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Cosmetic Rhinoplasty

Balancing Form and Function Through Expert Nose Surgery

Cosmetic Rhinoplasty — often referred to as a “nose job” — is a surgical procedure designed to reshape and refine the nose, bringing it into greater harmony with your overall facial features. It is one of the most technically demanding and artistically nuanced procedures in facial plastic surgery.

At the Manchester Rhinoplasty Clinic, we understand that the decision to change your nose is deeply personal. Our aim is never to give you a “new” nose — it is to give you the best version of your own nose.

Cosmetic Rhinoplasty
Specialist

Rhinoplasty Care

Conditions / Symptoms Conditions / Symptoms

Common Concerns We Address

Patients seek cosmetic rhinoplasty for a wide range of concerns, including:

  • A prominent nasal hump or bump on the bridge
  • A deviated or crooked nose affecting facial symmetry
  • A drooping or over-projected nasal tip
  • A wide, bulbous, or boxy tip that appears disproportionate
  • A nose that feels too large or too small for the face
  • Nostrils that are wide, asymmetric, or flared
  • An overall imbalance between the nose and other facial features

Open vs. Closed Rhinoplasty — Which Is Used?

Open Rhinoplasty

(Mr Ranganathan's Preferred Approach — 80%+ of cases)

  • A small incision across the columella (the skin strip between the nostrils)
  • Full exposure of the nasal framework for precise modification
  • Ideal for complex cases, significant reshaping, or revision surgery
  • Scar is tiny, well-hidden, and fades significantly over 6–12 months

Closed Rhinoplasty

(Selected Cases)

  • All incisions placed inside the nostrils — no visible external scar
  • Suitable for minor to moderate reshaping with limited structural change
  • Slightly faster initial recovery and less early swelling
  • Limited access compared to open technique
What Can Realistically Be Achieved?
Results depend on multiple factors: your skin type (thick skin can limit visible definition), your existing nasal structure, and the complexity of changes required. The most important thing is having an honest, detailed discussion during consultation — where Mr Ranganathan will walk you through what is achievable, what is not, and why. Rhinoplasty is not about perfection. It is about improvement, balance, and feeling more confident in your own reflection.
Mr Ranganathan will recommend the most appropriate technique for your individual anatomy and goals at consultation.

Frequently Asked Questions

You may be a good candidate if you have specific, identifiable concerns about the shape or appearance of your nose, have realistic expectations about improvement (not perfection), are in good physical and mental health, and are emotionally ready for a permanent change. Mr Ranganathan will assess your suitability carefully during your consultation and be honest with you if surgery is not in your best interest.

A core principle of Mr Ranganathan’s surgical philosophy is that results should enhance — not transform. The goal is for people to say ‘you look great’, not ‘you’ve had something done’. Natural, harmonious results are achieved by carefully analysing your full facial anatomy and creating changes proportionate to your individual features.

Most cosmetic rhinoplasty procedures take between 2 and 3 hours under general anaesthesia. It is typically performed as a day case, so you will go home the same day once you have been reviewed and are comfortable.

Most patients return to desk or office-based work after 10–14 days. If your role involves physical activity or public-facing contact, you may wish to allow up to 3 weeks. Heavy exercise and contact sport should be avoided for at least 6 weeks.

In open rhinoplasty, a very fine scar is placed across the underside of the columella. It is well-concealed in shadow and typically fades to a barely visible line over 6–12 months. In closed rhinoplasty, there is no external scar at all.

Yes. Mr Ranganathan will show you relevant before-and-after images from his own surgical practice during consultation — particularly cases that match your own concerns and anatomy. A gallery is also available on the website.

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Mr Ranganathan

Consultant ENT Surgeon, Rhinologist and Facial Plastic Surgeon

FRCS (ORL-HNS), MCh, EBEC-FPRS

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Risks and informed decision-making

This information is provided for educational purposes, to help you make an informed decision about rhinoplasty. Rhinoplasty is a technically demanding procedure, and the decision to proceed should be considered carefully.
 
Possible risks
 
As with any surgery, rhinoplasty carries risks. These include, but are not limited to:
  • Scarring, infection, and bleeding
  • Excessive bruising
  • Septal perforation
  • Numbness or altered sensation
  • Loss of sense of smell
  • Skin changes, including telangiectasia
  • Asymmetry
  • An unsatisfactory aesthetic outcome
  • The possibility of requiring revision surgery
No surgeon can guarantee a specific result, and healing and final results vary between individuals.
 
Your wellbeing matters
 
Rhinoplasty can have a meaningful impact on confidence and wellbeing, but it’s important to have realistic expectations about what surgery can achieve. If you’re affected by anxiety, body image concerns, or other mental health difficulties, it’s important these are addressed with the appropriate healthcare professionals. Mr Ranganathan may recommend this as part of your assessment before proceeding with surgery.
Every consultation includes an open discussion of the risks, limitations, and realistic outcomes relevant to your individual case.