Rhinoplasty consultation: what does it involve?

Written by: Mr Premjit Randhawa
Edited by: Aoife Maguire

There are several reasons that someone ma choose to undergo a rhinoplasty, also known as a nose job. These include the correction of nasal deformities, to improve breathing and for cosmetic enhancement. Leading consultant ENT surgeon Mr Premjit Randhawa explains more about what happens during a rhinoplasty consultation.



What is typically discussed during a rhinoplasty consultation?


The most important thing to do during a rhinoplasty consultation is to discuss a patient’s concerns and expectations. These are my priority and will be discussed in detail. It is also crucial to discuss the patient’s reasons for seeking surgery, and to ensure that patients do not have any co-existing medical conditions that may affect surgical outcome.


How does a rhinoplasty consultation address specific patient concerns or desires?


Once the patient's concerns and expectations have been addressed, a comprehensive nasal examination of the nose is conducted, carried out both on the outside and inside of the nose. In cases where there is a concurrent breathing problem or signs of nasal allergy, an endoscopy may be necessary. Typically, I employ digital morphing to demonstrate the potential surgical outcomes, facilitating patient understanding and generating further discussion about the procedure and its anticipated results.


What factors are considered when determining if a patient is a suitable candidate for rhinoplasty during the consultation?


First and foremost, patients must maintain realistic expectations regarding the achievable outcomes of surgery. This is the most important aspect of determining their suitability for the procedure. Additionally, I assess for any significant comorbidities that may impact healing and surgical results, such as poorly controlled diabetes and smoking habits.


Are there any potential risks or complications discussed during the rhinoplasty consultation?


During surgery discussions, we address both patient-specific risks and general surgical risks. General risks encompass potential infections and bleeding. Specific risks associated with septo/rhinoplasty may involve asymmetry and bony irregularities (5-10%), septal perforation (1%), nasal collapse (1%), numbness, skin changes such as thread veins, smell loss (<1%), and the possibility of revision surgery.


How does the surgeon evaluate the patient's nasal structure and anatomy during the consultation process?


A thorough nasal examination is conducted, carried out both on the outside and inside of the nose. Endoscopy may be necessary in cases of co-existing breathing issues or symptoms of nasal allergy. Clinical photographs are captured to facilitate discussions regarding the nose and desired alterations. Additionally, digital morphing is utilised to visually depict the potential surgical outcomes.




If you are considering having a rhinoplasty and would like to book a consultation with Mr Randhawa, do not hesitate to do so by visiting his Top Doctors profile today.

By Mr Premjit Randhawa
Otolaryngology / ENT

Mr Premjit Randhawa is a leading consultant ENT surgeon at the world renowned Royal National Throat Nose and Ear Hospital in London. Having graduated from the University of Leicester, Mr Randhawa completed his higher surgical training in London (North Thames region) where he worked in several centres of excellence and trained under internationally renowned surgeons. He is a fellow of the Royal College of Surgeons of England and holds a Masters in Allergy, which he obtained with distinction from Imperial College London.
His broad experience allows him to treat all aspects of ear, nose and throat conditions in both adults and children. However, his area of expertise is managing diseases of the nose and sinuses, ranging from common conditions such as hayfever and sinusitis, to performing nasal reconstruction, rhinoplasty and complex sinus surgery.
Mr Randhawa’s practise also encompasses facial aesthetics of which he offers a wide range of surgical and non-surgical procedures. His practise also encompasses treating patients with facial paralysis/palsy and offering non-surgical and surgical solutions. He is also an integral member of the facial deformity service at University College London Hospital.
Mr Randhawa has published more than 40 peer reviewed articles in leading medical journals and is actively involved in teaching and training junior surgeons. He is the education lead for ENT surgery at University College London Hospitals and a Royal College of Surgeons surgical tutor. He lectures and performs surgical demonstrations on nasal surgery courses (rhinoplasty/ endoscopic sinus surgery) which attracts an international audience.
He is a member of the European Academy of Facial Plastic Surgery and the British Society of Facial Plastic Surgery.

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