Though nose surgery is generally very safe, complications may occur in some cases, for which a revision rhinoplasty may be advised. One of the most common of such complications is inadequate projection of the nasal tip. This problem usually arises in cases where the large dorsum or hump of a patient was reduced during nose surgery, without the tip being adequately supported by a cartilage graft.  In some cases, the dorsal hump supports the nasal tip. Hence, any decrease in hump size usually results in a droopy nasal tip.

Generally, reduction rhinoplasty can reduce the size of a dorsal hump, adequately enough, though it may not always be able to provide enough nasal tip projection. Additionally, after an ENT surgeon sculpts the lower lateral cartilages, they can expect further loss of projection of the nose tip. In many cases, patients with large dorsal humps undergoing reduction rhinoplasty would require some sort of augmentation, to ensure that their nose does not have an inadequately projected tip.

Inadequately projected nasal tips can usually be prevented with a thorough preoperative assessment, during which the extent of tip projection and septal support is evaluated by the appointed ENT surgeon. During this assessment, x-rays and CT scans may be used to assess the projection of the nasal tip as adequate, inadequate or excessive; and determine how much septal support is available in the nose. Depending on this assessment, an appropriate surgical plan can be formulated. Generally:

• Patients with inadequate tip projection and good septal support will usually only require onlay cartilage grafts to the nasal tip.
• Patients with inadequate tip projection and inadequate septal support will usually require columellar struts or umbrella grafts.

Situated in the heart of London, ENT London is a highly reputed ENT clinic that specialises in nose surgery. Led by Professor Ram S Dhillon, the team of experienced ENT surgeons at ENT London are committed to offering the most superior health care available today.

ENT London is one of UK’s leading rhinoplasty clinics, and can be contacted on 0207 580 6970.

During the recovery period, a patient’s nose may sometimes be a bit asymmetrical or uneven, but this is expected to change as the nose heals. Below is some advice generally given by ENT surgeons to quicken the recovery process:

• Apply cold dry compresses to the nose at regular intervals.
• Avoid nasal medications for around three months.
• Use a humidifier and saline spray for about two weeks.
• Keep the head elevated, to lessen swelling
• Avoid blowing or picking the nose for the first four weeks after nose surgery, to reduce bleeding.

These instructions may differ from patient to patient, depending on the requirements of each case.

Immediately after rhinoplasty, a splint is generally applied to the nose to maintain its new shape. Nasal packs or soft plastic splints may also be placed within the nostrils, to support the septum. If the ENT surgeon advises nasal packing, it is usually only for about two to six days. Post rhinoplasty, most ENT surgeons suggest using ice packs over the eyes for the first two days, to minimise swelling. The splint is usually removed by the ENT surgeon about one week after nose surgery.

After rhinoplasty, the patient’s nose and eyes are generally swollen and bruised, while the face may feel puffy. The extent of discomfort varies from case to case, and depends on the type of procedure performed, and if nasal bones were broken during the nose surgery. Any sudden increase in bleeding or discomfort should be immediately reported to the ENT surgeon, so that it can be treated in time.

ENT London is a highly reputed ENT clinic in central London that specialises in rhinoplasty. The team of ENT surgeons at ENT London are all registered with the UK General Medical Council, and are committed to ensuring superior patient care.

ENT London is one of UK’s leading rhinoplasty clinics, and can be contacted on 0207 580 6970.

The twentieth century witnessed more research into non-surgical rhinoplasty techniques. In the 1960s, soft tissue fillers made of medical-grade silicone gel began to be used in non-surgical rhinoplasty. However, silicone gels also proved to be biologically harmful, as the soft tissue filler often migrated from the nose to other parts of a patient’s face and body, causing medical complications like ulcers and granulomas. This led to cosmetic surgeons and ENT surgeons recommending the ‘microdroplet technique’, during which minute doses of silicone gel were injected in the nose, over multiple sessions.

The twenty-first century saw the establishment of contemporary non-surgical rhinoplasty, with the release of an Australian study called ‘Rhinoplasty Using Injectable Polyacrylamide Gel – A Patient Study (2005)’. This study reported successful corrective outcomes using the soft-tissue filler ‘polyacrylamide gel’ or PAAG. This substance could be injected into the nasal tissues to enhance the attractiveness of a patient’s nose. Some subcutaneous soft-tissue filler agents that are currently used by ENT surgeons during non-surgical rhinoplasty are injectable silicone, collagen and calcium hydroxyapatite.

Compared to nose surgery, non-surgical rhinoplasty offers faster results, quicker healing time, and almost no pain. It can usually be completed in around 15 to 30 minutes in a single setting, and is generally used to camouflage small abnormalities only. If you are considering nose surgery to improve the appearance of your nose, you should ask your ENT specialist about non-surgical rhinoplasty, which could prove to be a more affordable and less extensive option.

ENT London is a leading ENT clinic in the heart of London, which specialises in nose surgery as well as non-surgical rhinoplasty. Led by Professor Ram Dhillon, the ENT surgeons at ENT London are fully accredited with the UK General Medical Council, and are committed to providing the highest level of patient care.

ENT London is one of UK’s leading clinics for nose surgery, and can be contacted on 0207 580 6970.

Some symptoms of tonsillitis are red tonsils, white patches on the tonsils, sore throat, cough, headache, fever and chills. If you are suffering from these symptoms, you should consider consulting with an ENT specialist, who will be able to diagnose and treat the problem. In most cases, tonsillitis can be treated with antibiotics or other medications. An ENT specialist may advise surgery only in rare cases, such as when:

• Patients do not respond to treatment.
• The tonsils cause recurrent sore throats, despite treatment with antibiotics.
• Enlarged tonsils block the airway.
• An abscess (quinsy) develops alongside the tonsil.
• The ENT specialist suspects that there is a tumour within the tonsil.

If an ENT specialist advises surgery to treat the problem, they should explain to the patient why surgery is necessary. A patient can change their mind about surgery at any time prior to the procedure, even if they have signed a consent form. Patients may also ask their ENT specialist or GP, to arrange for a second opinion, if needed.

Surgery to remove the tonsils is usually performed under general anaesthesia, and can generally be completed in about 30 minutes. During the procedure, the ENT surgeon will remove the tonsils through the mouth, before stopping the bleeding. Most ENT surgeons would usually advise an overnight stay at the hospital, unless the patient lives near the ENT clinic. After the surgery, the patient’s throat may feel sore for about ten days. The ENT surgeon will usually prescribe painkillers to make the patient feel more comfortable during this healing period.

ENT London is a highly reputed ENT clinic in central London, which specialises in treating tonsillitis, as well as other ear, nose and throat problems. The team of ENT surgeons at ENT London have years of experience in performing different ENT surgeries, and will do their utmost to ensure maximum patient comfort.

ENT London has a team of some of UK’s leading ENT surgeons, and can be contacted on 0207 580 6970.

Regardless of the anaesthetic option advised for the nose surgery, all rhinoplasty procedures are performed in conjunction with local anaesthesia, which makes the nose numb and reduces bleeding. Generally, local anaesthesia includes the use of drugs like lidocaine and epinephrine. ENT surgeons rarely use local anaesthesia by itself, because a patient who is fully awake during surgery may feel anxious and uncomfortable.

Some surgeons may advise conscious sedation for rhinoplasty procedures. Also known as IV sedation or twilight anaesthesia, conscious sedation requires the skilful use of powerful anaesthetics through an intravenous catheter. It renders the patient unconscious and motionless, without suppressing the patient’s ability to breathe. Whist trained anaesthetists are skilled in administering the right dose of anaesthetics, in some cases, the use of IV sedation may result in sudden movements by the patient, stoppage of breathing, inhalation of blood and other complications.

General anaesthesia is the third anaesthetic option that may be suggested for rhinoplasty. As nose surgery is generally non-invasive compared to other forms of surgery, the patient usually requires just enough anaesthetic to ensure that they are fully unconscious, and therefore both comfortable and motionless for the duration of the procedure. Since the dosage of anaesthetics used in general anaesthesia is usually less than that used in IV sedation, the after-effects are generally mild and short-lived. One of the main side effects associated with general anaesthesia is post-operative nausea, which may increase blood pressure levels, and discomfort.

ENT London is a premier ENT clinic in central London, which specialises in nose surgery for aesthetic as well as functional reasons. The team of highly experienced ENT surgeons at ENT London are supported by certified anaesthetists, who are dedicated to ensuring maximum patient comfort.

ENT London is one of UK’s leading centres for nose surgery, and can be contacted on 0207 580 6970.

Voice problems can have severe psychological and physical ramifications, which is why it is important for one to take preventive measures, to reduce the chances of them developing.

Below are some tips for the prevention of voice disorders:

• Limit intake of alcohol or caffeine: These substances act as diuretics, which cause the body to lose water. According to ENT doctors, this loss of fluids may sometimes dry out the throat, increasing the risk of developing a voice disorder.
• Drink plenty of fluids: It is recommended to drink six to eight glasses of water per day, to prevent dehydration that could lead to voice problems.
• Avoid smoking: this includes inhaling second party smoke as well. Cancer of the vocal folds can result in severe voice problem and are more common in smokers.
• Avoid using mouthwash or gargles that contain alcohol or other harsh chemicals, as they may irritate the throat, leading to voice disorders.
• Follow good breathing techniques: When one is speaking or singing, it is important to take deep breaths from the diaphragm, at regular intervals. This form of breath control helps reduce the strain on one’s voice, and lessens voice problems.
• Avoid consuming excessively spicy foods: Such foods may cause stomach acid to travel into the throat or oesophagus (reflux), causing different voice disorders.
• Use a humidifier: Most ENT doctors would advise at least thirty percent humidity for home or office environments.
• Avoid cradling the telephone: If done for extended periods of time, this may result in muscle tension in the neck area, and severe voice problems.

ENT London is a leading ENT clinic in central London that specialises in the diagnosis and treatment of voice disorders. It has a team of eminent ear, nose and throat doctors, who are all accredited with the UK General Medical Council. The team of ENT doctors at ENT London understand how voice problems can affect the life of a patient, and are committed to offering the best ENT care to treat the problem as soon as possible.

ENT London is one of UK’s leading centres for the treatment of voice disorders, and can be contacted on 0207 580 6970.

Rhinoplasty should only be performed by a surgeon who has received specialised training in performing the procedure, such as an appropriately qualified ENT surgeon. When an individual visits an ENT surgeon for a consultation, they should attempt to clearly explain the changes they require. Patients sometimes also take along pictures of the type of nose they desire, to serve as a guide for the discussion on setting a surgical goal. At the consultation stage, the ENT surgeon will first conduct an in-depth assessment, before giving the patient an answer about their suitability for the procedure.

After a patient has been found suitable for rhinoplasty, the nose surgeon will be able to tell them what changes are surgically possible, and what are not. Some typical cases are mentioned below:

• If a patient possess thick and oily skin on their nasal tip, it might not be possible to decrease its bulky appearance as much as desired. This is because, generally speaking, it is very difficult to make the skin thinner without leaving scars.

• Those who are above a certain age or possess a very large nose may be permitted only a limited amount of nose reduction. This is because their skin may not have the required elasticity to fit on the smaller nasal frame created after nose surgery.

• It may not be possible to perfectly straighten noses that were bent out of shape due to a previous injury.

• It may be difficult to reduce the size of large nostrils, without making an incision on the skin that would leave a visible scar.

ENT London is a leading ENT clinic in London that specialises in performing nose surgery. During the consultation stage, the highly experienced ENT surgeons at ENT London will spend the required time with you answering any questions or concerns that you may have regarding rhinoplasty, and help you make an informed decision about going ahead with the nose surgery.

ENT London is one of UK’s leading rhinoplasty clinics, and can be contacted on 0207 580 6970.

If a patient wishes to remove skin lesions on their face, they should consider having a consultation with a surgeon who has received specialised training in facial plastics, such as an appropriately trained ENT surgeon. In cases where a patient notices changes in their skin lesions, such as an increase in size, ulceration, bleeding or colour, they should contact an ENT specialist immediately, as the lesion could be potentially dangerous.

Treatment for the removal of facial skin lesions

The ENT specialist will conduct a thorough assessment before advising the patient about different facial plastics, for removing the skin lesions. This treatment will depend on the size of the lesion, the area it is located, the age of the patient, cosmetic considerations, and the patient’s preferences. Below are some of the common types of facial plastics usually advised by ENT surgeons:

• Surgical excision: The lesion is removed through surgery, after which the wound is stitched together, or covered with a flap of skin.
• Curettage: This procedure includes scraping of the ulcer.
• Cryotherapy: This includes freezing the ulcer with liquid nitrogen.
• Radiotherapy: This procedure in useful in some types of malignant skin lesions.

Facial plastic surgery is usually performed after applying a local anaesthetic, and the patient can usually go home on the same day. This means that only the area around the lesion is made numb, so that the patient does not feel any discomfort while the lesion is being removed. In some cases, such as for children or anxious patients, general anaesthesia may be used, for which an overnight stay may be suggested.

Located in London, ENT London is one of UK’s premier private ENT clinics, which specialises in facial plastics. The team of highly qualified ENT surgeons at ENT London are all registered with the UK General Medical Council, and are committed to offering patients the highest level of care.

ENT London is one of UK’s leading centres for facial plastics, and can be contacted on 0207 580 6970.

After rhinoplasty, a patient may experience some bruising and swelling, especially around the eyes. This could take a few weeks to fade away. During the initial few days of this period, the patient may have to wear a splint over their nose. After approximately three weeks, the swelling around the nose will settle to a level where most other people will not notice it.

If a patient is worried about people commenting on their new nose, they can consider changing their hairstyle, at the same time. Now, those people who think that the appearance of the patient has changed, will usually attribute their new look to their changed hairstyle. Patients should also anticipate their own reaction to the first sight of their new nose. It could take some time for the mind’s eye to adjust to your new appearance, and begin recognising the new face in the mirror as ‘you’.

Patients should also keep in mind that it may take a few months, for all of the post-rhinoplasty swelling to completely subside. There is no need to worry about minor problems with the shape of the nose, as they are usually expected to disappear within a few months. The nasal tip may also feel a bit numb, but this too will improve with time.

ENT London is a premier private ENT clinic in central London that has developed an outstanding reputation in performing rhinoplasty. When patients considering nose surgery visit ENT London for a consultation, our highly skilled ENT surgeons pay careful attention to their aspirations and concerns, before providing them with expert advice to help them make an informed decision on whether rhinoplasty is right for them.

ENT London is one of UK’s leading centres for nose surgery, and can be contacted on 0207 580 6970.

Does your snoring disturb your partner?

When an individual has a nasal obstruction, air does not pass through the nose in an efficient manner. Such interference with breathing can cause a person to snore at night, which might lead to sleep apnoea or cyclical sleep-arousal cycle. Over a period of time, such conditions can have an adverse impact on a person’s health. In some cases, an ENT surgeon may advise nose surgery to remove the nasal obstruction, and help the patient breathe normally.

If you are wondering if rhinoplasty can reduce your snoring, you should consult with a surgeon who has received specialised training in performing the procedure, such as an ENT surgeon. The surgeon should conduct a thorough assessment to determine if nose surgery can correct the problem, and assess your suitability for the procedure.  If you are found suitable for rhinoplasty, the ENT surgeon will give you detailed information about the procedure, including advice about benefits, risks and possible complications, to enable you to make an informed decision on whether to go ahead with it.

Rhinoplasty to remove nasal obstructions that result in snoring can usually be preformed in less than two hours. During nose surgery, the patient will be placed under anaesthesia, so that they do not feel any discomfort. The ENT surgeon will first make an incision, before removing any tissue or cartilage obstructions in the nasal passages, which prevent the patient from breathing properly. After nose surgery, a patient can expect their snoring to reduce significantly, and sometimes even stop completely. Over a period of time, the patients sleep pattern should improve, enhancing their quality of life.

ENT London is a premier ENT clinic in central London, which specialises in rhinoplasty. Led by Professor Ram S Dhillon, ENT London hosts a team of highly experienced ENT surgeons from major London hospitals and regional centres of excellence, who are focussed on providing the highest level of patient care.

ENT London is one of UK’s leading rhinoplasty clinics, and can be contacted on 0207 580 6970.