Rhinoplasty, often called a nose job, changes the shape or size of the nose. At London ENT, Professor Paul Chatrath offers consultations for cosmetic rhinoplasty and surgery addressing nasal structure and breathing concerns.

Your consultation is an opportunity to discuss what you would like to change, whether surgery is appropriate and what results may be achievable. The benefits, limitations and risks need to be considered together.

To arrange a consultation, call 020 3865 7225 or email contact@london-ent.co.uk.

Cosmetic rhinoplasty and nasal breathing problems

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You may be considering surgery to change the bridge, tip, width or overall proportions of your nose, or following a nasal injury. If breathing is also a concern, the assessment needs to consider its cause before a treatment is recommended.

Septoplasty addresses the nasal septum. Septorhinoplasty combines work on the septum with reshaping or reconstruction of the nose. Nasal valve surgery may be relevant when narrowing or weakness at the nasal valve contributes to obstruction. These procedures are not interchangeable; the appropriate option depends on your assessment.

Read more about septoplasty and nasal valve surgery.

What to discuss at your consultation

Explain what concerns you about your nose and whether your priorities relate to appearance, breathing or both. Bring details of previous nasal surgery or injury, relevant medical conditions and the medicines or supplements you take.

Questions to ask include:

  • What changes are realistic for my nose?
  • Which approach would you recommend, and why?
  • What are the risks and limitations in my case?
  • Can I see relevant examples of your previous work?
  • Where would surgery and follow-up take place?
  • What would the quotation include, and what happens if further treatment is needed?

See our hospital and clinic locations.

Rhinoplasty costs in London

Our published guide price for cosmetic rhinoplasty is £7,000–£10,000. This is an estimate, and the final cost depends on the hospital, the complexity of surgery and any combined procedures. The guide includes hospital, surgical and anaesthetic fees; confirm the follow-up arrangements and any additional charges in your individual quotation.

The published initial consultation fee is £240 for Professor Chatrath’s professional consultation, excluding any separate hospital or procedure charges.

View our costs and fee information or contact the team to confirm current prices.

Open and closed rhinoplasty

Rhinoplasty can use an open approach, with a small incision between the nostrils, or a closed approach, with incisions inside the nose. The choice depends on the changes required and the surgeon’s assessment. Neither approach is the best option for every patient.

The operation is usually performed under general anaesthetic. The surgical plan, expected duration, hospital stay and use of any grafts or splints should be explained before you decide to proceed.

Preparing for surgery

Follow the individual instructions provided by your surgeon and hospital. These should cover pre-operative checks, medicines, fasting, transport home and support during recovery.

Do not change or stop prescribed medicines on the basis of this webpage. Ask your treating team what applies to you, including any instructions about supplements, smoking or alcohol.

Recovery and time off work

Swelling, bruising and a blocked or uncomfortable nose can occur after surgery. Recovery varies with the procedure and the individual. You may need around two weeks away from work, with longer restrictions for physical work or activities that could injure your nose.

Your surgeon will advise when dressings or splints should be removed and when you can resume exercise, wear glasses or blow your nose. The appearance continues to settle over several months, and some changes may take a year to become apparent.

Follow your own aftercare instructions and contact the treating team if you have severe pain or unexpected symptoms.

Results, limitations and risks

Rhinoplasty aims to address agreed concerns, but a particular appearance or improvement in breathing cannot be guaranteed. Healing and the final result vary, and some patients remain dissatisfied or consider further surgery.

Risks include bleeding, infection, anaesthetic complications, altered smell, persistent or worsened breathing difficulties and an uneven or unwanted result. Your surgeon should explain the risks relevant to your operation and how problems would be managed.

Ask about the arrangements and possible costs if revision surgery is considered. A patient testimonial or a general satisfaction percentage cannot predict your individual outcome.

A patient’s experience

One patient described her experience after revision surgery with Professor Chatrath:

“I was relieved to have found a specialist who could correct the problem which affected my life for such a long period post‑op. … After visiting a Harley Street surgeon, I was diagnosed with an inverted‑V deformity and recommended to Dr Chatrath … Thanks to Dr Chatrath I can breathe again and live my life without steroid sprays and discomfort.”

— Lidia, Spire Roding Hospital, London.

This is an individual patient’s account; results and recovery vary. Read the full account on our testimonials page.

Rhinoplasty explained

For independent patient information about the procedure, recovery and risks, see the NHS rhinoplasty guide and the BAPRAS rhinoplasty guide.

Professor Paul Chatrath – Leading Rhinoplasty Expert

Professor Paul Chatrath, a distinguished figure in the field of ENT and Rhinoplasty, has an impressive academic background, beginning with a preclinical medical degree from the University of Cambridge. His clinical expertise was honed at The Royal London Hospital Medical College, where he earned his MBBS degree, achieving distinctions in several subjects and nearly securing the prestigious University of London Gold Medal.

His surgical journey encompassed foundational training in Cambridge followed by advanced training in Otolaryngology (ENT Surgery) across North London. This rigorous training culminated in his successful completion of the FRCS (ORL-HNS) Intercollegiate examination and attainment of a Certificate of Completion of Training (CCT) in ENT.

Demonstrating a commitment to research and advancement in his field, Professor Chatrath delved into a formal research period, focusing on distinguishing cancerous and benign laryngeal lesions through surface brushings. This groundbreaking work led to an MD higher research degree from the University of London.

Currently, Professor Chatrath is a respected Professor of Rhinology at Canterbury Christ Church University, Kent. Here, he spearheads the rhinology and facial plastic surgery module of the innovative MCh(ENT) program. He also holds a position as Honorary Senior Lecturer at Anglia Ruskin University in Chelmsford, Essex, further cementing his role as a leading educator and practitioner in the field.

Please take a look at our reviews on Doctify.

Arrange a rhinoplasty consultation

To discuss rhinoplasty with London ENT, call 020 3865 7225 or email contact@london-ent.co.uk. You can also view our contact details. Please confirm your consultation location when arranging an appointment.

For more information please contact London ENT. We are based at various hospitals in Essex & London.