting techniques to improve the definition in her nasal bridge and tip in addition to conservative narrowing of his nostrils. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. The reviewed photograph was taken several months after surgery, the photograph shows an improved nasal profile and a narrow more balanced looking nose. At 6-month after Asian rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-months as more definition will be apparent in the nasal bridge and nasal tip.

This young woman was looking to improve the shape of her nose while looking the same and keeping a natural result. 

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She had a relatively large nose with bump on the bridge of her nose and a bulbous tip. The patient underwent rhinoplasty with septoplasty under twilight sedation with Dr De Silva. The photos shown at only 6-weeks shows an improved nose with lifting of the tip, shaping of the bridge and tip and improved straightness. Refining of the cartilage in the tip of the nose with rhinoplasty can be a challenging and result in swelling, the final result is many months after the surgery when all the swelling has resolved. The patient was happy with the results from her rhinoplasty.

This Asian man did not like the size of his nose with a large hump and large nasal tip. 

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He Had thick ethnic skin that limits the definition of the nasal tip. Dr De Silva advised him to undergo open rhinoplasty to enable specific techniques to enhance nasal tip refinement in patients with thicker ethnic skin. In addition Dr De Silva utilises anti-swelling medication after surgery to improve the results further. The after photo shows a smaller more refined nose that is more in balance with his ethnicity

This Asian woman did not like the shape of her nose including a bump and droopy tip. 

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She looked to find a plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, both her objectives from surgery and expectations were discussed. She underwent an open rhinoplasty with septoplasty under sedation anaesthesia (twilight anaesthesia). Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of his nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery.

Why Choose Dr De Silva in Harley Street, London ?

Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results. Dr De Silva is a widely credited and celebrated facial plastic surgeon who specialises in the eyes, nose, face and neck areas only, and is known for natural results.

“My focus has and always will be to be the very best at what I do, to continually innovate to provide World Class leadership to all my team, all my patients and all my associates. My mission is to help every patient be the very best version of themself with World-Class services, life-long follow up with complimentary facial aesthetic procedures.”

In a world of increasing complexity and misinformation, his passion has been focused on providing sincere advice, low risk and fast recovery procedures.

    As Featured in Logos for Harley Street Clinic - Dr Julian De Silva

    Only the Face

    By focusing entirely on only facelift & facial cosmetic surgery procedures, Dr De Silva is able to provide the expertise that can only come with specialisation: facelift and neck lift, blepharoplasty, rhinoplasty and chin implants.

    Natural Looking Results

    Dr De Silva is a believer in the importance of artistry behind cosmetic results and focuses his skills at delivering natural looking results.

    Fast Recovery

    Dr De Silva has pioneered the advances in technology to speed up recovery with a combination regenerative medicine techniques, Oxygen and LED Therapy.

    World Class Expertise

    Dr De Silva also teaches other surgeons internationally and has contributed to the development of advanced surgical techniques, laser technology and stitch-less tissue adhesives.

    Contact Details
    Call: 020 8748 2860
    Email: info@drjuliandesilva.co.uk

    Address:
    23 Harley Street
    London, W1G 9QN, UK

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    Dr Julian De Silva
    5 stars based on 458 reviews

    5 Star Ratings for Dr Julian De Silva

    Renowned expert in Facelift/Facial Cosmetic and Plastic Surgery. Signature techniques in Blepharoplasty, Rhinoplasty and Facelift surgery. Expert in revision surgery and in natural looking results