Rhinoplasty
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Rhinoplasty, commonly known as a “nose job” is a surgical procedure aimed at improving the appearance of the nose while maintaining or enhancing nasal breathing. It is one of the most delicate and complex procedures in facial plastic surgery, requiring both precision and an artistic approach.
The goal of cosmetic rhinoplasty is not to change your identity, but to bring the nose into better harmony with your facial features. When performed thoughtfully, it can enhance overall facial balance and improve self-confidence, while still preserving what makes your appearance uniquely yours.
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Schedule a consultation with Mr Ranganathan to discuss your options.
Open vs Closed Rhinoplasty
Understanding the two main surgical approaches
There are two primary techniques used in rhinoplasty: open and closed. The most suitable approach depends on the individual’s nasal anatomy, the complexity of the procedure, and the specific goals of surgery. Both techniques can produce excellent results when performed by an experienced surgeon.
Open Rhinoplasty
In open rhinoplasty, a small incision is made across the columella—the strip of skin between the nostrils—allowing the skin to be lifted and the nasal framework fully exposed.
Advantages:
- Provides greater visibility and access to the nasal structures
- Particularly useful for complex cases, revision surgeries, or significant reshaping
- Allows for precise modification of cartilage and bone
Considerations:
- The external scar is usually very small and fades well with time
- Swelling may take slightly longer to resolve compared to the closed approach
Closed Rhinoplasty
In closed rhinoplasty, all incisions are made inside the nostrils, with no external cuts. This technique is typically used for more straightforward nasal reshaping.
Advantages:
- No visible external scars
- Possibly quicker recovery and less swelling initially
- Suitable for patients needing minor to moderate reshaping
Considerations:
- Limited visibility and access for the surgeon
- Not always suitable for more complex structural changes
Rhinoplasty
Many patients seek cosmetic rhinoplasty to address concerns related to the shape, size, or overall appearance of their nose. Common reasons include:
- A prominent nasal hump
- A deviated or crooked nose
- A drooping nasal tip
- A wide or bulbous tip
- Over projected nasal tip
The goal of cosmetic rhinoplasty is not to change your identity, but to bring the nose into better harmony with your facial features. When performed thoughtfully, it can enhance overall facial balance and improve self-confidence, while still preserving what makes your appearance uniquely yours.
Septo-rhinoplasty
Improving both appearance and breathing in a single procedure
Septorhinoplasty refers to rhinoplasty surgery that also addresses the nasal septum, the midline wall of cartilage and bone that separates the two sides of the nose. When the septum is bent or deviated, it can block airflow and cause breathing difficulties. In such cases, a procedure known as septoplasty is performed as part of the operation to straighten the septum and improve nasal function.
A deviated septum can also cause the external nose to appear crooked or off-centre. In rhinoplasty, it’s important to correct both the internal structure and the external shape to achieve the best outcome, both aesthetically and functionally.
Correcting a deviated septum involves a range of surgical techniques and requires careful planning, precision, and experience. In fact, most rhinoplasty procedures involve the nasal septum to some extent, whether for structural support, alignment, or improving airflow.
Revision Rhinoplasty
A tailored approach to correcting previous nasal surgery
Revision rhinoplasty, also known as secondary or re-do rhinoplasty, is performed to address concerns that were not fully resolved, or have developed, following previous nose surgery. These may include ongoing issues with nasal shape, asymmetry, or breathing difficulties.
Each revision case is unique and often more complex due to factors such as scar tissue, altered anatomy, or weakened nasal structures. In some patients, structural support must be rebuilt using grafts. This may involve using the patient’s own rib cartilage or fascia, or occasionally donor material, to reconstruct and refine the nasal framework for a more stable and balanced result. Mr Ranganathan will discuss whether grafting is necessary in your case during the consultation.
Given the additional challenges of scarred skin and previous surgical changes, revision rhinoplasty requires careful evaluation, meticulous planning, and a high level of surgical expertise.
Mr Ranganathan will carry out a thorough assessment to understand your specific concerns and provide an honest, realistic opinion about what can be achieved, taking into account both your aesthetic goals and nasal function.
Our approach is thoughtful, individualised, and transparent, aimed at restoring function, refining appearance, and helping you feel more confident in the outcome.
Male Rhinoplasty
Refined results that preserve masculine features
Rhinoplasty in men requires a distinct approach that takes into account masculine facial anatomy, proportions, and aesthetic goals. Many men seek nose surgery to address a prominent hump, crooked nose, injury-related deformity, or difficulty breathing, while still maintaining a strong, natural-looking profile.
At the Manchester Rhinoplasty Clinic, we understand that subtle, thoughtful changes can make a big difference—without making your nose look “done.” The focus is on creating a nose that feels balanced and in proportion with the rest of your face, while also improving function if breathing is affected.
Common goals of male rhinoplasty include:
- Smoothing a dorsal hump (bridge bump)
- Straightening a crooked nose (often due to trauma)
- Refining the nasal tip without making it look pinched or overly narrow
- Improving nasal airflow and breathing
Male noses often have thicker skin and stronger cartilage, which can make surgery more complex. Each procedure is carefully planned and tailored to the individual, with the aim of delivering natural, confident results that complement masculine features.
Septoplasty
Improving nasal breathing by correcting a deviated septum
Septoplasty is a surgical procedure to straighten the nasal septum—the thin wall of cartilage and bone that divides the inside of the nose into two sides. When the septum is deviated or bent, it can obstruct airflow, making it difficult to breathe through one or both sides of the nose.
A deviated septum may be present from birth, develop over time, or result from injury. In some cases, it may also contribute to frequent nosebleeds, sinus infections, or snoring.
The aim of septoplasty is to reposition the septum to the midline, improving airflow and allowing for more comfortable, unobstructed breathing. The procedure is performed inside the nose, so it usually leaves no visible scars.
Septoplasty is often combined with other nasal procedures, such as rhinoplasty or sinus surgery, depending on your symptoms and goals. Recovery is typically straightforward, and many patients notice a significant improvement in their breathing within a few weeks.
Nasal Reconstruction
Restoring form and function after trauma or medical conditions
Nasal reconstruction is a specialized procedure designed to rebuild the nose following trauma, cancer removal, or to correct congenital deformities. This complex surgery requires both technical expertise and an artistic eye to restore not just the appearance, but also the critical breathing function of the nose.
Common reasons for nasal reconstruction include:
- Facial trauma from accidents or injuries
- Post-cancer reconstruction following tumor removal
- Congenital conditions such as cleft lip and palate
- Severe complications from previous surgeries
- Autoimmune conditions affecting nasal structure
Reconstruction may involve multiple stages and can utilize various techniques including local tissue flaps, cartilage grafts from the ear or rib, and in some cases, prosthetic materials. Mr Ranganathan works closely with each patient to develop a personalized surgical plan that addresses both functional and aesthetic goals.
The ultimate aim is to create a natural-looking nose that breathes well and harmonizes with your facial features, helping restore both confidence and quality of life.
Accreditations & Memberships
Mr Ranganathan is a Council Member of the British Society of Facial Plastic Surgery (BSFPS) and holds membership in the following organisations:
