I had a Septorhinoplasty with Professor Chatrath nearly 3 months ago and I couldn't be happier with my results. I had a severely deviated septum which has affected my breathing for many years along with a small hump and a droopy tip when I smiled. Professor Chatrath has fixed my breathing problems and my nose looks great, it is natural and suits my face which is what I asked for. Post op I experienced no pain or bruising and only a small amount of swelling. My scar has healed really well and it is not visible at all. I highly recommend Professor Chatrath if you are considering a rhinoplasty, he is a kind man and an excellent surgeon.
Before my rhinoplasty, I had been wanting one for 9 years but was far too young to undergo cosmetic surgery during that period. I needed time to sit and think about everything before I made a permanent decision. After finding out that I had a deviated septum under the NHS I decided to undergo a septo-rhinoplasty privately as the NHS do not cover cosmetic treatments. I browsed ENT surgeons on the “Spire London East” website and came across Mr Paul Chatrath’s profile. I was impressed by his credentials and upon further research I decided he was at the top of my list so I booked a consultation. It did not take me long to book a consultation and I did not have to wait ridiculous times for me to be seen. My first consultation went exceptionally well. Mr Paul Chatrath did not point out what was “wrong” with my nose, instead he took the time to listen to my concerns and picked up on how I wanted my nose to look. During the second consultation the risks of the surgery were explained. I was also informed that my desired nose was not 100% guaranteed as the surgery is complex. I was grateful that I was being told the truth and not being sold dreams. On the day of the surgery I didn’t have any doubts. I was a little nervous and was able to speak to Mr Paul Chatrath before the surgery, he made me feel calm and comfortable, ready for surgery. Post op I was very surprised at the minimal bruising, especially because my nasal bone needed to be broken. My biggest fear was really bad bruising and my eyes being swollen shut, but thankfully I had very minimal face swelling. I had no packing in my nose so I was able to breathe after 2 days. My cast removal was 8 days post op, I expected my nose to be very very swollen and it was. I was still very happy with how my nose looked from my side profile as I could no longer see a huge bump. I decide to be patient before I started to freak out at how wide my nose looked due to swelling. I’m grateful that I waited before making any judgements because the swelling did eventually settle down after about 3/4 weeks. I am now 4 months post op and so so happy with how my nose looks! It was the best decision of my life. I now don’t need to constantly think about how my side profile looks when I’m out and about. The things I wanted to change about my nose were the following: removal of the dorsal hump, more tip definition (which will only be obvious after a year), slight lifting of the tip, straightening the bridge of my nose, and a slight ski slope. I did not change the size/shape of my nostrils or the width/length of my nose. I wanted my nose to look natural and it does! I cannot think of any cons to this procedure and my surgeon. Everything went perfectly, I was given the exact nose that I wanted for all these years. Updated on 8 Dec 2021: I’m now 7 months post op and my nose has become more defined after being given a steroid shot at 6 months post op. Before my steroid shot I was considering a revision rhinoplasty because I developed a bump. But luckily the bump completely disappeared! No revision needed! I love my nose so much!
I have booked a rhinoplasty with Dr Paul Chatrath for 19th September. I have always wanted my nose done after breaking it several years ago and various comments from bullies at school. I'm super excited about having it done but also nervous at the same time that my nose won't look as I had hoped. Has anyone else felt like this?? Updated on 19 Jul 2016: I've left this neglected for a while but just wanted to show my progress. Absolutely thrilled with the results. Had a few complications. Firstly I caught a cold after 1 weeks of my surgery and got an infection in my stitch from this. I also had some bad scar tissue on the left side of my nose so had to have a steroid injection.
Hi, thank you for your question. Any procedure on the nose to reduce scar tissue, whether rasping or revision surgery, runs the risk of more scar tissue formation. The main benefit of a revision is that you have more control over the precise operation and you can also place small camouflage grafts under the skin to reduce the scarring effect, however in most cases a general anaesthetic will be needed. Sometimes a steroid injection can also help. It will be best to discuss these options with your surgeon to decide what is best for you. Best wishes.
HiThank you for your question. I am slightly surprised that you were told that nothing could be done - that is not the case. There are techniques available which should be able to straighten up the nasal bones at the top, which involve gently breaking the bones on either side (and sometimes also in the centre) so that the nasal bony pyramid can then be readjusted back into a more central position. What I cannot tell you for certain is whether the nasal bones will end up being as straight as they were before the injury, however I would expect some noticeable improvement. Finally, if this were the only surgery you need on the nose, it should be possible to do it via a closed ‘endonasal’ approach rather than having to do it through an incision. Best of luck.
HiI’m sorry to hear of your accident and I know you must be worried and upset. It is surprisingly common. I would suggest 1.some cold compresses or an ice pack applied over some tissue or a thin towel (not direct contact between the ice and skin); apply for 5-10 minutes each time and then repeat an hour later. 2. If you can get some anti inflammatory medication such as ibuprofen (usually available without prescription) and take some, with food, this will help to reduce inflammation. Beyond this you should find that the swelling settles quite quickly, within a couple of weeks in most cases. Wishing you all the best with this.
Hi and thank you for your question. It is a really good question as this is one of the more common complications that is seen after rhinoplasty. In your case you have two options: 1. filler would work well for you - a small amount in the middle third of the nose would work, is less invasive than revision surgery and with fewer risks, however it would come with a very slight increase in projection of the middle third; 2. revision surgery. I have never undertaken an incision directly over the bridge for the reason that it is often more visible; also if the hump is the only thing you need addressing during the revision it should be very possible to achieve a reduction via an endonasal approach, without needing any external scar at all. You may even get away without needing the nasal bones breaking, although this decision would only be possible after an examination as the frontal views and palpation (touching the nose) are critical in the assessment. However bear in mind that revision surgery comes with its own set of possible risks, including (but not limited to) recurrent hump formation or bony irregularity. This is why the filler option should not be totally forgotten and is worth another think. Wishing you well with your decision.
Hi and thank you for your excellent question. Correcting a droopy nasal tip should not involve cutting through the tip cartilages although often an external (open) approach is needed to access the tip which means making a small cut through the skin (but not the tip cartilages which are underneath). In terms of lifting the tip, by definition a droopy tip is where the tip is hanging down a bit more than is ideal, in other words the nasolabial angle is too acute. So correction of a droopy tip usually involves a slight increase in rotation to widen the nasolabial angle. The technique would involve either placing stitches in the tip, or a cartilage graft, or both. In so doing, this would usually refine the shape better and also cause a slight increase in projection, although not always. It is also possible to refine the shape and appearance of the nasal tip at the same time as correcting the droop with the same techniques as above. Hope this helps.
