Open Rhinoplasty in London
What is Open Rhinoplasty?
Open rhinoplasty is a precise surgical technique used to reshape and refine the nose through a small incision at the base of the columella (the strip of tissue separating the nostrils). This approach allows your surgeon full visibility and access to the underlying nasal structures, enabling greater accuracy and control when sculpting the bone and cartilage framework.
At Real Plastic Surgery, Mr Naveen Cavale, Consultant Plastic and Reconstructive Surgeon, performs open rhinoplasty in London for both aesthetic and functional improvements. His approach prioritises natural, balanced results that respect each patient’s facial proportions and unique anatomy.
Open rhinoplasty is often recommended for patients requiring detailed structural changes, revision procedures, or correction of complex nasal deformities, where precision and visibility are essential for optimal outcomes.
Open rhinoplasty from £10,000
Schedule a consultation with one of the best rhinoplasty surgeons in London
Before and After
Why Choose an Open Rhinoplasty?
The open approach provides your surgeon with direct access to the nasal framework, which can be particularly beneficial when:
- Reshaping or refining the nasal tip
- Correcting asymmetry or deformities
- Repairing previous surgery (revision rhinoplasty)
- Addressing breathing issues alongside aesthetic goals
- Creating a more proportionate nasal contour that harmonises with the rest of the face
Unlike closed rhinoplasty, where incisions are made only inside the nostrils, open rhinoplasty allows for meticulous adjustment and long-lasting definition, especially in cases that require grafting or reconstruction.
At Real Plastic Surgery, Mr Cavale’s philosophy is to enhance, not over-alter. His results are subtle, proportionate, and tailored to complement your natural facial balance.
Techniques Used in Open Rhinoplasty
Every open rhinoplasty procedure is personalised to the patient’s needs, but it may include one or more of the following techniques:
Structural Grafting
Cartilage grafts (taken from the septum, ear, or rib) are used to support or reshape the nasal framework, ensuring long-term stability and definition.
Tip Refinement
The open approach allows precise control over nasal tip projection, rotation, and symmetry, improving contour and profile from every angle.
Bridge Reshaping or Augmentation
Subtle refinement of the bridge can enhance harmony between the nose, forehead, and chin. In cases of previous trauma or congenital irregularities, bridge height and smoothness can be restored.
Functional Correction
For patients experiencing difficulty breathing due to septal deviation or internal valve collapse, functional rhinoplasty can be combined with aesthetic reshaping to improve both appearance and airflow.
Each procedure is meticulously planned and executed by Mr Cavale to create refined, natural-looking results that age gracefully with your features.
Treatment Time
Between 2 and 2.5 hours. We use a general anaesthetic and you can usually go home on the same day.
Downtime
10 - 14 days off work.
Reasonable Mobility
We recommend patients begin gentle movement around two days after surgery. Light activities such as walking, climbing stairs, and carrying out basic daily tasks are encouraged to support circulation and recovery.
Sport & Exercise
You can begin exercising and doing more strenuous activities at six weeks.
Driving
Most patients can resume driving two weeks after surgery, provided they feel comfortable.
Shower
You can shower the day after surgery, but it's important to keep any wounds and dressings clean and completely dry.
Full Recovery
Between six months to a full year. While most swelling subsides within the first few months, subtle changes and final results may continue to develop over time.
Maintenance
Rhinoplasty provides a permanent solution. It can be combined with other surgical and non-surgical procedures when looking to rejuvenate the appearance and reduce signs of ageing.
Reason for doing this?
To address aesthetic and structural concerns such as dorsal humps, nasal deviation, asymmetry, or disproportionate nasal size. The procedure also aims to improve nasal contour and function, including correction of breathing difficulties caused by internal nasal obstruction (e.g. deviated septum).
Reasons to Avoid
If you have any doubts. Our team of experts will support and guide you through your treatment journey. During your consultation, Mr Cavale will determine your suitability and your certainty.
The Patient Journey: Open Rhinoplasty
Your open rhinoplasty in London journey begins with a comprehensive consultation with Mr Naveen Cavale at the REAL Clinic in Battersea. During this 30-minute appointment, he will assess your nasal structure, review your goals, and develop a bespoke surgical plan tailored to your anatomy and desired outcome.
Virtual consultations are available initially, though an in-person meeting is essential before finalising the surgical plan. Mr Cavale encourages open discussion and careful consideration to ensure every patient feels confident in their decision before proceeding.
What to Expect on the Day:
Open rhinoplasty is performed under general anaesthesia as a day-case procedure, typically lasting around two to three hours. A small incision is made at the base of the columella, connecting to hidden internal incisions inside the nostrils. This heals as a fine, barely visible line once recovery is complete.
Following surgery, you’ll need someone to accompany you home and stay overnight for support. Aftercare includes direct contact with our nursing team via WhatsApp or phone, with a follow-up appointment at one week to remove dressings and sutures.
A six-week review is scheduled to monitor healing and early results, with continued refinement over the next few months as swelling subsides. Should you have any concerns, Mr Cavale and the Real Plastic Surgery team are always available to offer reassurance and guidance throughout recovery.
Book a Consultation
If you’re considering open rhinoplasty in London, book a consultation with Mr Naveen Cavale at Real Plastic Surgery. As an experienced open rhinoplasty surgeon, Mr Cavale combines reconstructive expertise with a deep understanding of facial balance to deliver results that are elegant, proportionate, and distinctly natural.
Frequently Asked Questions
What is the difference between open and closed rhinoplasty?
Open rhinoplasty involves a small incision on the columella, allowing direct visibility of the nasal framework for precise reshaping. Closed rhinoplasty uses incisions hidden entirely within the nostrils but offers less visibility for complex corrections.
Will there be visible scarring?
The incision made during open rhinoplasty typically heals as a fine, faint line under the nose. In most cases, it becomes almost imperceptible over time.
Who is suitable for open rhinoplasty?
Open rhinoplasty is suitable for patients requiring significant tip refinement, structural support, or correction of previous nasal surgery. It is often chosen for complex or revision cases.
How long is recovery?
Most patients return to work within one to two weeks, with light exercise resumed after three to four weeks. Swelling gradually improves over several months, and final results are typically visible within six to twelve months.
How much does open rhinoplasty cost?
The cost of open rhinoplasty in London varies depending on the complexity of the surgery and whether functional correction is combined with aesthetic work. Prices usually start from £10,000. A detailed quotation is provided after your consultation at the REAL Clinic in Battersea. For more details, visit our pricing page.
Will my results look natural?
Yes. Mr Cavale’s approach focuses on refinement and harmony rather than over-correction. His goal is to achieve a natural enhancement that complements your facial features.
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