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Chief Surgeon

Dr Stefano Cotrufo

Dr Stefano Cotrufo is a Board Certified Plastic Surgeon with over 15 years’ experience working in London as a cosmetic surgery and reconstructive microsurgery specialist. He performs a wide range of cosmetic surgery and non-surgical procedures from his private practice in Harley Street.

Rhinoplasty

Rhinoplasty or nose reshaping can make a huge impact on how you feel about your profile and appearance, whether you’re seeking a subtle alteration or aiming for a dramatic change.

Why choose rhinoplasty?

As a prominent feature, the nose helps to set the character of the face and defines your profile. It’s for this reason that rhinoplasty, septoplasty and nose reshaping are among the most common cosmetic surgery procedures carried out. For many individuals, the surgery gives the nose they feel they should have been born with or corrects a bump, bend or other deformity brought about by an accident. The ultimate goal of this procedure is to create a facial balance that helps you feel more confident and content.


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WHAT CAN RHINOPLASTY ACHIEVE?

  • Reduce or increase the size of your nose

  • Change the nose shape or your nostril span

  • Alter the angle between your nose and upper lip

  • Correct an injury that has left a bump, crook or bend

  • Relieve some breathing problems

  • Reduce a bulbous nose tip

  • Fix depressions on the bridge

  • Shorten long or upturned noses

WHAT ARE THE ALTERNATIVES TO RHINOPLASTY?

For those who want to correct a bulbous nose tip, rhinotip surgery is a less invasive procedure that can be carried out without the bone of the nose being altered in any way. This means no plaster splint is required for the healing period. You may also want to consider the use of fillers in circumstances where you would like to change the shape or broaden the nose in specific areas.

Before your rhinoplasty

Establishing good communications between you and your surgeon and clinic team is an essential component of relaxed and comfortable surgery and this starts with your consultation.

DURING YOUR CONSULTATION, YOU WILL:
  • Have the opportunity to explain your reasons for seeking surgery

  • Be given time to ask advice and pose questions to Dr Cotrufo

  • Undergo a health evaluation and nose and face assessment

  • Discuss the options that are open to you, including costs and timescales

In the run up to your procedure and in the days immediately before surgery you may be asked to make lifestyle changes or to avoid or take particular medication.

This may include:

  • Taking medical tests including blood tests

  • Stopping smoking

  • Adjusting or taking certain medications

  • Avoiding aspirin, herbal supplements and anti-inflammatory drugs

THE RHINOPLASTY PROCEDURE

Under general anaesthesia a rhinoplasty will usually last around two hours, though this will of course depend on the complexity of the procedure.

Your surgeon may reshape your nose through closed rhino surgery, without disturbing nose skin or open, making small incisions between your nostrils.

When you wake, you will find a splint applied to the outside of your nose to help it maintain its new shape.

Nasal tampons or packing will be placed in your nostrils.

AFTER YOUR RHINOPLASTY

Immediately after your surgery you will not be able to breathe through the nose and you may experience swelling and bruising around the eyes. It is likely that you will required to stay overnight at the clinic.

After that:

  • You will usually be able to remove your nasal tampons after 24 hours

  • Your splint should remain in place for around two weeks

  • Swelling should subside in 7-14 days after your nose surgery

STILL HAVE RHINOPLASTY QUESTIONS THAT YOU’D LIKE ANSWERED?

Dr Cotrufo is an expert in cosmetic surgery and reconstructive microsurgery. In particular, he specialises in carrying out surgeries to the face such as rhinoplasty as well as procedures for the neck and breast areas. If you would like to discuss nose surgery procedures and the before and aftercare you can expect to receive should you choose to undergo rhinoplasty or nose reshaping at his clinic, please call 0207 873 2330 to organise a consultation.

Septo Rhinoplasty

Septo-rhinoplasty is a procedure used to improve how you breathe through your nose as well as addressing the cosmetic problem; such as the shape and size of your nose.

The nose is separated in the middle by the nasal septum, dividing it into two nostrils. The nasal septum is made of cartilage and bone. Septo-rhinoplasty involves operating on the bones and cartilage that give your nose its shape and structure (rhinoplasty) and making your septum straight (septoplasty).

The septo-rhinoplasty is used to correct any abnormalities in the septum to allow air to pass through either nostril more easily.

Why choose septo-rhinoplasty?

The nasal septum may be injured or may grow crooked, causing blockage by reducing the area available for air to flow through. The septo-rhinoplasty procedure can help improve the way you breathe.


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WHAT CAN SEPTO-RHINOPLASTY ACHIEVE?
  • Relieve some breathing problems

  • You’ll be able to breathe through both nostrils

  • Correct an injury that has left a bump, crook or bend

  • Reduce or increase the size of your nose

  • Reduce a bulbous nose tip

  • Fix depressions on the bridge

WHAT ARE THE ALTERNATIVES TO SEPTO-RHINOPLASTY?

rhinoplasty is the only way to change the appearance of your nose. If you have a blocked nose caused by a deviated septum, you may be able to only have a septoplasty. It is the only option to improve the way you breathe.

BEFORE YOUR SEPTO-RHINOPLASTY TREATMENT

Dr Cotrufo always invites his patients for at least two consultations before any procedure to make sure everything is clear. The targets are agreed in writing and patients are fully aware of the possible risks and complications associated with septo-rhinoplasty.

DURING YOUR CONSULTATION, YOU WILL:
  • Be able to discuss your circumstances

  • Be given time to ask advice and pose questions to Dr Cotrufo

  • Have a full assessment of your nose, asymmetry and how this is affecting your decision

  • Discuss the options that are open to you, including costs and timescales

  • Ask about risks, benefits and alternatives to septo-rhinoplasty

  • Learn more about the septo-rhinoplasty procedure

THE SEPTO-RHINOPLASTY PROCEDURE
  • The procedure is performed internally, through the nostrils, without the need for external scars.

  • A small cut is made inside one of the nostrils. From this cut, the lining of the septum is lifted off

  • The septum is then reconstructed. The lining of the septum is then stitched into place with absorbable suture

  • Nasal packs are sometimes inserted into nostrils to prevent the build-up of blood between the cartilage of the septum and the lining

AFTER YOUR SEPTO-RHINOPLASTY PROCEDURE

Immediately after your surgery you will not be able to breathe through the nose and you may experience swelling and bruising around the eyes. It is likely that you will be required to stay overnight at the hospital.
After that:

  • You will usually be able to remove your nasal tampons after 24 hours

  • Your splint should remain in place for around two weeks

  • Swelling should subside in 7-14 days after your nose surgery

DO YOU HAVE ANY MORE QUESTIONS ABOUT SEPTO-RHINOPLASTY?
Dr Cotrufo is an expert in cosmetic surgery and reconstructive microsurgery. In particular, he specialises in carrying out surgeries to the face such as rhinoplasty and septo-rhinoplasty as well as procedures for the neck and eye areas. If you would like to discuss nose surgery procedures and the before and aftercare you can expect to receive should you choose to undergo rhinoplasty or nose reshaping at his clinic, please call 0207 873 2330 to organise a consultation.

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