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a lady after rhinoplasty surgery and turbinoplasty

Turbinoplasty stands as a highly efficient surgical procedure greatly improving the functionality of nasal passages, making breathing more comfortable and effortless. This surgical intervention offers substantial relief to individuals experiencing various conditions. These conditions may encompass general respiratory issues stemming from a blocked airway or specific challenges arising from previous nasal reshaping procedures, commonly referred to as rhinoplasty.

Dr Frati has acquired a nickname as the Surgeon to the Stars, if you wish to learn more about procedures or costs of Turbinoplasty,  Asian rhinoplasty, ethnic rhinoplasty or a traditional rhinoplasty in London or Manchester, then arrange an  initial consultation with Dr Frati, his team would be happy to guide you through the next steps. Dr Frati will be able to ask you all the right questions, and determine which rhinoplasty procedure is right for you, and therefore provide an appropriate rhinoplasty cost.

Take a look at our Nose Job Before and after  pictures.

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Turbinoplasty with Dr. Frati

If you’re interested in learning more about either Turbinoplasty or our variety of Rhinoplasty services offered by the renowned Dr. Frati or have any other cosmetic inquiries, please feel free to reach out to our approachable team. You can complete a contact form, send an email to info@dr-frati.com, or use the phone numbers provided below based on your preferred clinic location.

To inquire about our Rhinoplasty in London, feel free to dial 020 3633 2619.

For queries related to our Rhinoplasty in Manchester, kindly call 0161 327 2139.

We’re excited for you to  call!

What is Turbinoplasty?

Turbinates, also known as nasal conchae, are intricate bony structures located within the interior of your nasal cavity. These structures play a vital role in your respiratory system by helping warm, filter, and humidify the air as it enters your nasal passages. Your nasal cavity is divided into four separate air channels by three pairs of turbinates, leading to the sinuses situated behind each cheekbone. The largest of these pairs, known as the inferior turbinates, bear the primary responsibility for air filtration when you breathe through your nose. They are covered in a mucous-secreting membrane, which aids in heating and humidifying the air as it passes through the nose. Additionally, these turbinates act as filters, capturing dust and fine particles to prevent their entry into your bronchial passages.

However, there are instances where the turbinates can enlarge to a degree that obstructs the smooth flow of air through your nasal passages. While this growth is typically harmless, it may require removal to restore unimpeded breathing. Over time, nasal blockage can become severe, leading to snoring, and in more severe cases, sleep apnea. It is noted that a significant proportion of sleep apnea patients have overly large turbinates, although some individuals naturally have larger turbinates, which can lead to breathing difficulties even while awake.

Turbinectomy is a surgical procedure that involves the removal of turbinates, with a focus on the inferior turbinates. This procedure can be either partial or complete and is considered more radical than turbinoplasty.

In contrast, turbinoplasty is a less invasive procedure that aims to reduce the size of the turbinates rather than completely remove them. The goal of both procedures is to alleviate symptoms caused by enlarged turbinates, such as nasal congestion, snoring, or breathing difficulties. These interventions can significantly enhance a patient’s quality of life by promoting easier breathing and better sleep.

What’s the Difference between Turbinoplasty and Rhinoplasty?

Turbinoplasty and rhinoplasty are both surgical procedures related to the nose, but they serve different purposes and target distinct areas of the nasal anatomy. Here are the key differences between the two procedures:

Rhinoplasty:

  1. Purpose: Rhinoplasty, often referred to as a “nose job,” is a cosmetic or reconstructive surgery that focuses on altering the external appearance of the nose. It is primarily performed to enhance the aesthetic features of the nose, correct deformities, or improve overall facial balance.
  2. Areas Targeted: Rhinoplasty typically addresses the shape, size, and overall appearance of the entire nose, including the nasal bridge, tip, nostrils, and other external structures.
  3. Procedures: Rhinoplasty can involve various techniques, such as dorsal hump reduction, tip refinement, nostril reshaping, and overall nasal profile adjustments.
  4. Indications: Rhinoplasty is often chosen by individuals who wish to improve the appearance of their nose, correct congenital deformities, address breathing issues, or enhance facial aesthetics.

Turbinoplasty:

  1. Purpose: Turbinoplasty, also known as turbinate reduction, is a surgical procedure aimed at addressing internal nasal issues related to the turbinates, which are structures inside the nose responsible for regulating airflow and humidifying inhaled air. Turbinoplasty is primarily performed to improve nasal breathing and alleviate issues like chronic nasal congestion or obstruction.
  2. Areas Targeted: Turbinoplasty focuses on reducing the size of the nasal turbinates, specifically the inferior turbinates. The procedure helps create more space in the nasal passages, allowing for improved airflow and easier breathing.
  3. Procedures: Turbinoplasty techniques involve various methods to reduce the volume or size of the turbinates, which can include submucous resection, radiofrequency ablation, or other tissue-reduction techniques.
  4. Indications: Turbinoplasty is typically chosen by individuals who experience chronic nasal congestion, difficulty breathing through the nose, or other functional issues related to the nasal turbinates.

In summary, the main difference between turbinoplasty and rhinoplasty lies in their primary purpose and the areas of the nose that they target. Rhinoplasty is a cosmetic or reconstructive procedure focused on the external appearance of the nose, while turbinoplasty is a functional procedure that addresses internal issues related to the nasal turbinates to improve nasal breathing and alleviate congestion. The choice between the two procedures depends on an individual’s specific concerns and goals for their nose.

ethnic rhinoplasty model after learning the nose job cost and opting for liquid rhinoplasty and alarplasty

Dr Frati is such an amazing surgeon and his team are wonderful. Everything about my journey with Dr Frati from start to finish.

Beth McPoland, London

Dr Frati is amazing, professional, personable and puts you at ease through the whole process. His work is impeccable and I’m so pleased with the results!

Paul Gibson, Manchester

A+++ service very good doctor! Fully recommend, from ringing up to aftercare amazing service. If you are not sure just book it you won’t regret it!

James Murray, Cheshire

From the very start from my consultation, to the procedure to now 6 weeks post op my experience with Dr Frati has been fantastic.

Zoe Collins, North London

I was suffering with my nose for over 3 year then found dr Frati. He is absolutely amazing. I’m only 4 weeks post op but I am so happy with everything! The aftercare provided is excellent.

Mandy-Lee Perkins, Essex

I had a breast enlargement with Dr Frati in 2018 after a lot of research and following him for a while. It was honestly the best decision I’ve ever made. I would recommend him to all my friends as I have so much trust in him and his work!

Paulina Teixeira, Birmingham
open rhinoplasty result after a nose job London cost consultation

Turbinoplasty Step by Step Guide

For a basic guide to Turbinoplasty step by step, then follow this guide below. This is a general description and each procedure individual to your needs.

  • Anaesthesia: Turbinoplasty is mostly conducted under general anaesthesia.

  • Incision: The surgeon will conduct incisions either within the nostrils or along the columella to make underlying cartilage available.

  • Reshaping the Bones: Depending on the desired outcome, the surgeon employs various techniques to modify the bone structure of the nose. This could involve repositioning or resetting the nose by breaking it, or the use of small grafts to add or remove bone.

  • Reshaping the Cartilage: The cartilage, which offers structural support to the nose, may also be reshaped. This can involve removing cartilage, or again, introducing grafts to specific areas.

  • Closure of Incisions:  Incisions are closed using sutures or surgical tape.

  • Placement of Splint: A splint can be fixed to the exterior of the nose for preservation of the new shape and to safeguard it during healing.

  • Recovery: After the procedure, patients will require a recovery period for several weeks. Swelling and bruising will regress, and the results will become apparent after a few months.

Dr Frati Cosmetic Surgery

Dr Frati Cosmetic Surgery was established by internationally renowned surgeon to the stars Dr Riccardo Frati. Dr. Frati has featured on ITV’s This Morning, GMTV, featured in The Times, The Daily Mail, The Independent, The Daily Star, The Sun, FHM and 10 Years Younger;  with countless mentions in celebrity magazines, online magazines and makeover reveals.

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Am I suitable for Turbinate reduction?

Are you contemplating whether you might be an eligible candidate for turbinate reduction surgery? This procedure is frequently employed to address various conditions, with its primary purpose being the alleviation of breathing difficulties. Individuals who frequently struggle to breathe through their nose could potentially reap substantial benefits from this surgery.

You may be a suitable candidate for turbinate reduction surgery if:

– You frequently endure chronic nasal obstruction: Persistent nasal blockage not only affects your quality of life but can also lead to complications such as sleep apnea.

– You experience recurrent nasal discharge, also known as rhinorrhea: Frequent episodes of a runny nose may signal the need for medical attention to address your turbinates.

– You suffer from nasal blockages: Regular blockages of your nasal passages can impede breathing and disrupt your daily routine.

– You have a deviated nasal septum: A deviated or shifted septum, which divides your nose into two halves, can cause breathing difficulties and may necessitate turbinate reduction surgery.

– Your turbinates are swollen and enlarged: Enlarged turbinates can obstruct your nasal passages, making it challenging to breathe.

– You contend with persistent snoring: While snoring can have various causes, if it results from nasal passage issues, turbinate reduction surgery might provide relief.

– You have sleep apnea: This condition is often linked to nasal passage problems, and turbinate reduction surgery can help mitigate its effects.

In general, good overall health is a prerequisite for any surgery. Although turbinate reduction is a minor surgical procedure with lower associated risks compared to major surgeries, your body’s ability to recover effectively remains crucial. Individuals with comorbidities, such as high blood pressure, can usually undergo this surgery with minimal risk, provided they are otherwise in good health.

Typically, when dealing with swollen turbinates, doctors initially prescribe specific medications. If these treatments prove ineffective, turbinate reduction surgery may then be considered as the next step. If you have previously undergone septoplasty – a procedure to widen the nostrils – and have not experienced improved breathing over several months, turbinate reduction surgery may be a suitable course of action.

How to prepare for Turbinoplasty

Embarking on your journey towards turbinate surgery requires some important preparatory steps to ensure the procedure is performed safely and successfully. The following guidelines should be adhered to as you approach the day of your surgery:

  • Fluid Intake: Clear liquids such as water, clear tea, and black coffee are permissible up until two hours before your surgery. However, it’s crucial to avoid any drinks containing milk, alcohol, or any pulp or solid particles. Essentially, your stomach should be empty, which means abstaining from any food or drink after midnight the night before your surgery.
  • Smoking: If you’re a smoker, it’s advised that you halt this habit 4 weeks prior to your surgery. Smoking can hamper the healing process post-surgery and can potentially increase the risk of complications.
  • Medication: If you’re currently taking any blood-thinning medications, you will typically be asked to stop using these two to three days before your surgery. This is because these medications can increase the risk of excessive bleeding during and after the procedure.
  • Consult Your Medical Team: Ensure you have a thorough discussion with both your surgeon and anaesthetist regarding any other medications you are currently taking. Some medications might need to be discontinued or adjusted before the surgery, while others may be safe to continue. It’s crucial to disclose all your current medications to avoid any potential complications.

Can I combine my Turbinoplasty with other procedures?

Turbinectomy or turbinoplasty, on its own, is a valuable procedure for enhancing breathing by reducing the size of the turbinates. However, it is often combined with other nasal procedures to comprehensively address various nasal issues. Here are some of the most common procedures frequently performed in conjunction with turbinectomy:

  1. Septoplasty: Septoplasty is a surgical procedure primarily intended to correct a deviated septum. A deviated septum occurs when the nasal septum, the thin wall separating the left and right nostrils, is displaced to one side. This deviation can result from the hypertrophy or enlargement of the nasal conchae, exerting pressure on the septum. A deviated septum can lead to breathing difficulties and impact the overall appearance of the nose. When septoplasty is performed alongside a turbinectomy, it can significantly improve both the functional aspects of breathing and the cosmetic appearance of the nose.
  1. Rhinoplasty: Commonly known as a “nose job,” rhinoplasty involves reshaping the nose for either cosmetic or functional purposes. When combined with turbinectomy, it can enhance the nose’s aesthetic appeal while simultaneously improving airflow and overall nasal function.
  1. Septorhinoplasty: This comprehensive procedure combines both septoplasty and rhinoplasty. It addresses functional problems caused by a deviated septum and enlarged turbinates, while also reshaping the nose for aesthetic reasons.

All of these procedures can be seamlessly integrated with turbinectomy to yield holistic improvements in both the function and aesthetics of the nose. Enlarged nasal conchae can obstruct airflow and contribute to septal deviation, exacerbating breathing difficulties and potentially affecting the nose’s appearance. By combining turbinectomy with septoplasty, rhinoplasty, or septorhinoplasty, individuals can improve their ability to breathe effortlessly and restore or enhance the symmetry and appearance of their nose.

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    Why choose a Specialist Surgeon for my Turbinoplasty?

    Selecting a specialist surgeon like Dr. Frati for your turbinoplasty can offer several distinct advantages:

    1. Expertise and Experience: Dr. Frati’s specialization in facial plastic and reconstructive surgery means he has extensive experience and expertise in performing turbinoplasty and other nasal procedures. He has honed his skills and knowledge to achieve excellent results in this specific area.
    2. Customised Approach: Specialist surgeons, like Dr. Frati, have the ability to tailor turbinoplasty procedures to each patient’s unique nasal anatomy and functional needs. They can work closely with you to achieve a personalized and optimal outcome.
    3. Advanced Techniques: Specialist surgeons are typically well-versed in the latest and most advanced surgical techniques for turbinoplasty, which can result in more effective and comfortable procedures.
    4. Reduced Risk of Complications: Specialist surgeons generally have lower complication rates because they are highly skilled and knowledgeable in performing turbinoplasty procedures.
    5. Ethical and Patient-Centred Care: Dr. Frati and other specialist surgeons prioritise ethical principles and patient-centered care. They are dedicated to providing you with the best possible functional outcome while ensuring your satisfaction and well-being.
    6. Minimisation of Surgical Risks: With their experience and precise technique, specialist surgeons can minimise the risks associated with turbinoplasty, ensuring a smoother and safer procedure.
    7. Personalised Recommendations: Dr. Frati can provide personalised recommendations and help you understand what can be realistically achieved through turbinoplasty, based on your individual needs and goals for improved nasal function.
    8. Reputation and Trust: Surgeons like Dr. Frati typically have a strong reputation and trust within the field of facial plastic and reconstructive surgery. You can research his credentials, reviews, and testimonials to gain confidence in your choice.

    When considering turbinoplasty, it’s crucial to consult with surgeons who specialise in this specific procedure. Dr. Frati and other experienced specialist surgeons can assess your unique nasal concerns, discuss your functional goals, and provide recommendations based on your individual needs. Choosing a specialist surgeon like Dr. Frati can help ensure that your turbinoplasty is performed with precision and care, leading to an improvement in your nasal function and overall quality of life.

    Your Turbinoplasty Consultation

    Dr. Frati invests time in carefully understanding your goals for the procedure. Collaboratively, you and Dr. Frati will work on defining the perfect nasal aesthetics that harmonise with your overall facial appearance. To enhance this process, 3D imaging may be utilised. Furthermore, Dr. Frati will conduct a comprehensive assessment of your medical history, any previous surgeries, your general health, allergies, and your current medication regimen, if applicable.

    Rhinoplasty related questions which Dr Frati may ask you

    • Do you have any medical conditions like diabetes or hypertension?

    • Are you in good overall health without chronic medical conditions?

    • Are you currently taking any medications, and do you have any known allergies?

    • Have you undergone any prior surgeries, and were there any complications?

    • What are your desired outcomes for the rhinoplasty procedure?

    • Do you engage in smoking or alcohol consumption, and if so, to what extent?

    Drawing upon his extensive experience, Dr. Frati will recommend the most appropriate procedure or a combination of procedures to achieve your desired results. He will also offer a detailed explanation of potential risks and complications. If you prefer, you have the option to request a collection of before-and-after rhinoplasty images, which can provide an initial insight into what can be accomplished through this surgical journey. It’s essential to regard these images as informative references, as they do not assure the exact duplication of a specific surgical outcome.

    Rhinoplasty related you may want to ask Dr. Frati

    • How can I determine if a rhinoplasty is a suitable option for me?

    • Which technique is preferable: the open or closed approach?

    • If I’m not a candidate for a surgical procedure, should I consider a non-surgical rhinoplasty?

    • Is there a significant amount of post-procedure pain to anticipate?

    • What level of scarring is typical after the procedure?

    • Could you describe the recovery process and offer guidance for achieving optimal results during the healing period?

    • Am I maintaining realistic expectations regarding the desired outcomes?

    • Given my specific concerns, how many similar procedures have you performed in the past?

    • May I review before-and-after rhinoplasty images that are similar to my case?

    • What should I do if the results fall short of my expectations?

    In approximately 25% of consultations, Dr. Frati may not recommend a rhinoplasty procedure. This highlights the ethical principles and professionalism that all surgeons at Dr. Frati Cosmetic Surgery uphold. Our foremost commitment is to healthcare, and our clinical judgments are entirely devoid of commercial interests.

    The core purpose of the consultation is to equip every patient with the knowledge and insight needed to make informed and thoughtful decisions about the potential for a rhinoplasty procedure. Dr. Frati’s role is to facilitate this decision-making process, transforming the consultation into a collaborative encounter between two experts: yourself and Dr. Frati.

    Rhinoplasty FAQs

    Depending on many factors such as open or closed rhinoplasty's and also the bespoke requirements of each patient, you can expect rhinoplasty costs to start at £8,000 for closed and £10,300 for open rhinoplasty.

    Every surgery is risky, period. There is always a risk of a reaction to anaesthesia for example, or internal bleeding, even infection of the operated area - unfortunately this is the nature of surgery. However, Dr. Frati is one of the best qualified surgeons in the UK and with this comes the mineralisation of risk, something to really take into account when choosing your surgeon.

    Whilst we would recommend to take around 2 weeks off work for recovery, it may take up to 6 months for swelling to completely disappear.

    Normally, Rhinoplasty surgery takes around 2-3 hours to complete

    Rhinoplasty is a widely performed cosmetic surgery procedure for both women and men. Notably, in the UK, it stands as the most frequently sought-after cosmetic surgery among men.

    This procedure incorporates recognised surgical techniques suitable for both men and women, although gender differences in nasal structure yield distinct treatment goals. These structural distinctions often lead to different objectives for each gender.

    Patients opt for rhinoplasty for various reasons, including addressing functional issues like breathing difficulties, enhancing the nose's aesthetics in harmony with their facial features, boosting self-confidence, and rectifying facial asymmetry. Common nasal irregularities include dorsal humps, bulbous or boxy tips, septal deviations, droopy nasal tips, narrow or wide noses, and noses deviated due to injury. The rhinoplasty surgeon's primary role is to identify the distinguishing features between male and female noses and devise surgical strategies to correct these abnormalities.

    In men, rhinoplasty frequently involves achieving a straighter angle, enhancing definition, and reducing bulbous features. This results in a more pronounced appearance that complements the overall facial aesthetics. Many men also seek rhinoplasty to correct nose deviations from past injuries or to smooth out localised irregularities.

    Conversely, women often opt for more subtle, less conspicuous changes to maintain facial balance. A commonly requested procedure is to reduce the appearance of a droopy nasal tip, often associated with a dorsal hump. Our surgeons, for both men and women, are skilled in addressing individual nasal concerns that hold personal significance. Typically, men seek a more chiseled or defined nose without excessive narrowing that could create a pinched nasal tip. The art of rhinoplasty surgery lies in tailoring each procedure to the patient's unique anatomy to help them achieve their objectives.

    In many instances, there are marked differences in nasal structure between men and women. Women often have shorter noses and thinner skin, while many men possess thicker, more sebaceous skin. This thicker skin can lead to a larger, bulbous nasal tip, a feature more common in men and sometimes associated with a condition called rhinophyma.

    The global COVID-19 pandemic has resulted in a surge of video conferencing, making many men more self-conscious about their appearance during these virtual interactions. Rhinoplasty distinguishes itself from other cosmetic surgeries by not only enhancing aesthetics but also improving the nose's functionality to restore overall facial balance. Patients, particularly men, who undergo rhinoplasty often report heightened self-confidence, leading to increased comfort in their appearance during video calls.

    Male nose job surgery can be combined with other facial procedures, with the most prevalent combination being chin augmentation using an implant to achieve a more defined and stronger chin profile in addition to rhinoplasty.

    As one of the UK's most reputable private rhinoplasty units, Dr. Frati is proficient in a range of rhinoplasty techniques, including open rhinoplasty, closed rhinoplasty, septo-rhinoplasty, rhino tip surgery, ultrasonic rhinoplasty, and revision rhinoplasty.

    Preparation for rhinoplasty, involves several crucial measures to facilitate a smooth surgery and a comfortable, speedy recovery. Here are key steps that patients should take in readiness for rhinoplasty:

    1. Consultation with a Qualified Plastic Surgeon: It's essential to consult with a seasoned plastic surgeon experienced in rhinoplasty, such as Dr. Frati. The surgeon will assess the patient's unique case, discuss their surgery objectives, and provide a comprehensive overview of the procedure, including potential risks and complications.
    2. Medical Evaluation: Patients must undergo a medical evaluation to ensure they are in good health and eligible for safe surgery. Dr. Frati will review your medical history, conduct a physical examination, and order any necessary lab tests.
    3. Smoking Cessation and Medication Review: Smoking can impede the healing process, so patients should quit smoking at least six weeks before the surgery. Additionally, certain medications, such as aspirin and non-steroidal anti-inflammatory drugs (NSAIDs), should be avoided, as they can elevate the risk of bleeding.
    4. Arrange Post-Operative Care: You should make arrangements for post-operative care, including transportation home after the surgery and having someone to stay with them for the initial few days to assist with tasks like bathing and dressing.
    5. Adherence to Pre-Operative Instructions: Dr. Frati will furnish the patient with detailed pre-operative instructions, covering dietary and beverage guidelines, pre-surgery preparation, and post-surgery wound care. Adhering closely to these instructions is crucial for a smooth recovery.
    6. Understanding the Recovery Process: The recovery following rhinoplasty can span several weeks. You should familiarise yourself with what to expect during this phase and plan accordingly. Swelling and bruising are normal post-surgery effects, and activities such as sports, heavy lifting, and exercise should be avoided for at least two weeks.
    7. Realistic Expectations: It is paramount for patients to harbour realistic expectations regarding the surgery's outcomes. It is important to comprehend that the final results will only become visible once the swelling has entirely subsided.

    By following these steps, you can effectively prepare for rhinoplasty, ensuring a smooth surgical experience with Dr. Frati and a comfortable, expedited recovery.

    The type and location of scars resulting from a nose job (rhinoplasty) are contingent on the specific technique employed by Dr. Frati. In an "open" rhinoplasty, an incision is made across the columella (the skin between the nostrils), enabling the surgeon to lift the skin from the underlying nasal structures. This grants access to the underlying cartilage and bone for necessary adjustments. In a "closed" rhinoplasty, all incisions are internal, minimising visible scarring. Nevertheless, the chosen technique will also consider individual cases, patient requirements, and Dr. Frati's preference.

    Following the surgery, incisions are closed with sutures, and the healing process spans several weeks to months. Once healing is complete, most scars are concealed within the natural creases of the nose, making them inconspicuous. Nonetheless, it's important to bear in mind that the final results of the surgery may not be immediately apparent. It may take several months for swelling to subside and for the definitive shape of the nose to emerge.

    It's essential to acknowledge that scarring is an inherent component of any surgical procedure. While all possible efforts are made to minimise scarring, there is no absolute guarantee that scars will remain entirely imperceptible. Therefore, it is crucial to discuss potential scarring with Dr. Frati before opting for the surgery.

    Other Types of Rhinoplasty

    Open rhinoplasty is a surgical technique used for nasal reshaping (rhinoplasty) in which the surgeon makes an incision on the external skin of the nose, usually along the columella, which is the narrow strip of tissue that separates the nostrils. This approach is also known as the "external" or "open structure" rhinoplasty technique. It is distinguished from closed rhinoplasty, where all incisions are made inside the nostrils, resulting in no external scars.

    A quick summary of how Open Rhinoplasty Works

    Incision: In an open rhinoplasty, the surgeon creates a small incision on the columella, the fleshy strip of skin and tissue that separates the nostrils. This external incision allows the surgeon better visibility and access to the internal structures of the nose.

    Visualisation: By lifting the nasal skin and tissue, the surgeon gains a direct and clear view of the nasal cartilage and bone. This enhanced visibility is particularly useful for complex or detailed nasal surgeries.

    Surgical Precision: The open rhinoplasty approach offers greater control and precision in reshaping the nasal structures, making it well-suited for cases where extensive changes or reconstructions are required.

    Suture Closure: After the necessary alterations have been made to the nasal framework, the surgeon meticulously closes the external incision with fine sutures. Over time, the scar on the columella usually becomes quite inconspicuous and often fades significantly.

    Open rhinoplasty is typically chosen in the following situations:

    - Complex or revision rhinoplasty: When significant structural changes are needed or when the patient has undergone prior nasal surgery.
    - Cases requiring precise control: Surgeons may prefer the open approach for intricate refinements, such as tip work or graft placement.
    - Improved visibility: Surgeons may opt for open rhinoplasty to achieve a better view of the nasal anatomy, making it easier to address specific concerns.

    It's essential to consult with a board-certified plastic surgeon such as Dr. Frati to determine the most appropriate rhinoplasty technique for your unique goals and needs. Dr. Frati can  consider your nasal anatomy, aesthetic objectives, and any prior surgeries to recommend the best approach for you.

    Closed rhinoplasty, also known as endonasal rhinoplasty or scarless rhinoplasty, is a surgical technique used for nasal reshaping (rhinoplasty) in which all the incisions are made inside the nostrils. Unlike open rhinoplasty, which involves an external incision on the columella (the strip of tissue that separates the nostrils), closed rhinoplasty is performed entirely through the nostrils. This approach is known for leaving no external scars.

    Here's an overview of closed rhinoplasty:

    Internal Incisions: In closed rhinoplasty, the surgeon makes incisions on the inside of the nose, typically within the nostrils. These incisions provide access to the nasal structures that need to be modified or reshaped.

    Limited Visibility: Since the surgeon works through small internal incisions, the visibility of the nasal anatomy is somewhat limited compared to open rhinoplasty. However, skilled surgeons are experienced in working within these constraints.

    Tissue Manipulation: The surgeon can access and manipulate the nasal bones, cartilage, and soft tissues to achieve the desired changes to the nose's shape, size, and structure.

    Suture Closure: After making the necessary modifications, the surgeon closes the internal incisions with sutures. Since there are no external incisions, there are no visible external scars.

    Closed rhinoplasty is commonly chosen in the following situations:

    - Minor to moderate nasal reshaping: When the desired changes to the nose are relatively straightforward and don't require extensive exposure or structural alterations.
    - Patients concerned about visible scarring: Closed rhinoplasty is often recommended for individuals who want to minimize the risk of external scarring, as there are no visible scars on the outside of the nose.
    - Faster recovery: Some patients may experience a quicker recovery with closed rhinoplasty due to the absence of external incisions.

    The choice between closed and open rhinoplasty depends on various factors, including the complexity of the procedure, the surgeon's preference and expertise, and the patient's specific goals and anatomy. A consultation with Dr. Frati is essential to determine the most suitable rhinoplasty approach for an individual's needs.

    Tip rhinoplasty, also known as nasal tip surgery, is a specific type of rhinoplasty procedure that focuses primarily on altering and refining the shape, size, and appearance of the nasal tip. Unlike a full rhinoplasty, which can involve changes to the entire nose, tip rhinoplasty targets the lower portion of the nose, specifically the nasal tip and the surrounding structures.

    Some common goals of tip rhinoplasty include:

    Nasal Tip Refinement: Tip rhinoplasty is often performed to refine and reshape a bulbous or wide nasal tip. Surgeons can sculpt the tip to make it more defined and proportionate to the rest of the nose and face.

    Nasal Tip Projection: Some individuals have a nasal tip that is too flat or lacks projection. Tip rhinoplasty can be used to increase the projection of the tip, giving it a more prominent appearance.

    Tip Rotation: The angle at which the nasal tip points can be adjusted during tip rhinoplasty. Surgeons can rotate the tip upward (upward rotation) or downward (downward rotation) to achieve the desired aesthetic.

    Nostril Size and Shape: In some cases, tip rhinoplasty may also involve adjustments to the size and shape of the nostrils, particularly if they are asymmetrical or flared.

    Correction of Minor Irregularities: Tip rhinoplasty can address minor irregularities or asymmetries in the nasal tip, such as cartilage asymmetry or unevenness.

    It's important to note that tip rhinoplasty is a more focused and less invasive procedure compared to a full rhinoplasty. It is often chosen by individuals who are generally satisfied with the appearance of the upper part of their nose but seek specific improvements in the tip region. As with any cosmetic surgery, it's crucial to consult with a board-certified plastic surgeon such as Dr. Frati for your specific needs.

    Alarplasty, also known as alar base reduction or nostril reduction surgery, is a cosmetic surgical procedure that focuses on altering the size and shape of the nostrils. This procedure is often performed to address concerns related to the width or flaring of the nostrils, helping to achieve better facial harmony and balance.

    Here's an overview of alarplasty:

    Nostril Reduction: Alarplasty specifically targets the alar base, which is the area where the nostrils meet the cheeks. It involves the surgical modification of the nostrils to reduce their width or flare.

    Incisions: Typically, small incisions are made at the junction between the nostrils and the cheeks, near the outer edges of the nostrils. The precise location and size of these incisions can vary depending on the individual's anatomy and the desired outcome.

    Tissue Removal: The surgeon may remove a wedge-shaped piece of tissue from the base of the nostrils to narrow them. This tissue removal is carefully planned to ensure that the nostrils maintain a natural and symmetrical appearance.

    Suture Closure: After the necessary tissue adjustments are made, the surgeon closes the incisions with sutures. These sutures are usually absorbable and do not need to be removed.

    Alarplasty is typically performed for the following reasons:

    • Wide or Flaring Nostrils: Individuals with wide or flaring nostrils may seek alarplasty to achieve a more proportionate and balanced appearance.
    • Facial Harmony: Alarplasty can help enhance facial harmony by reducing the prominence of the nostrils, making them more in line with other facial features.
    • Ethnic Rhinoplasty: Alarplasty is sometimes part of ethnic rhinoplasty procedures, as people from different ethnic backgrounds may have specific aesthetic concerns related to the shape and width of their nostrils.

    Alarplasty is considered a relatively straightforward and minimally invasive procedure when compared to more extensive rhinoplasty surgeries. However, it is still a surgical procedure that should be performed by a board-certified plastic surgeon such as Dr. Frati. Dr. Frati will work closely with the patient to determine the desired outcome and create a treatment plan tailored to their specific goals.

    Septoplasty is a surgical procedure performed to correct a deviated septum, a condition in which the nasal septum (the thin wall of cartilage and bone that separates the two nasal passages) is crooked or displaced, causing obstruction or blockage in one or both nostrils. This obstruction can lead to various nasal and breathing problems.

    Here's an overview of septoplasty:

    Diagnosis: Before septoplasty, a patient typically undergoes a thorough evaluation by an ear, nose, and throat (ENT) specialist or a rhinologist. This evaluation may include a physical examination, nasal endoscopy, and sometimes imaging studies like a CT scan to assess the extent and location of the septal deviation.

    Surgical Procedure: Septoplasty is performed under local or general anesthesia, depending on the patient's and surgeon's preferences. During the procedure, the surgeon makes an incision inside the nostril to access the deviated septum.

    Straightening the Septum: The surgeon carefully lifts the mucosal lining covering the septum and then reshapes or repositions the deviated septum, often by trimming, removing, or repositioning the cartilage and bone. The goal is to create a straighter, more symmetrical nasal septum that allows for improved airflow through the nasal passages.

    Closing the Incision: After the necessary adjustments are made to the septum, the surgeon closes the incision with dissolvable sutures or other closure techniques. No external incisions or visible scars are typically associated with septoplasty since all the work is done inside the nostrils.

    Septoplasty is primarily performed to address functional issues related to a deviated septum, including:

    • Nasal obstruction: Correcting a deviated septum can alleviate difficulty breathing through the nose, reduce nasal congestion, and improve airflow.
    • Snoring and Sleep Apnea: In some cases, septoplasty can help reduce snoring and improve sleep apnea symptoms by opening the airway.
    • Chronic Sinusitis: A deviated septum can contribute to chronic sinusitis. Septoplasty may be part of the treatment plan for individuals with recurrent sinus infections.

    It's important to note that septoplasty is a medical procedure aimed at improving nasal function, and its primary goal is not cosmetic. However, some individuals may choose to combine septoplasty with cosmetic rhinoplasty to address both functional and aesthetic concerns simultaneously. Septoplasty is considered a relatively safe and effective procedure when performed by a skilled and experienced ENT surgeon or rhinologist. Recovery times can vary, but most patients can return to their normal activities within a week or two following surgery.

    Septorhinoplasty is a surgical procedure that combines two distinct nasal surgeries: septoplasty and rhinoplasty. This combined procedure is performed to address both functional and cosmetic issues of the nose. Here's a breakdown of what each component entails:

    Septoplasty: This part of the procedure focuses on correcting a deviated septum, which is the thin wall of cartilage and bone that separates the two nasal passages. A deviated septum can lead to breathing difficulties, nasal congestion, and other functional problems. During septoplasty, the surgeon makes internal incisions inside the nostrils, repositions or removes the deviated portions of the septum, and straightens it to improve nasal airflow and function.

    Rhinoplasty: Rhinoplasty, often referred to as a "nose job," is a cosmetic surgery that focuses on altering the size, shape, or appearance of the nose to enhance its aesthetics. This component of septorhinoplasty allows patients to address concerns related to the external appearance of the nose. It can involve reshaping the nasal tip, reducing or augmenting the nasal bridge, refining the nostrils, or addressing other cosmetic issues.

    Septorhinoplasty is typically chosen by individuals who have both functional and aesthetic concerns about their nose. Common reasons for undergoing septorhinoplasty include:

    •  Correcting breathing problems caused by a deviated septum while simultaneously improving the appearance of the nose.
    •  Enhancing facial harmony by addressing cosmetic issues such as a hump on the bridge of the nose, a bulbous nasal tip, or asymmetry.
    •  Addressing trauma-related injuries to the nose that have resulted in both functional and cosmetic deformities.
    •  Combining septoplasty with rhinoplasty allows for a more comprehensive approach to nasal surgery, ensuring that both functional and aesthetic goals are achieved in a single procedure.

    Septorhinoplasty is a complex surgical procedure that requires the expertise of a skilled and experienced plastic surgeon such as Dr. Frati. The specific techniques used and the surgical plan will vary depending on the individual's unique anatomy and goals. Recovery times and post-operative care will also depend on the extent of the surgery and the patient's overall health. Patients considering septorhinoplasty should have a thorough consultation with Dr. Frati to discuss their concerns, expectations, and the potential benefits and risks of the combined procedure.

    Preservation rhinoplasty, also known as preservation or preservationist rhinoplasty, is an approach to nasal surgery that emphasizes maintaining and preserving the natural structures of the nose as much as possible while making subtle, conservative changes to improve its appearance. This technique stands in contrast to traditional or "reductive" rhinoplasty, where significant cartilage and bone removal may be involved to achieve the desired cosmetic changes.

    Key features of preservation rhinoplasty include:

    Minimal Tissue Removal: Preservation rhinoplasty involves minimal removal of cartilage and bone from the nose. Surgeons aim to retain as much of the patient's natural nasal anatomy as possible.

    Respect for Nasal Function: This approach prioritises preserving nasal function and maintaining proper airflow through the nasal passages. Functional aspects of the nose, such as the nasal septum and other supporting structures, are carefully preserved.

    Natural Results: Preservation rhinoplasty focuses on achieving results that look natural and harmonious with the patient's facial features. The goal is to create subtle and proportionate changes rather than dramatic alterations.

    Reduced Risk of Complications: Since the procedure is less invasive and involves less tissue manipulation, there may be a reduced risk of complications, such as structural issues or breathing problems, that can occur in more extensive rhinoplasty procedures.

    Shorter Recovery Time: Patients undergoing preservation rhinoplasty may experience a shorter recovery period compared to traditional rhinoplasty, as there may be less swelling and bruising.

    Preservation rhinoplasty can be an attractive option for individuals who are primarily seeking subtle cosmetic enhancements to their nose without drastically altering their natural appearance or risking functional issues. It may also be suitable for those with concerns about the long-term structural integrity of their nose.

    It's important to note that preservation rhinoplasty is not suitable for every patient or every desired outcome. The appropriateness of this approach depends on the patient's specific nasal anatomy, goals, and the expertise of the surgeon. Patients interested in preservation rhinoplasty should consult withDr. Frati to determine the most suitable approach for their individual needs and expectations.

    Ultrasonic rhinoplasty is an advanced surgical technique that utilizes ultrasonic instruments, specifically ultrasonic bone-cutting devices, to perform precise and controlled bone reshaping during a rhinoplasty procedure. This technique has gained popularity in the field of cosmetic and reconstructive rhinoplasty because it offers several advantages over traditional methods of bone manipulation.

    Here's how ultrasonic rhinoplasty works and its key features:

    Ultrasonic Instruments: Ultrasonic rhinoplasty employs specialised ultrasonic instruments that emit high-frequency sound waves. These waves are used to cut, sculpt, and shape bone and cartilage in a controlled and precise manner.

    Precise Bone Sculpting: Traditional rhinoplasty techniques often involve the use of chisels or osteotomes to reshape the nasal bones. Ultrasonic instruments allow for more accurate and fine-tuned bone sculpting, reducing the risk of fractures, irregularities, and complications.

    Minimised Trauma: Ultrasonic rhinoplasty is considered less traumatic to the surrounding tissues compared to traditional methods. This can result in reduced post-operative swelling and bruising, potentially leading to a faster recovery and less discomfort for the patient.

    Customised Results: Surgeons can achieve highly customised and precise results with ultrasonic rhinoplasty. The technique allows for intricate adjustments to the nasal bones, including dorsal hump reduction, narrowing of the nasal bridge, and other bone-related modifications.

    Versatility: Ultrasonic rhinoplasty can be used in various types of rhinoplasty procedures, including primary (first-time) rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty, to address a wide range of aesthetic and functional concerns.

    Enhanced Safety: The precision of ultrasonic instruments minimises the risk of accidental damage to adjacent structures, such as the nasal septum or soft tissues, further enhancing the safety of the procedure.

    Shorter Recovery: Some patients may experience a shorter recovery time with ultrasonic rhinoplasty due to reduced trauma to the tissues and less post-operative swelling.

    It's important to note that ultrasonic rhinoplasty is a specialised technique that requires the surgeon to have specific training and experience with ultrasonic devices. Not all rhinoplasty surgeons may offer this option, so patients interested in ultrasonic rhinoplasty should seek out a consultation with Dr. Frati.

    As with any surgical procedure, it's essential for patients to have a thorough consultation with Dr. Frati to discuss their goals, expectations, and the most suitable approach for their individual needs.

    Ethnic rhinoplasty, also known as cultural or ethnic nose surgery, is a specialized branch of rhinoplasty that focuses on reshaping and enhancing the nose while taking into consideration the unique characteristics and aesthetic preferences of individuals from various ethnic backgrounds. The goal of ethnic rhinoplasty is to achieve a nose that is both harmonious with the individual's facial features and culturally appropriate.

    Key features of ethnic rhinoplasty include:

    Cultural Considerations: Ethnic rhinoplasty acknowledges that different ethnic groups have distinct nasal and facial characteristics. Surgeons work to preserve these ethnic features while addressing specific concerns or requests from the patient.

    Customisation: Each ethnic group may have its own ideal of beauty and specific nasal traits that are considered desirable. Ethnic rhinoplasty aims to customise the procedure to achieve a result that aligns with the patient's cultural background and personal preferences.

    Respect for Natural Beauty: Ethnic rhinoplasty does not seek to westernise or homogenise the appearance of the nose. Instead, it respects and enhances the patient's natural beauty while addressing any functional or aesthetic concerns.

    Balancing Proportions: Surgeons performing ethnic rhinoplasty focus on achieving balance and harmony between the nose and other facial features. This often involves modifying the nasal bridge, tip, or nostrils to create a more proportional appearance.

    Functional Improvements: In some cases, ethnic rhinoplasty may also involve addressing functional issues, such as a deviated septum or breathing difficulties, to improve the overall nasal function.

    • Ethnic rhinoplasty is commonly sought by individuals who wish to refine or enhance the appearance of their nose while maintaining their cultural identity and unique features. Some examples of ethnic rhinoplasty goals for specific groups may include:
    • African American Rhinoplasty: Addressing concerns related to a wide nasal base, a broad or flat nasal bridge, or nostril shape and size.
    • Asian Rhinoplasty: Enhancing the nasal bridge, tip projection, or addressing issues related to a less defined nasal tip.
    • Hispanic/Latino Rhinoplasty: Balancing proportions of the nasal bridge and tip while preserving natural ethnic features.
    • Middle Eastern Rhinoplasty: Addressing concerns about nasal hump reduction, tip refinement, or nostril shape.

    It's essential for individuals considering ethnic rhinoplasty to consult with Dr. Frati who has experience working with patients from diverse cultural backgrounds. A thorough consultation will help ensure that the surgical plan aligns with the patient's cultural preferences and aesthetic goals.

    Turbinoplasty Benefits

    Turbinoplasty offers a multitude of advantages that extend well beyond its immediate surgical outcomes, enhancing the patient’s overall quality of life and well-being.

    One of the primary culprits of nasal obstruction is the enlargement, known as hypertrophy, of the turbinate bones within the nasal passage. By reducing the size of these turbinates, the surgery effectively addresses this issue, restoring easy breathing and alleviating the discomfort associated with nasal blockage.

    Additionally, turbinoplasty can significantly alleviate the symptoms of rhinitis, an inflammatory condition affecting the nasal mucous membranes. Rhinitis is typically characterised by frequent sneezing and congestion, which can be notably improved following the procedure. Furthermore, this surgery can act as a preventive measure, lowering the risk of future rhinitis development.

    Turbinoplasty brings considerable benefits to individuals facing breathing difficulties and those diagnosed with sleep apnea. By enhancing nasal airflow, the surgery contributes to more comfortable and efficient respiration, both during waking hours and sleep.

    People who grapple with frequent snoring and disrupted breathing during the night can also experience substantial improvements from this surgery. By addressing the root causes of these issues, turbinate surgery can lead to more restful and uninterrupted sleep.

    For those dealing with chronic nasal obstruction, turbinate surgery offers long-term relief, effectively rectifying this persistent problem and freeing patients from associated discomfort and inconvenience.

    In some cases, turbinoplasty can also include the correction of a deviated septum. This adjustment can greatly enhance breathing efficiency and comfort, particularly for individuals experiencing noticeable symptoms due to septal deviation.

    Lastly, turbinoplasty can serve as an effective preventive measure against recurring sinusitis. By improving airflow and drainage in the nasal passages, the surgery reduces the likelihood of developing this often painful and disruptive condition.

    Turbinoplasty Cost in London

    The overall cost of undergoing turbinoplasty in London is influenced by several factors, and this surgical procedure is customized to meet the unique needs of each patient. Therefore, costs can vary considerably. Here are some key elements that contribute to the cost:

    1. Size of the Operation: The extent of the surgery is a significant factor in determining its cost. A more extensive turbinoplasty procedure, which may involve addressing larger turbinates or a complex nasal structure, typically incurs a higher cost than a simpler operation.
    1. Potential Complications: If any complications arise during your procedure, whether expected or unforeseen, they can increase the cost of the surgery. For instance, the need for additional treatment or an extended hospital stay will naturally raise the overall cost.
    1. Anaesthesia Type: The choice of anaesthesia used can have a substantial impact on the operation’s cost. General anaesthesia, involving an anaesthetist, generally carries a higher cost compared to local anaesthesia.
    1. Specific Surgical Technique: The surgical technique selected by your surgeon for turbinoplasty can also influence the price of the operation. More advanced or complex techniques may come with a higher price due to the specialised skills required to perform them or the use of advanced surgical tools.

    It is essential to consider these factors when contemplating turbinoplasty and thoroughly discuss all potential costs with your surgical team beforehand. By doing so, you can make an informed decision regarding the best surgical options tailored to your unique needs and gain a clear understanding of the financial implications involved.

    Are there any Risks to Turbinoplasty?

    Turbinoplasty, like any surgical procedure, carries certain risks and potential complications, although it is generally considered to be safe and effective. It’s important to discuss these risks with your surgeon during your consultation. Some of the possible risks associated with turbinoplasty include:

    1. Infection: While infections are rare, there is a small risk of infection at the surgical site. This can typically be treated with antibiotics.
    2. Bleeding: Some post-operative bleeding is normal, but excessive bleeding can occur in rare cases. Your surgeon will provide instructions on how to manage bleeding.
    3. Scarring: Turbinoplasty typically involves making incisions inside the nostrils, which usually results in minimal scarring. In some cases, excessive scarring or adhesions (synechia) may occur and require further treatment.
    4. Nasal Airway Changes: In some cases, changes in the nasal airway, including dryness, crusting, or increased airflow, may occur. Proper post-operative care can help manage these issues.
    5. Nasal Septum Perforation: In very rare cases, a hole or perforation in the nasal septum (the wall that separates the nasal passages) may occur. This can cause issues with airflow and may require further treatment.
    6. Incomplete Improvement: While turbinoplasty is generally effective in relieving nasal congestion, it may not always completely resolve the issue, and additional treatments may be necessary.
    7. Anesthesia Risks: As with any surgical procedure, there are risks associated with anesthesia, including allergic reactions, adverse effects, or complications. Your anesthesiologist will discuss these risks with you before the surgery.
    8. Unsatisfactory Results: While the primary goal of turbinoplasty is to improve nasal breathing, individual results may vary, and the procedure may not always meet your expectations.

    It’s essential to choose a skilled and experienced surgeon who specialises in nasal procedures like turbinoplasty to minimise the risks associated with the surgery. Additionally, closely following your surgeon’s post-operative care instructions can help reduce the likelihood of complications and ensure a successful recovery.

    Before undergoing turbinoplasty, discuss your concerns, goals, and any pre-existing medical conditions with your surgeon. They will provide you with a detailed understanding of the risks and benefits specific to your situation and help you make an informed decision about the procedure.

    Turbinoplasty Recovery

    The recovery process following a turbinoplasty procedure can vary significantly in terms of duration and complexity, depending on the specific surgical approach and instruments employed during the operation. A straightforward and minimally invasive turbinate reduction surgery often leads to a full recovery within approximately three weeks. However, for more complex or invasive surgeries, the recovery period may extend up to six months.

    Effective post-operative care plays a crucial role in facilitating your healing journey. In the initial week following the surgery, your surgeon may place gauze in your nostrils to provide support and aid in the healing process. During this recovery phase, you may experience swelling in various facial areas, including the nose, cheeks, and eyes. Some patients may also notice lip swelling. Additionally, swelling, bruising, soreness, and numbness are common but can be effectively managed with pain medications prescribed by your surgeon.

    To alleviate nasal congestion, you may be prescribed a saline nasal spray. Furthermore, using a humidifier in your living spaces can help relieve the sensation of nasal stuffiness.

    It is crucial to allow your body the necessary time to recover. Avoid strenuous physical activities for a period ranging from two to seven days following the surgery, as excessive exertion may impede the healing process. During this recovery phase, it is advisable to refrain from behaviours such as wide smiling, excessive talking, or consuming hard foods, as these actions could potentially irritate the healing nasal tissue.

    To ensure the most successful outcome and a smooth recovery, it is essential to adhere to these guidelines and maintain open communication with your surgeon. By following your surgeon’s guidance and taking it easy, you can anticipate a prompt recovery and improved nasal function.

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