At our London clinic, Dr Stefano Cotrufo provides a personalised approach to rhinoplasty, ensuring results that harmonise with your facial features while respecting individual anatomy. After a detailed consultation, we design a bespoke surgical plan aligned with your goals for natural, balanced outcomes.
Rhinoplasty is a surgical operation that can reshape the nose by altering its size, projection, bridge, tip structure, and sometimes its internal architecture. The procedure can address concerns such as a dorsal hump, wide nostrils, a drooping tip or asymmetry but can also include functional interventions when needed.
In fact it is appropriate to state that any large nasal reduction will have to be associated with functional considerations. Cartilage grafts are indicated for larger reductions even though no
There are several techniques depending on your needs. Some involve minimal incisions (closed rhinoplasty), ideal for subtle adjustments such as hump removal, while others (open rhinoplasty) allow for more extensive reshaping, including tip modification.
Rhinoplasty may also be combined with related procedures, for example, septorhinoplasty, to improve nasal airflow while refining aesthetics, when structural issues like a deviated septum or internal valve collapse are present.
Rhinoplasty is suitable if you are dissatisfied with the shape, size or proportions of your nose, or if previous trauma has altered your nasal anatomy. It may also be appropriate if you experience breathing difficulties arising from structural irregularities inside the nose.
During consultation, Dr Cotrufo will assess your facial proportions, nasal anatomy and aesthetic aims, and advise whether a purely appearance-focused approach or a combined functional and appearance-focused solution (e.g., septorhinoplasty) is best for you.
The exact surgical plan is bespoke, determined by your anatomy and desired outcome. Rhinoplasty can involve reshaping the nasal bone and cartilage, refining the nasal tip, reducing the bridge, narrowing nostrils (alar base reduction), or adjusting the septum if required.
Depending on the complexity, the procedure typically takes 2 to 3 hours under general anaesthesia or sedation.
Most rhinoplasties are performed on a day-case basis, though if additional intervention is needed (e.g. cartilage grafting), an overnight stay may be recommended.
After surgery, patients commonly take around a week off work. Light activities can often resume within two weeks, while more rigorous exercise and heavy lifting should be avoided for 4–6 weeks.
Initial improvements are typically visible within a few weeks as swelling reduces. However, final results may take 6 to 12 months to fully manifest as residual swelling subsides and tissues settle.
Postoperative care is crucial for optimal healing, and we provide a comprehensive follow-up plan tailored to each patient to support recovery and ensure the best possible outcome.
Choosing the right surgeon for rhinoplasty is essential for achieving natural and harmonious results. Dr Stefano Cotrufo offers a bespoke, patient-centred consultation, taking the time to understand your unique facial structure and individual aesthetic goals. Using advanced rhinoplasty techniques, he ensures minimal scarring, reduced tissue trauma, and enhanced healing. His approach is dedicated to creating balanced, natural-looking outcomes that complement your overall facial features. Beyond the surgery itself, Dr Cotrufo provides thorough aftercare and personalised support throughout your recovery, guiding each patient to achieve the best possible result with confidence and safety.
Rhinoplasty procedures generally take between two and three hours, depending on complexity. Anaesthesia is administered either as general or sedation, tailored to the patient’s individual requirements. Most operations are completed on a day-case basis, although an overnight stay may be required if additional procedures, such as cartilage grafting, are necessary. Patients typically take about a week off work, with light activities possible after two weeks and full recovery after four to six weeks. While initial changes may be apparent within a few weeks, the final results generally become evident over six to twelve months as residual swelling resolves and tissues settle.
Open rhinoplasty involves a small incision on the outer part of the nose, permitting significant reshaping of structures like the nasal tip and offering maximal visibility to the surgeon. Closed rhinoplasty uses only internal incisions, making it better suited to subtle changes such as hump reduction, and leaves no visible external scars.
Yes. If you have structural issues such as a deviated septum or internal valve collapse, a combined septorhinoplasty can both enhance the nose’s appearance and improve airflow, helping with breathing problems.
Most patients take about a week off work. Light activities can resume after two weeks, but strenuous exercise should wait 4–6 weeks. Initial results appear within a few weeks, while final results typically settle over 6 to 12 months.
With a closed rhinoplasty, no visible external scars will result. With open rhinoplasty, the incision is small and usually hidden along the natural crease of the nose, becoming nearly invisible once fully healed.
Cost is influenced by factors such as the complexity of the procedure, the techniques required (e.g. cartilage grafting, septorhinoplasty), and the time needed. A tailored quote will be provided during consultation based on your individual surgical plan.
When performed by an experienced and qualified surgeon, rhinoplasty is generally considered safe. As with any surgery, there are potential risks (e.g. infection, bleeding, swelling, bruising), but serious complications are rare. A careful surgical and aftercare plan helps minimise such risks.
Yes, depending on your goals and anatomy, rhinoplasty can sometimes be combined with other facial surgeries or nasal functional surgeries. During your consultation, Dr Cotrufo will advise whether such a combined approach is suitable and beneficial for you.
A good candidate is someone with realistic expectations, good general health, and either aesthetic concerns about their nose’s shape or functional issues (such as breathing problems). At your consultation, we assess your nasal structure, skin quality, facial proportions, and discuss your aims to ensure rhinoplasty is right for you.
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© 2025 Dr Stefano Cotrufo | All rights reserved