The nose is the central feature of the face, so people often feel self-conscious about even quite small defects.

A common misconception is that surgery on the nose can make a patient’s face lose its individuality. On the contrary the attractiveness and harmony of a face can be improved with this operation. Changes in the shape of a nose usually have an overall positive effect on all the other facial features.

In this page, we look at:
• Rhinoplasty Surgery Process
• What is a rhinoplasty
• Why Choose Elena Prousskaia

Rhinoplasty Surgery Process

Elena Prousskaia carries out rhinoplasty surgery to correct/reshape the nose with great care and precision.

In her opinion your nose should look completely natural after surgery, as if it has never been operated on and the size and shape should be in harmony with the rest of your facial features.

Every patient is different and there is no single rhinoplasty technique for everyone. There are two approaches when performing the operation, closed approach rhinoplasty and an open rhinoplasty. The decision is based on the technical aspects of what needs to be done in order to achieve the improvements you would like for your nose. Your surgeon will explain whether a closed or open rhinoplasty is the best approach to use in your particular case.

What is a Rhinoplasty?

Rhinoplasty is a surgical procedure, which can change the shape and sometimes the function of your nose. A rhinoplasty can improve the shape of your nose tip, remove the bump on the bridge of your nose, reduce or increase the size of your nose, alter the shape of your nostrils and improve the angle between the nose and upper lip or forehead. This operation can help to correct both congenital (present at birth) or acquired problems (e.g. trauma) with your nose.

Why Choose Elena Prousskaia?

Elena is one of the UK’s most sought after aesthetic surgeons for her artistry, and calm manner. Ms Elena Prousskaia has been carrying out aesthetic and plastic surgery procedures for more than 20 years. Elena trained for eight years in Plastic and Reconstructive Surgery and since then has held leading Fellowships around the world.

As an NHS Consultant Plastic and Reconstructive Surgeon at Southmead Hospital, she dedicated several years to complex microsurgical reconstruction and general plastic surgery. During this time at North Bristol Trust, she particularly enjoyed rebuilding patients giving them their body and confidence back. At present, Ms Prousskaia runs her own successful private practice performing full range of plastic and aesthetic surgery for face, body and breast. Elena Prousskaia consults in several clinics around the UK. Please see the ‘Our Locations’ tab in the menu for exact addresses or call us to discuss your closest location.

Frequently Asked Questions

What Are The Risks Of Rhinoplasty Surgery?

Any surgical treatment involves certain risks. It is important that you understand all the risks associated with the rhinoplasty procedure. Your decision to have this operation should be based on your careful evaluation of all the possible risks and the potential benefits. Most patients undergoing this surgery do not experience complications. However, you should discuss all possible risks and your tolerance of complications with your consultant plastic surgeon, Miss Prousskaia, in order to make sure that you fully understand the implications and consequences of having a rhinoplasty. Elena will provide you with further information with the risks and provide you with a detailed consent form during your consultations. This will help you to minimise the risks.

What is the Recovery For Rhinoplasty?

During your pre-operative consultations, Elena will talk you through all the intricacies of the surgery, offering advice on how best to prepare and how to look after yourself during the recovery period. Swelling may increase in the first three to four days before subsiding and will vary patient-to-patient. Sleep propped up in bed with extra pillows for the first week to help reduce the swelling faster. Most bruising and discolouration should resolve over the first two weeks. Make up can usually be applied ten days to two weeks after surgery depending on your recovery period, this will need to be checked with Elena Prousskaia. Your splint will be removed after 1 week and your nose will be numb following surgery, this is normal and will subside over the coming weeks to months. You can resume normal activities 7 days after surgery but you should avoid vigorous activities or contact sports for a period of 4-6 months which is the time that the nasal bone needs to heal. During this time you should also avoid crowded areas in case someone accidentally hits you on the nose which could put your nose out of shape.

Am I A Candidate For Rhinoplasty?

In general, rhinoplasty candidates usually meet the final criteria: Healthy patients with no serious medical conditions or illnesses. Patients who do not smoke or have shown that they can stop smoking for a prolonged period of time. Patients who have realistic aesthetic goals. Most rhinoplasty patients are between 18 and 50 years old. Age matters because your face and nose don’t stop developing until your late teens or even later. If you’re too young now, you may become a good candidate in a few years.

Will I Have Visible Scars?

Aesthetic nose surgery, or rhinoplasty, is a procedure which, to many patients’ pleasant surprise, leaves very little scarring or even no visible scarring in some cases.  There are two approaches when performing the operation. A closed approach rhinoplasty is one where the incisions are placed inside the nostrils and scars are all hidden internally.  The other approach is called an open rhinoplasty where, in addition to the internal incisions, an additional cut is made across a relatively well-hidden part of the columella (the central partition of the nose). There will therefore be a very small external scar on the columella. This scar tends to fade well with time.

Will It Effect My Breathing?

Breathing through your nose after rhinoplasty tends to become easier as early as one week after surgery. Nasal breathing will improve over the following weeks and will generally feel back to normal by one to two months after surgery.

What Is The Cost Of This Procedure?

Please scroll below for surgical costs.

How Long Does Rhinoplasty Surgery Take?

The length of the operation usually takes up to 5 hours however will vary depending on the complexity of each individual case. You will stay in the hospital overnight with packs inside your nostrils and these will be removed the next morning before you are discharged. The nasal splint will be removed at your first follow up visit in one week by Elena Prousskaia.

Can I smoke or vape before my surgery?

Elena does not operate on patients that regularly smoke or vape. To be considered for this procedure you must refrain from smoking or vaping for 3 months before and after your surgery.

Treatment Cost

The total cost of the surgery will be confirmed after the first consultation.

The cost includes the hospital, surgeon and anaesthetic fees. It also covers all post-operative visits. The initial consultation fee will be invoiced separately. The prices apply only at the time of publication and are subject to changes without notification.

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Treatment At A Glance

Surgical Time 2 - 4 hours
Hospital Stay 1 day
Initial Recovery Time 4 - 6 weeks
Anaesthetic General anaesthetic
Final Result 3 - 6 months
Follow Up 1, 4, 12 weeks & 1 year

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Elena was recommended to me and as soon as I met her I felt entirely comfortable. Her explanations made sense in terms of expectations. Having made the big decision I did feel nervous but had absolute trust and confidence in Elena. I knew I was in the best hands. Elena's team is so supportive, my questions were answered with patience and understanding. My care at the McIndoe Centre was excellent. I am five weeks post op for abdominoplasty and liposuction and last week. Quite amazing to see the before and after pictures! I am so pleased that I was fortunate enough to meet Elena and have no hesitation in recommending her.

SM – Abdominoplasty & Liposuction

I have been both physically and mentally uncomfortable in my body since I was 12. I was born with ‘breast mutation’ and I first had surgery to correct this through the NHS at 16 years old. The surgery I have had with Elena, 17 years later, has removed the NHS implants, one of which had ruptured, and completely altered the shape of my chest. By doing this she has made me look and feel like a woman for the first time in my life. She is at all times quietly kind and fiercely adept. A true artist. She has surrounded herself with the most wonderful team and I cannot thank them all enough for the new lease of life that I have been given.

EG – Removal & Replacement of Implants

I have been self conscious for the whole of my adult life and I cannot express how much this surgery  has changed things for me. Both mentally and physically. I highly recommend Elena. She supported me throughout my journey from start to finish. Elena is very particular which for me is really important. Elena really took care of me from initial consultation right through to surgery and aftercare.My scaring is minimal and I am absolutely over the moon with my results. Thank you Elena!

JB – Breast Reduction

Elena is an OUTSTANDING surgeon. I had PIP implants and was looking to have them changed. I knew Elena was the surgeon to help, she put me at ease and explained my options. The lovely ladies in her office were helpful, I wanted to get sorted asap, when an alternative date was available contacted me straight away. I received outstanding care from start to finish from Elena, her team and the hospital. The aftercare is amazing, nothing is too much trouble, can call any time. I was so relaxed, I knew I was in great hands. The final results are fantastic. Elena has worked magic and I couldn’t be happier. I’m so glad I found her. I can’t thank her and her team enough.

LMS – implant Removal & Replacement

Had surgery with Elena in September, I was extremely anxious about the whole thing, but Elena and her whole team, from admin to the hospital staff were amazing with me and reassured me throughout my journey. I can not recommend Elena enough, and she has changed my life for the better! Already saving for my next operation with her!

SM – Abdominoplasty & Arm Lift

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