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FAQ

The world of Rhinoplasty can be a confusing one, with lots of different techniques and terms used. Ultimately, the best thing to do is book a consultation with a surgeon you have good communication with and trust.

Talk about your concerns and devise a surgical plan you can be happy with. 

I encourage all patients to have 2 consultations (you will only pay for the first) prior to undergoing surgery. 

You are under no obligation to proceed to surgery following an initial consultation.

Please see below for the answers to some commonly asked questions.

Mr Tim Biggs, Rhinoplasty, ENT, Surgeon, Hampshire, Portsmouth, Southampton, Winchester

What is open Rhinoplasty?

Open Rhinoplasty is a surgical technique used to reshape and modify the structure of the nose. In this procedure, a small incision is made across the columella, the strip of tissue that separates the nostrils, allowing the skin of the nose to be lifted and underlying structures accessed more directly. This approach provides better visibility to intricate areas of the nasal anatomy, allowing for more precise adjustments. The difference between a closed and open Rhinoplasty is a small (5mm) external cut, which heals and fades with time. However, an open approach allows huge increases in visibility and access. I believe an open approach affords a significant improvement in my results and this is why I only perform open Rhinoplasty.


What’s the difference between Rhinoplasty and Septorhinoplasty?

Rhinoplasty and Septorhinoplasty are both surgical procedures involving the anatomical structure of the nose. I find most patients attending for a diagnostic consultation have both functional (breathing) problems in combination with aesthetic concerns. These are often directly connected, in that fact that if the nose is not aligned properly, it will likely not function properly, due to a shift/buckling in the septum or weakness in supporting framework. Furthermore, fine tuning the aesthetic proportions of the nose using a combination of techniques and grafts most often helps support and open up the nasal airways. Therefore, although I use the term 'Rhinoplasty', when I undertake an operation, it will always involves a functional as well as aesthetic focus. In this way, I can maintain or restore the health of your nose and breathing, and at the same time satisfy your aesthetic goals. Having a large NHS practice, affords me experience in a number of techniques to ensure this. In all the surgeries I perform, I undertake a Piezo Turbinoplasty, to make additional room in the nose to further improve the function of your nose.

What happens during a consultation

I will meet with you in the Adnova clinic in Fareham, a custom-built facility with consultation rooms and operating theatres to undertake day case surgeries. I will ask you to fill in some quality-of-life questionnaires. During the diagnostic consultation, we will discuss the functional (breathing) and aesthetic (look of your nose) concerns you have. How well you breathe and whether you have tried any treatments to improve this. I will ask you about your medical history and drug history and therefore it would be worthwhile bringing a list of current medications with you. During the consultation, I will examine your nose, assessing its function and aesthetics. With your consent I will take some photographs, to discuss further at a follow up consultation, should you wish to proceed. We will discuss what treatments you may benefit from, which might include medications, but also surgery (Rhinoplasty/Septorhinoplasty) that would be suitable to correct your functional and aesthetic concerns. Following the consultation I will write to you and your GP (with your consent), outlining the diagnosis, treatment, surgical options and follow up plan.

What happens if I want to talk to you again following my first consultation?

Most patients undoubtedly have questions following a first consultation. I would encourage you to meet with me again, to discuss your surgery in more detail. You will only be asked to pay for the first consultation, with no additional charges for follow up consultations (including those after the surgery).


What is your waiting list for consultation and surgery?

 

You can contact the Adnova clinic using the link at the bottom of this page. I can often see you within a few weeks of calling for an initial consultation and my current waiting time for surgery is approx 2-3 months.

How much will a consultation cost?

 

A first consultation is £150, with no charge for further follow up consultations.

Surgery will be undertaken at Adnova, a custom built surgical centre in the heart of Hamsphire (link at bottom of page). Surgery costs differ depending upon the complexity of the case and requirements for addiotional grafts. 

If you have not had previous Septoplasty, Septorhinoplasty or Rhinoplasty surgery, it is very unlikely you will need additonal grafts.

How do I know if I want a Rhinoplasty/Septorhinoplasty?


Deciding to undergo surgery is a very personal decision that depends on various factors, including your aesthetic goals, concerns about nasal appearance and the function of your nose and how well you can breathe. Nasal surgery will likely lead to an improvement in all of these areas. Here are some considerations to help you determine if surgery may be right for you:

  • Functional Issues: In addition to cosmetic concerns, Rhinoplasty can also improve nasal function and address structural issues that affect breathing and airflow. If you experience chronic nasal congestion, difficulty breathing through your nose, or a deviated septum, Rhinoplasty will likely help alleviate these symptoms and improve nasal function. This is especially true given my background and NHS practice, of straightening noses to improve nasal breathing.

  • Aesthetic Concerns: If you are unhappy with the size, shape, symmetry, or proportion of your nose and feel that it affects your overall facial appearance or self-confidence, Rhinoplasty might be worth considering. Common aesthetic concerns that Rhinoplasty can address include a prominent hump on the bridge of the nose, a drooping or bulbous nasal tip, wide nostrils, nasal asymmetry or nasal size.

  • Realistic Expectations: It's important to have realistic expectations about the outcomes of Rhinoplasty and understand the limitations of the procedure. Rhinoplasty can enhance the appearance of the nose and improve facial harmony, but it cannot completely change your facial features or make you look like someone else. Discuss your goals and expectations with me to ensure that they are achievable.

  • Health Considerations: Before undergoing Rhinoplasty, it's important to consider your overall health and whether you are a suitable candidate for surgery. You should be in good physical health, have realistic expectations, and be committed to following pre- and post-operative instructions to minimize the risk of complications and promote optimal healing.

  • Consultation: Schedule a consultation to discuss your goals, concerns, and candidacy. I can evaluate your nasal anatomy, discuss your options, and provide personalised recommendations, based on your individual needs and preferences. The consultation is a diagnostic process, which will likely be helpful regardless of whether you choose surgery as an option.

Ultimately, the decision to undergo Rhinoplasty is a personal one that should be made after careful consideration. If you are unsure whether Rhinoplasty is right for you, take the time to research the procedure, explore your options, and discuss your concerns during a consultation.

 

What happens if I have a consultation but I do not want the surgery?

 
If you have a consultation, but ultimately decide that you do not want to proceed with surgery, that is perfectly okay. Surgery is not for everyone. Here is what typically happens in such a scenario:

  • Respect Your Decision: As a reputable Rhinoplasty surgeon, I will respect your decision and not pressure you in any way to undergo surgery. I understand that Rhinoplasty is a personal decision and should be made with careful consideration of your goals, concerns, and preferences.

  • Discuss Alternative Options: If you decide against Rhinoplasty, I may discuss alternative options for addressing your aesthetic or functional issues with your nose. This is where the first consultation is helpful, in the fact that it is an opportunity to diagnostically assess your nose, its function and health and suggest a course of treatment or surgery that’s tailored to your specific problems or concerns. 

  • Provide Support and Guidance: I will be able to provide support and guidance throughout the decision-making process, answering any questions or concerns you may have about Rhinoplasty or alternative treatments. I can offer you resources or referrals for further information or consultations if needed.

  • Maintain a Relationship: Even if you choose not to proceed with Rhinoplasty, I can provide other guidance, support, and advice on other aspects of facial aesthetics or nasal health, and you may decide to revisit the option of Rhinoplasty in the future if your circumstances or preferences change.

Ultimately, the decision to undergo Rhinoplasty is a personal one that should be made based on your individual goals, concerns, and readiness for surgery. If you feel uncertain or hesitant about Rhinoplasty, it's important to trust your instincts and take the time to explore all options before deciding. I will support you throughout the decision-making process and ensure that you make an informed choice that is right for you.

What can I expect from Rhinoplasty surgery, maintaining realistic expectations?

Maintaining realistic expectations is crucial for a successful Rhinoplasty experience. Here are some tips to help you:

  • Research and Education: Take the time to educate yourself about the Rhinoplasty procedure, including the techniques involved, potential risks and complications, and the recovery process. Having visited this website, and currently reading this, means that this is already underway. Understanding the limitations and possibilities of Rhinoplasty can help you set realistic expectations for the outcome.

  • Consultation with a Qualified Surgeon: Schedule a consultation with a consultant that specialises in Rhinoplasty and performs it regularly, like myself. During the consultation, discuss your goals, concerns, and expectations for the surgery openly and honestly. I can provide insight into what can realistically be achieved with Rhinoplasty, based on your individual anatomy and aesthetic preferences.

  • Understand Limitations: It's important to understand that Rhinoplasty can improve the appearance of the nose and improve its health and function, but it cannot completely change your facial features or make you look like someone else. Every individual's anatomy is unique, and the outcome of Rhinoplasty will be influenced by factors such as skin thickness, nasal structure, and healing capacity. It's best to try and verbalise what you dislike or would like to change about your nose, making some notes if necessary, but I find it unhelpful to bring a picture along of someone else's nose that you have seen and would like.

  • Realistic Recovery Expectations: Recognise that the recovery process after Rhinoplasty takes time, and the final results may not be fully apparent until several months (sometimes upto a year) after surgery. Swelling and bruising are common during the initial recovery period, and it's important to be patient and allow your body to heal properly.

  • Communication with Your Surgeon: Maintain open and honest communication with your me throughout the entire Rhinoplasty process. Discuss any concerns or apprehensions you may have, and ask questions about the procedure, expected outcomes, and recovery process. I can provide guidance and support to help you maintain realistic expectations and achieve a good result.

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