Mr Charles East areas of expertise:

Professional statement

Mr Charles East is one of London's top consultant otolarynogologists and facial plastic surgeons. His specialties include aesthetic and functional plastic surgery of the nose (such as rhinoplasty and nose jobs), and the treatment of nasal and sinus diseases. After graduating in 1980 from Univeristy College London, Charing Cross Hospital Medical School, he was awarded the Hallett Prize by the Royal College of Surgeons of England before continuing his ENT training at Oxford, London and Seattle.

As well as being lead clinician for the rhinoplasty service at the Royal National Throat Nose and Ear Hospital, he also forms part of the craniofacial surgery team at University College Hospital Foundation Trust. He is a member of BAAPS, a board member of both the Rhinoplasty Society of Europe, and the European Academy of Facial Plastic Surgery, he is a highly resepected practitioner of his field, with many years of experience developing his expertise. His reputation earned him the title 'Best for Noses' for six years running in the Tatler Beauty and Cosmetic Surgery Guide.

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Doctor's articles

Measuring patient satisfaction with the...

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Credentials

GMC: ‍2649708

Professional experience

• More than 40 years of experience
• Consultant Surgeon & Director, East and Badia (present)
• Consultant Surgeon, University College London Hospitals (2012 - present)
• Consultant Surgeon, ENT@150 (2001 - 2017)
• Consultant Surgeon, The London Clinic (1995 - 2014)
• Consultant Surgeon, Royal Free Hampstead NHS Trust (1996 - 2012)

...

Sub-specialties

• Aesthetic & functional nasal surgery
• Facial fillers
• Thread lifts
• Blepharoplasty(eyelid surgery)
• Rhinoplasty
• Nose job
• Nose reshaping

...

Teaching posts

• Honorary Senior Lecturer, University College London (1993 - present)
• Course director, Plastic Surgery of the Nose and Techniques in Facial Plastic Surgery courses, University College London
• Rhinoplasty Society of Europe

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Education

• MB, BS Imperial College, Charing Cross Hospital Medical School (1980)
• FRCS

Publications and conferences

• Please see LinkedIn account

Prizes and awards

• Hallett Prize,Royal College of Surgeons of England

Professional membership

• BAAPS
• FPS-UK
• Rhinoplasty Society of Europe
• Independent Rhinoplasty Research Society
• European Academy of Facial Plastic Surgery

...

Languages spoken

English
French

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Diseases, Medical Tests and Treatments

Blepharoplasty

What is blepharoplasty? Blepharoplasty, or dark circles surgery, is a plastic surgery operation aimed at correcting eyelid defects and deformi ...

Botulinum toxin (Botox™)

What is botulinum toxin (Botox™)? Botulinum toxin, more commonly known as Botox™, is a neurotoxin that, despite being released by the microbe that ...

Facial fat transfer

During this treatment, a specialist takes fat from one part of the body and uses it to fill parts of the face. As we age, fat is lost from the face, c ...

Facial plastic surgery

What is facial plastic surgery? Facial plastic surgery is a broad term covering cosmetic or reconstructive surgery performed on the head and ne ...

Rhinoplasty (nose job)

What is rhinoplasty? A rhinoplasty, more commonly referred to as a ‘nose job’, is an operation performed to change the shape or size of the nose, whether for aesthetic or functional purposes (functional rhinoplasty). Why is rhinoplasty performed? Rhinoplasty may be performed on those who are unhappy with the appearance of their nose, those who have experienced trauma to the nose, or on those who have functional problems (e.g breathing/sinus difficulties). The rhinoplasty procedure can improve the aesthetics and function of the nose, depending on the goal the patient wants to achieve. Rhinoplasty can make the nose smaller, larger, change its shape, or change the angle that exists between the nose and the top lip. What happens during rhinoplasty? Currently, two types of surgery are generally performed: Open rhinoplasty: a cut is made in the middle of the nose to better access the bones and cartilage. Closed rhinoplasty: accessing the nose through the nostrils so no scars are left (though this operation is not always able to be done, and it depends on the skillset of the surgeon). The operation is carried out under general anaesthetic, meaning you won’t be awake for the surgery. The procedure can take anything from one hour and a half to three hours. You may also need to stay in hospital or at the clinic overnight, or for a couple of days. Preparation Before the operation, you will need to attend an initial consultation with your surgeon. This may be either a facial plastic surgeon (an ENT surgeon, who has trained extensively in the anatomy of the face and the functionality of the nose) or a plastic surgeon (who performs various types of plastic surgery on the body). They will conduct a thorough examination, discuss your expectations with you, and determine if you are eligible for surgery. Before your operation, if you decide to go ahead, the surgeon will take pictures in order to provide a photo analysis and discuss expected outcomes. They will also explain the risks of the surgery in detail, and ask you to sign a disclosure form. Post-operative care After the operation, you’ll have to take about two weeks off work in order to recover. However, results of the procedure may not be visible until a few months later. Immediately after the procedure, and a short stay in the clinic, arrange for a friend to take you home, as you will not be able to drive for a couple of days. Your stitches can usually be removed after a week, if they are not the dissolvable kind. If you are wearing a splint, this may be able to be removed at this stage too. After three weeks, bruising and swelling should be significantly reduced. You can expect return to playing sports and higher intensity activity at about four to six weeks. There will be some aftercare which you can follow at home with your doctor’s recommendation, including: Avoiding hot baths Avoiding dust and smoke Getting your splint wet Making sure to sneeze through your mouth rather than your nose Avoiding blowing your nose until your split is removed Propping your head up with pillows while resting (this helps the swelling go down) Your doctor can prescribe you pain medication such as paracetamol to help with any pain. You may experience nosebleeds for the first few days after surgery, and there will be some swelling and bruising which will go down after time. ...

Septorhinoplasty

What is it? Rhinoseptoplasty is a type of plastic surgery performed to correct and reconstruct the nasal septum (bridge) for aesthetic and medical purposes. This is what makes the difference between rhinoseptoplasty and a simpler rhinoplasty (which only aims at aesthetically enhancing the nose) or a septoplasty (which only corrects and reconstructs the nose for medical purposes). This procedure yields better results when doing a mild remodelling and reconstructing. What is it for? From a strictly medical angle, rhinoseptoplasty is usually done to treat any problems arising from a deviated septum. Other potential issues include: respiratory impediments, caused by an obstruction due to the deviated septum trouble falling asleep dry mouth from breathing with your mouth rhinorrhoea (getting frequent nosebleeds) From an aesthetics angle, any kind of defect can be corrected; there are several different types of aesthetics enhancements to the nose available. How does it work? Before the surgery, you will be given either local anaesthetics or general anaesthetics. During the septoplasty phase, the surgeon will make an incision on your septum. If the remodelling is simple enough, the surgeon will be able to reposition the septum without needing to move it first. Otherwise, the surgeon will have to remove the septum, straighten it up and place it back within the nose. After that, the surgeon will suture the nose up. The rhinoplasty can be either a closed procedure (by making an incision within the nose) or an open procedure (by making an incision at the base of the nose). After the surgery, an external cast will be placed on your nose, which will be removed less than a week after the procedure. How can I prepare for it? Before the surgery, you need to: Schedule a visit with the surgeon to talk about the procedure, what results you expect and to go through your medical history; Have an ECG, blood pressure measurement, blood test and urine test; If you smoke, quit smoking and stop taking anticoagulants and platelet aggregation inhibitors, to avoid any complications (such as epistaxis) during the procedure. Post-operative progress You will be in hospital for one day after the surgery. However, complete recovery may take several months (from three months to a whole year in some cases). It is fairly common to feel pain in your nose and have some nosebleeds in the week immediately after the surgery. You should avoid smoking in the days after surgery. You should also avoid any strenuous physical activity, keep your head lifted up while sleeping and make sure you don’t blow your nose for some time after the procedure. You can go back to work roughly one week after the rhinoseptoplasty. The plastic surgeon will generally recommend periodic check-ups to monitor the recovery process. ...

Thread lift

What is a thread lift? A thread lift is a cosmetic procedure that uses temporary stitches (sutures) and threads to lift and tighten loose skin. It is a technique often used on the face to tighten loose skin and sags. It is less invasive than a facelift procedure, but produces similar results in that a thread lift can reverse some signs of ageing, smoothing over wrinkles and fine lines and eliminating saggy skin. Thread lifts can also help to contour the jaw and to raise heavy eyebrows. Sometimes a thread lift is combined with dermal fillers as well. Why would you have a thread lift? You might consider having a thread lift to avoid the risks of major facelift surgery, and to reverse signs of ageing. A thread lift can be performed on the brow, neck, jowls and midface and is minimally-invasive. Here is a list of results that can be achieved with a thread lift: Disguise wrinkles around the eyes Raise the cheeks Lift the neck Raise your eyebrows Give symmetry to the face Improve facial contours Smooth forehead wrinkles What does a thread lift consist of? Thread lifts are minimally-invasive and are applied in different ways. Surgically – free-floating or fixed threads are inserted beneath the skin under local anaesthetic. They are pulled into place to lift and tighten loose skin. Fixed threads are actually attached to the skin’s underlying structures, allowing a more noticeable face lift. Free-floating threads last 1-2 years, whilst fixed threads last up to 4 years. You will need a few days off work whilst swelling settles. These threads are known as polydioxanone threads (PDO) which is the same material used in medical stitches. These dissolve with time. Collagen production is stimulated around the threads which keeps them in place and makes the skin appear firmer. Non-surgically – also known as the ‘non-surgical facelift’, no incisions are required. Anchoring sutures are inserted under the skin with a very fine needle to help tighten loose skin and lift sagging areas. These sutures are dissolvable. They also stimulate the production of collagen in the skin. This is also known as a silhouette soft thread lift. Aftercare: Downtime after a thread lift is fairly minimal, with some swelling to be expected for a few days. You should be able to return to work in a matter of days. Results, however, are fairly instant from both types of thread lift, but the best results are visible a few weeks following treatment. It is advised not to rub your face for up to 2 weeks following your thread lift. ...

Facelift

What is a face lift? The face lift, or facial rejuvenation surgery, is an intervention that corrects the most visible signs of facial ageing, by tightening facial muscles, reducing fat, redistributing skin and eliminating excess tissue. This intervention is usually done under general anaesthesia. There are various types of face lift, according to the areas of the face treated: upper face lift, which elevates sagging brows and eliminates forehead wrinkles; middle face lift, which eliminates fat that has accumulated in the cheekbones and lifts the cheeks; and lower face lift, which reduces fat along the jawline and neck (so-called double chin). Why is it done? Lax and sagging skin is a clear sign of the passage of time and is particularly visible in the face; in many patients, this can give rise to a complex. Hence, the aim of a complete face lift is to reduce laxity and to restructure the affected areas. What does it involve? The procedure is generally carried out by making incisions behind the hairline and behind the earlobe, continuing towards the nape of the neck if necessary, so that scars remain camouflaged. Via these incisions, skin is stretched and sectioned, leaving the face looking firmer and more youthful. How to prepare for it Before the face lift, you must follow some important instructions: stop smoking at least 15 days before the operation; for the intervention itself, do not wear contact lenses or make-up and make sure your skin is clean and well hydrated. Furthermore, at the pre-surgery consultation, you will have to tell the surgeon about any medications you are taking and any allergies you have, because more preparation might be necessary. Post-operative care Patients normally leave the clinic 24 hours after the intervention; however this will depend on your evolution and on the surgeon’s recommendation. In the first few days after the intervention, it is recommended to sleep on two pillows in order to reduce the swelling and to avoid drinking hot drinks or chewing too much, so that the stitches are not affected. The swelling and haematomas will disappear over the first few days. ...

Nasal deformity

What are nasal deformities? Nasal deformities are anomalies in the shape and/or function of the nose. They are relatively common and many are simply aesthetic issues that cause no symptoms, although many patients are unhappy with their appearance because of the shape of their nose. However, in some cases, nasal deformities can cause difficulty breathing, and treatment may be needed to improve functionality Some types of nasal deformities are: Deviated septum – the cartilage that divides the nostrils (septum) is bent to one side. Enlarged adenoids – lymph glands at the back of the nose (adenoids) can become enlarged, blocking the airway and causing sleep apnoea. Swollen turbinates – the turbinates on the side of each nostril clean and humidify air being breathed in. When swollen, they hamper breathing. Saddle nose – there is a depression in part of the nasal bridge. It is also known as “boxer’s nose”, and can be caused by a number of things, including trauma, certain diseases, and cocaine abuse. Nasal/dorsal hump – a hump in the nose is relatively common and is usually formed by excess bone or cartilage, depending where on the nose it occurs. Often running in families, it can also be causes by trauma. There are other types of congenital nasal deformities, some of which, such as a cleft palate, affect more than just the nose. Prognosis of nasal deformities Although a nasal deformity can cause breathing problems, it is not a serious malformation that will impair your daily life. However, if breathing is difficult on a continuous basis, this can result in sleep apnoea and poor-quality sleep. Both breathing problems and aesthetics often worsen with age. Symptoms of nasal deformities Nasal deformities can produce symptoms such as: Blockage of one or both nostrils – this can make breathing difficult and is more noticeable when you have a cold or an allergy, which can inflame and narrow the nostrils. Bleeding – if the surface of the nose dries up, you may suffer more nosebleeds. Facial pain – sometimes a nasal deformity can cause facial pain. Loud breathing during sleep – this occurs if the tissue inside the nose is inflamed. It is common in infants and children with a deviated septum. Nasal cycle – the nose is usually blocked alternately on one side or the other, which is called the nasal cycle. This is normal, but if it happens very ofen it can mean an abnormal obstruction. Preference for sleeping on one side. Some people prefer to sleep on one side at night to improve nasal breathing, which may be due to a deviated nasal septum. Medical tests for nasal deformities The specialist will conduct an examination of the inside and outside of the nose. A fibroscope (a camera attached to a flexible optical fibre) is used for the internal examination. This device allows the specialist to see if there is a mechanical obstruction or if the nose collapses when you breathe in. This examination allows the diagnosis of the aesthetic and functional problems. The specialist will then discuss with you the aspects that should be treated, the surgical techniques to be applied and what approach they need to take. What causes nasal deformities? Nasal deformities can be due to: Congenital anomalies – these occur during foetal development and present at birth. They may be due to genetic or environmental factors. Injury – in infants, this may have occurred during childbirth; in children and adults, there are many causes of trauma to the nose – injuries from contact sports are very common. Treatments for nasal deformities Various medications exist to manage the symptoms of nasal deformities, including analgesics, decongestants, antihistamines, and steroid sprays. The only real solution to the problem, however, is surgery. This could come in the form of a rhinoplasty, which reshapes the nose, or a septoplasty, which surgically straightens the cartilage between the nostrils. The specialist will first plan and personalise the intervention, since no two noses are exactly the same. Surgery usually takes between one and a half to two hours to correct the functional and aesthetic defect. Most patients are discharged on the same day and the definitive results will be seen at 3-4 months. Which specialist treats them? Nasal deformities are usually treated by an otolaryngologist, who has in-depth knowledge of the nose, its anatomy and functionality, as well as of other pathologies associated with nose problems. Sometimes rhinoplasty is performed by a specialist in plastic, aesthetic and reconstructive surgery, particularly by one who is highly specialised in nasal deformities. ...

Nose

The nose is the part of our face which sticks out above the mouth, and through which we breathe and smell. The nose houses the nostrils, which help us to take in and expel air as part of the respiratory system (along with the mouth). Our nose plays an important role in our overall health, as it filters the air that we breathe and removes dust and irritants. It contains nerve cells which help our sense of smell, and also helps warm the air coming in through it in order to keep the lungs and throat from drying out. Therefore, if there is a problem with our nose, our health can be affected. Problems affecting the nose There are many conditions and medical problems which can affect the nose, including: Sinus infections: when cavities around the nasal passage are inflamed or swollen Allergies: certain allergies, such as a pollen allergy, can result in nasal congestion, sneezing, postnasal drip, and sinus headaches, among other nasal problems. Smell disorders: disorders include hyposmia, a partial loss of smell, and anosmia, a complete loss of smell, among others, which can occur as a result of an underlying condition or because of an illness. Nasal congestion: when the nasal passages become blocked, often as a result of the membranes in the nose swelling from inflamed blood vessels. Deviated septum: the septum is the part in the nose which divides the nasal cavity in half. When the septum is off-centre or crooked, this can make breathing difficult. It is estimated that 80% of people have some kind of misalignment of the septum, but this does not mean their breathing is affected in every case. Only deviation to the point where breathing is difficult or where serious problems are created requires treatment. Nasal fractures: more often referred to as a broken nose, fractures of the bones in the nose are relatively common, and can occur as a result of trauma (e.g falls, assault, collision). Nasal fractures can cause bleeding, swelling in the nose, bruising, and problems with breathing through the nose. Colds and sneezes: one of the most common problems affecting the nose is the common cold, which is a viral infection affecting the ears, nose, and throat. Who treats problems with the nose? Ear, nose and throat problems, if passed to a specialist, are typically treated by an otolaryngologist, more commonly known in the UK as an ENT doctor (ear, nose and throat). However, it depends on the pathology affecting the patient, as allergic problems may also be treated by a specialist allergist. Cosmetic procedures affecting the nose such as rhinoplasty may be performed by a plastic surgeon, though it is advisable to visit a specialist facial plastic surgeon (often an ENT doctor, but sometimes an oral and maxillofacial specialist) as they have a thorough knowledge of the nose, its anatomy, and the conditions affecting it. ENT surgeons can also correct problems with the nose which are non-cosmetic and related to breathing/respiratory difficulties, such as a deviated septum. ...

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Clinics

Rhinoplasty London by East and Badia

Other information about Charles East

Publications in the National Institute of Health

Images Gallery

Mr Charles East
Facial plastic surgery
Central London

Mr Charles East

Facial plastic surgery in
London

FRCS

Mr Charles East areas of expertise:

Professional statement

Videos of doctor

Credentials

Diseases, Medical Tests and Treatments

Blepharoplasty

Botulinum toxin (Botox™)

Facial fat transfer

Facial plastic surgery

Rhinoplasty (nose job)

Septorhinoplasty

Thread lift

Facelift

Nasal deformity

Nose

Clinics

Other information about Charles East

Mr Charles East Facial plastic surgeryCentral London

Mr Charles East

Facial plastic surgery in London

FRCS

Mr Charles East areas of expertise:

Professional statement

Videos of doctor

Credentials

Diseases, Medical Tests and Treatments

Clinics

Other information about Charles East

Mr Charles East
Facial plastic surgery
Central London

Facial plastic surgery in
London