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POSTED UNDER Revision Rhinoplasty Reviews

Looking for Revision Rhinoplasty Surgeon in the Uk to Fix Inverted V and Protruding Bones - United Kingdom, GB

UPDATED FROM Anonymous2366047

Seeing lucian ion and sultan hassan again and julian de silva in september

I am booked in for a second consultation with lucian ion in september, and i am also seeing julian de silva that month too as he has lots of good reviews on here. I am seriously considering mr ion though, but i need a more thourough consultation to be sure! Will update when i see them both and let you know my thoughts.

Replies (54)

Mr Bass and results look great and he seems to be extremely thorough.
*Hassan
He does, the only thing that worried me as he wasn't as positive about getting a good result as the others i've seen were.
Hi lama,
Who wasn't as positive about acheiving a good result - Hassan?
Good luck with your follow up consultations with Ion and Hassan. I wouldn't consider De Silva myself. Although he has a lot of reviews on here, I just don't rate him highly enough.

Good luck!
Mr hassan was less positive and warned me off any surgery, even though he admitted my nose wasn't great and had numerous problems. Could i ask why you wouldnt consider de silva? I see tons of great reviews for him but i never hear anyone recommending him and i would love to know why that is, is there something i should know?
To be honest i'm at my wits ends as i am so desperate to get it fixed but don't feel 100% confident with anyone. But maybe thats always how its going to be once youve been butchered once?
Oh I'm sorry about that strange he should warn you off, what we're his reasons? He's recently done a revision surgery on a girl but haven't yet seen results. I know your probably not wanting to put your pictures on here to show your face, but have you thought about cropping so you can only see your nose and post as a question to various surgeons on here. They might be able to give you an idea on your situation ans it might help in your consults so you can get a generalized idea if they are all on the same wave length!
He just said it could make it worse, whereas mr ion said alot of improvement could be made. I will have to have a look at the review of it if there is one! I already have posted questions but i removed the pics off them, they all say exactly what the surgeons ive seen have said. Its a mess!!
Have you got instagram ?alot of people post journeys on there might help you search more. I really hope you can regain your confidence to try and get it sorted, improved if not 100% for your self confidence. Perhaps he was just preparing you for what could happen there are risks to all the surgeries that's what makes it so difficult to decide. Your not on your own though I suppose at least he is being honest with you, if it's very complex that you could end up with further issues as most surgeons just take the money.
My instagram is rhinoplastyjourneytake2, i am struggling to find people on there who have gone with the surgeons i am interviewing! It is good he was honest but it really put me off it.. I really dont know what to do :(
Hassan-mynosejourney_250, janine_pt, rhinoplasty_diary_16,hannahgracemua_, hannahtaleb but first rhino can't find the revisions yet or they just haven't reviewed not really finding any for ion at the moment other than on here, and not many images for him just consults. Keep looking though and don't go into anything suddenly, remember you have time to review and consider and options . Also remember all surgeons can have good and bad results, make sure you ask for examples of the work they have done, if possible similar to yours. If they won't show you any and they say confidentiality -don't select them but also remember they might show the best ones so try and ask for more than one. Try and out weight the positives and negatives. I know you want it sorted like I do mine and you feel self conscious, I'm so scared to, give yourself time to heal and time to consider everything xx
Mr. Ion makes revisions look easy. He'll fix your nose in no time. You'll be better than ever. Just look at his reviews. Amazing!
I cancelled a consultation with Julian De Silva (due to illness) and his PA tried to deduct a %20 cancellation fee off of consultation price. Needless to say I wasn't happy about this as no mention of a cancellation fee was mentioned when booking the appointment. She gave me my money back but was not very pleasant and said that I would be unable to book another consultation with De Silva in the future. I was relieved by this as I later decided that Ion was my man. I hope all goes well with your consult with De Silva (I hear he's a pleasant man) I just didn't think much of his staff, sadly. I also cancelled a consultation with Rajan Uppal and received a full refund.
I have cancelled julian de silva once before and was also told i had a 'strike' by my name and if i cancelled again i wouldn't be able to see him at all. I am actually worried as i may have to cancel my next appointment (other health stuff and appointments going on around then) and i will then not be able to go and see him. I think that is apsolutely appauling, especially considering i cancelled 3 months jn advance!! Maybe its a sign not to go with him. I may rebook in someone elses name if i want to see him at some point and i need tk rearrane this one.
I don't mean to worry you but just though I would share my experience when booked to see him. I was very ill when I cancelled and his PA (she was New Zealand I think) was not very understanding and only seems interested in the money. She kept saying that they would lose 20% of the money if it was refunded (which is a lie) and considering that I would be having a complex revision done, she wasn't at all sympathetic and seemed purely driven by money. Dr Uppal's secretary was lovely and refunded me straight away. I later saw Ion for 2 further consultations and am booked to have surgery towards to end of the year. ypu shouldn't need to rebook in someone else's name. I think l it was appalling that they said I couldn't see him again (I was later thankful if this) and I hope the same doesn't happen for you.
Thanks for sharing, sorry to hear you were really ill. To be honest it puts me off even before ive seen him so i might not even bother. If i have to move his appointment i may not have chance to see him until next year (other health things are going on which take priority!) but i don't think i even want to now. We'll see what they say.
I understand what you're staying. When I cancelled I was so ill that I was considering not ever having revision surgery. Fortunately, things improved for me. I just think that if a clinic is more money focused than customer focused it does reflect well on the surgeon themselves.

Good luck with it all and take care.
*doesn't reflect well
I totally agree, it really doesn't reflect well. They are clearly not bothered about helping the actual person, as it should be expected for people to get ill and have to cancel or change. It gives me the impression they just see you as another money making oppurtunity as oppose to an actual person, and if you cancel they'd rather kick you out for good and get someone else in quick to replace you
The way some clinics see it is that we need them more than they need us, otherwise there is no way that they would charge a 20% cancellation fee and when queried (like in my my case) say that you can't arrange to see them ever again. It's shocking.

I just read that Ion wasn't as confident as come other surgeons that you've seen. I'm sorry about that, but at least he was being honest and that doesn't strictly mean that the other surgeons could achieve the results they'd hoped for. My previous surgeon thought he could decline on a number of things and failed on all of them!

I would consider seeing Charles East if you haven't already. He is known for his reconstructive work and if you have been turned away by a number of surgeons, I would perhaps see him. Like Ion, he is very honest about what he feels can be achieved.
It is a shame, i will be booking in someone elses name if they refuse to see me!

Thanks for the reccomendation, i had considered charles east but i have actually seen some bad things about him so that put me off. I will have a look into him when i'm ready to go ahead.
For now i think i'm going to have a bit of HA filler and forget about it. I have seen too many people get butchered even more in revisions and mentally i am exhausted. A few people who went ahead with revisions have said to me they wish they had just continued with HA filler, and i dont want to end up wishing i had too! My healh is too bad at the moment to even contemplate it. I may still go to the consultations if i am able to to see what they all say but i just need a break from this nightmare for a bit. Thanks for your reccomendation and keep me updated with how yours goes! If i change my mind i'll let you know too!
Understood. I hope that you health improves. Avnose is just a nose at the end of the day and your mental and physical health is far more precious.

I know what you mean about East, although he is a very experienced surgeon. Ion even recommended him as being a good surgeon.

Take care
Thank you, i hope you get yours sorted too! It is just a nose, i'm trying to remind myself that every day!
Don't go to Julian de Silva - look on recent reviews on his profile - Bad.
I will have a look, thanks for the heads up! I actually cancelled my consultation with him today so maybe its a sign..
Yes and trust your instinct
I think you made the right choice cancelling. i hope they refunded you the full amount and didn't try deducting a 'fee' as they did me. x
They charged me a 25% fee despite me cancelling a months in advance! I tried to argue it but tbh i am not well from my nose infection and very headachy so i just gave up! They did say i could book again though, last time they told me i had a 'strike' by my name and could not rebook
Lol. A strike. They sound painful - just think, if that is their attitude now, imagine trying to get them to fix something if things went wrong? You would have so many strikes your name would be crossed off!
That's exactly what I though Millie, which is why I am so glad that I cancelled and went with Lucian I the end. Are you having revision done and have you de used tho with?
I think it's shocking that they charged 25%. Shocking!!! See how you get on when you see Lucian again (along with any other surgeons) and forget about De Silva.
Its so bad! Its put me off tbh, i have this feeling that because hes so high profile, if anything did go wrong, he wouldn't bother himself with fixing it because hes so well known that it wouldn't even affect him if you did give him a bad review.
It is so bad! I will do, i'm actually having HA fillers in a few weeks to forget about it for a bit, so if i decided to go ahead again with seeing mr ion i will let you know :)
I'm having primary - or hoping too. I originally booked to see Lucian for something else but have always hated how my nose slopes to one side so want to fix it - but saying that I am very nervous so will see what he says when I see him. Will post updates on here but I think he seems the best and most professional - I feel if I was going to do it I would trust him. I definitely wouldn't trust Julian de Silva - there is a review up recently and some of the comments he made to the patient are pathetic, plus he yanked the cast of her nose and they sent her home after heavy sedation with minimal recovery time or hardly offering her anything from what I can see - sounds like his support staff leave a lot to be desired which is always a red flag
Yes, I remember you saying before. Fillers sound like a good short term fix until you're feeling well enough to see this through.
Good luck with your primary, i'll be following your review closely if you put one up! Thats awful about de silva, could you let me know the name of the person he said that too? I've tried to look but it doesnt come up in order
They certainly do. Some people use them long term and just have them topped up every year, i have spoken to a fair few people who say they wish they'd just kept getting fillers instead of having revision, and i dont want to end up as that person so i should at least try them first! I will post and let you all know what they are like :)
Not good about De Silva's recent review. The fact that this would be your primary and you are sure that you would like it fixed (considering possible risks) then Ion is your man. Good luck
Try Luke Durham Aesthetika in Sheffield South Yorkshire . He's amazing xx
UPDATED FROM Anonymous2366047

On the Hunt for Revision Surgeons!

I am on the search for surgeons to do my revision very soon! I would really appreciate anyone whos gone through a revision to message me or reccomend me anyone you think would be able to fix my problems (or anyone who you think i should stay away from!) These are the things i need fixing in my revision:1) open roof. My nasal bones are incredibly wide and i can feel huge gaps between them. Thesurgeons i have seen are quite shocked at just how wide they are for an otherwise very small tip and face!! These will require breakages again and some sort of fascia or graft over the top to disguise the transition from bone to cartilage. 2) inverted v deformity (worse on one side) and the collapsing on inspiration. It looks very pinched below the nasal bones (not helped by the fact that they are very wide and open!) and i get collapsing on breathing in (worse on the side that the inverted v is worse on) but this does happen ever so slightly on the other side too. The other surgeons i've seen have said i have had too much cartilage taken away in this area and on one side near the tip. 3) columella scar, this has a twist in it as it wasn't sewn correctly. 4) deviated septum although this may not be needed as i can breath and its not visible. I will not be having this unless it is extremely necessary for my breathing.I have seem rajan uppal and sultan hassan, and will be seeing lucian ion this week. I am a bit concerned because so far both mr uppal and sultan hassan have given me completely different methods of fixing my nose. I know every surgeon is different on the methods they use, but mr hassan wants to add lots of grafts whereas mr uppal wants to add none. I am certain that i need grafts because of the collapsing i get when breathing and the v like shadow, so i am a but confused as to what mr uppal wants to do. I really liked him as a person so will be booking another consultation with both to discuss this further and hopefully clear up what they meant! I beleive that because of the ever so slightly deviated septum, pushing the bone completely together could make it look ever so slightly angled to one side unless there is a graft in it to push out the one side thats collapsed in in the middle too much. I can see where too much of the tip was taken in (this was unnoticeable until a few weeks ago!) so i assume this will get worse without grafts. Lucian ion doesn't seem to have many reviews (most seem to be reviews of consultations which is frustrating!) but i'm guessing its because he's not active on this site like alot of the others. Anyone had experience with him? Is he skilled at revision? If anyone knows of any surgeons other than these three that are experts at revision, or you'v had experience with any of these, please comment or message me! I am so desperate. My life is on hold until i get this mess fixed. If anyone wants any info on these surgeons and what i think they were like, message me and i'm happy to help! Likewise if you just need someone to talk to, i'm here to help :)

Replies (16)

Lucian Ion is the best. There are reviews here and he has fixed botched noses you would not think were fixable.
Thanks! I have looked at his reviews on here but can't find that many, most of his reviews seem to be people reviewing their consultations! I found a few that were amazing but compared to how many i've found that have pictures/been completed for the others its just not as many. Have you had experience with him yourself/are you thinking about having surgery with him? I'm hopig hes as good as everyone says!
Check out minimayhem's review to see what a miracle he performed there. I would like to one day get just a small refinement and if I do I think he is the one I would trust.
Hi there, sorry to hear about the problems you've had with your primary rhino. Have you had a consultation with Ion yet? I'm interested to know what revision techniques he recommended compared to Uppal and Hussan.
Hiya, i saw him last week! He wasn't as chatty as the others thats stood out to me, mr uppal and mr hassan were very friendly and put me at ease, however i trust mr ions and mr hassans techniques a bit more. Mr uppal doesnt want to put grafts in and everybody ive seen has said i most definitely need small/thin grafts. He also wants to do it closed whereas the rest want to do it open and really sort out everything thoroughly, and because of this i feel they would do better jobs so i have knocked mr uppal off the list. Mr ion uses a new tool to close the bone that i'm not convinced the others have access too which is promising as my bones need closing and shaving. The only thing that concerns me is the permanent stitches he uses as even he admits they are much more likely to get infected, although he did say he could use dissolvable but couldn't guarantee the stability if he did. That worries me! He said his revision rate is 15%, and i like that he is honest about that as some surgeons don't like to admit their revision rate. He also recommended another surgeon to me which suggested to me hes not in it just for the money! I am booking a second consultation with him and julian de silva, as well as another with mr hassan (as he was excellent at my consultation!) and i will be finding a few more to see before i make a decision. Mr ion is worth a consultation definitely as is sultan hassan. Let me know how you get on!
Good luck with things. I'm leaning towards Ion myself now, having seen him for 3 consultations. It was beer him and East really (due to breThibg issues).
Meant to say = between Ion and east
Ahh what did you think of mr ion when you saw him?
Very nice and truthful about what he thinks can be achieved.
I wrote a little more about how things went on my review.
Have a look at kalpesh Patel and anil Banergee as possible surgeons. They are president and vice president of the BSRS. British society of rhinoplasty surgeons. They both do all the revision work for the spire and BMI hospitals when there other surgeons mess them up. They are both highly skilled but they do not advertise on these sites. I have spoken in person to two of Mr Banergee's former patients and seen pics of them and they are amazing . I also need a complex revision and nearly went with that Mr tahery because of all the fake reviews on this site I think it is disgraceful and they should be ashamed.
Hi do you have any images of your nose, I am also looking into revision rhinoplasty as my primary rhinoplasty has left me with issues I didn't have before. Some issues sound similar to yours. I am thinking of having a consult with Mr sultan Hassan.
I do have a few, i may put them up soon on my other post asking about revision surgeons, so i will let you know if i do. Mr hassan is lovely! Definitely worth a consultation, hes a very honest man. Do you know what issues you are having? Are they cosmetic or functional?
Thank you, I have a bit of both. I am trying to find out exactly what my issues are so I can try to discuss things at another consult so I can judge if they know what they are doing. It's obvious my nose is now deviated, my tip is slopped one side higher than the other so looks bulbous from 3/4 anglr, more nostril visible from front view on one side than the other. I have an indent in my bridge area like a dent where you can feel and see the bone, this also makes it looks like a slight inverted v shadow in some light but only on one side. I seem to get a lot of sinus issues like pressure especially when I have headaches in the indented area . I'm so concerned to find the right surgeon second time around. Who was your primary surgeon?
Your issues sound similar to mine, my nose is very deviated now and leaning to one side since swelling has gone down, i have open roof, inverted v, dodgy scar etc! I will private message you now!
Hi everyone, I am new to this website, and I find it very informative. I had rhinoplasty in Windsor about 7 years ago, and while initially I was pleased, as it was so much shorter than previously , it wasn't long before I realised my nostrils were quite on show and different sizes. I saw my surgeon again and he told me he could make them smaller, for a charge ofcourse, but said it couldn't be perfect. I never went back. I have had a consultation with Basim Matti, and I have to say, I liked him very much, and he mentioned my concerns without me mentioning them to him . Apparently my previous surgeon didn't touch the cartilage , that's why the tip is bulbous , it's a little too short , that's why my nostrils are so apparent , and a collapse in the left side, that's why the nostrils are uneven. I have also booked a consultation with Licien ion and Charles East for January. Any info you have on any and all these surgeons would be sooo appreciated!! Thanks everyone and anyone!!
ORIGINAL POST

I am looking for a surgeon in the UK who...

I am looking for a surgeon in the UK who specalises in revision rhinoplasy after a disasterous primary rhinoplasty carried out about 6 months ago ( i was left with two humps, flat roof, bone edges protruding, inverted v deformity). I am planning on getting it done at the end of this year, and i am considering Lucian ion as a possibility among others. I have been told by local rhinoplasty surgeons that i will need rasping and spreader grafts done under open surgery so they can be stitched in. I don't think any bones will need breaking and the tip does not need to be changed (yet). Does anyone know any good rhinoplasty surgeons in the Uk? I am willing to travel as far as i have to and spend as much money as i have too to get this fixed. Any help would be greatly appreciated!

Replies (25)

Welcome to the community! Thank you for starting your review, I hope that you find lots of support here. I thought that you might find the following information helpful as you prepare for your journey: 9 Things I Wish I'd Known Before Rhinoplasty

Rhinoplasty surgeon in the UK - Any suggestions?

Will you be sharing before and progress photos with the us?

Thank you! I will hopefully be sharing my journey with you all, i did try to do that with my first rhinoplasty but my surgeon didnt like it.. Although i should hopefully be putting it back up soon! I am seeing lucian ion, rajan uppal and a few more next month, i've already seen quite a few. I have trust issues with surgeons now though...
who performed your first surgery?
Mr tahery
Sorry sent before finished typing.. Mr tahery performed my first surgery, he works in in the Chester and Manchester areas
Can you post some pictures please? Did he offer to revise for you?
My pictures will be on my review which is going up soon(realself have to check it first and it can take some time!). I hope they help you come to a decision, but i warn you they are not pretty! The whole middle of my nose has fallen in!
Lucian Ion would have to be the best. I would look no further.
Sorry to hear about your bad experience, seems your not alone with this particular surgeon ...As someone who is considering rhinoplasty and finding it a complete minefield in relation with who to trust! I would strongly recommend putting your surgeons name in the title info, this would greatly help others to make an informed decision as this site seems very cloak and dagger when it comes to less that excellent reviews...such a shame as people's lives are getting ruined : ( I wish you the best of luck in achieving your desired result xx
Thank you :( its been a rollercoaster, absolutely awful. He has dealt with it terribly. I have actually just wrote a review for him with pics of his work (aka my botched collapsed face!) and it should be published within a day. It does seem that i am not alone. There seems to be alot of people who haven't reviewed that lurk on the sidelines to scared to review honestly. He has discouraged many people off the sight i know that for a fact. I hope my review that should go up soon will help others out, and i hope it encourages others to review too!
Your very welcome...I can only imagine what your going through : ( and totally understand your trust issues...it's so difficult to find the right surgeon as lots of the so called 'top' surgeons are heavily self promoted both on here and in the media and can pay for great reviews etc...Lucian Ion seems the most popular at the moment but even he has had less than perfect reviews even on primary rhinos and there has been lots that have needed revision..which is slightly worrying...although he seems very patient orientated and willing to resolve issues which is a very important factor...this is why it's taken me so long to proceed as it can be a total gamble no matter who you pick! Plus everyone I have known to have it done has never been 100% completely happy..I'm leaning towards Paul Nassif in Beverly Hills but he's very expensive and then there's the travelling etc etc xx
Yes i agree, even lucian ion has bad reviews, although i think he goes more from word of mouth as oppose to mr tahery who closely mans his reviews on here and encourages the removal of any bad ones.. Thats suspicious in itself. I am absolutely terrified for revision. I sleep for about two hours a night, the rest im up worrying and crying at my reflection in the mirror. I want to believe there is a surgeon out there who will fix it but its always a risk no matter who you go with. I am hoping placing spreader grafts is simple enough that whoever does it wont have chance to mess up too much! But i dont know.. If you find any other great surgeons let me know. i am limited to uk surgeons and there is a serious lack of revision surgeons here.
Ps, your brave review will help a great deal for those out there with the same dilemma..please don't despair ..I know that can be easy for me to say but your problems can be fixed in the right hands xx
Thank you! Its just finding the right hands to fix them, its a complete gamble!! I am so depressed, i qualify for revision in nov/dec time so i cannot wait until then. I am seeing loads of surgeons but cant help but think im rushing it because i want it fixed so bad that i am willing to settle for anyone.
I know what you mean about revision specialists, very lacking here and such a complicated surgery sometimes.. I'm in the process of organising consultations here in the uk and US for primary rhino and trying my best to get it right first time..will let you know my findings xx
Yes thank you i would appreciate that so much! Likewise i'll let you know who i see and what they were like.. Got lucian ion, rajan uppal and a few more to see next month
Just try not to put to much pressure on yourself at the moment otherwise like you say it could be a costly mistake if you pick the wrong one...Rajan uppal is on my list, I know he recently did a very complicated revision for a lady that had been turned down by quite a few surgeons including Ion if I'm not mistaken...there is a recent review of his work on here on a lady with a large bridge hump that's excellent xx
Great! will wait so see you opinoins as my consults won't be for a little while yet xx
Ah that is interesting to know! I will check it out..
Have you considered East? I had consults with several surgeons for my revision rhinoplasty. I liked both East or Ion, but so hard to know which one to finally go with.
I have considered him but haven't yet booked a consultation. I have heard a few bad things about him thats whats putting me off, but i suppose there are bad things about everyone. I might consider booking a consultation with him soon.have you come to a decision on who your going with? Could i ask what you need doing for your revision?
I haven't decided who to go with yet, seeing them both again. I haven't seen much on East in reviews. I need bridge built up, pollybeak removed and nose lengthened.
What happened to your most recent review? :( I saw that you'd replied but can't read it as the page has disappeared! [RS bleep]

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