Types of Rhinoplasty

Rhinoplasty is one of the most common cosmetic procedures, helping to alter the size and shape of the nose. While most patients are familiar with the standard, open procedure, did you know there are different types of rhinoplasty available?

Here, we’ll look at the different types of rhinoplasty you can undergo to help you achieve the best results. In your consultation, Mr Tulley will discuss the procedures with you and answer any questions that you have.

Nasal tip rhinoplasty

If you want to change the tip of the nose, nasal tip rhinoplasty is the procedure for you. It could be that the tip is bulbous, or large, or it may have an excessive length. This type of rhinoplasty aims to solely change the tip, rather than the bridge.

Ethnic rhinoplasty

Ethnic rhinoplasty is typically carried out on Afro-Caribbean or Asian patients. These patient groups can have a much flatter appearance, and it can be wider in appearance. Several techniques can be used in ethnic rhinoplasty, such as bridge augmentation.

Cartilage grafts from the ear or rib will be taken and used to add volume in the case of augmentation. To address a wider nose, the bridge and/or nostrils can be narrowed.

Deviated Septum rhinoplasty

A deviated septum can make it difficult to breathe normally. If it is causing the patient problems, a septoplasty may be performed. This involves trimming, replacing, and repositioning the bone or cartilage to straighten the nasal septum.

Revision rhinoplasty

Revision rhinoplasty is carried out to try and fix issues caused after an initial rhinoplasty procedure. It could be that complications arose, or you may not be happy with the results from the first procedure.

This type of rhinoplasty tends to be much more complex than the first procedure. The surgeon therefore needs to be highly skilled to perform it correctly.

Which type of rhinoplasty should I choose?

With so many options available, it can be difficult knowing which rhinoplasty procedure is right for you. Discover more about each of the options above, and determine which one to choose by booking a consultation with Mr Paul Tulley today.

After an initial assessment, Mr Tulley will advise you on which procedure will help you achieve your desired results.

male facelifts

In 2020, plastic surgeons in the US performed more than 234,000 facelift procedures. While most facelifts are carried out on women, there has been a sharp rise in the number of male patients requesting the procedure.

The same trend has also been seen here in the UK, as men start to see the benefits of seeking the popular treatment. So, why has there been a rise in male facelifts?

What is causing the rise in male facelifts?

Like many of the trends over the past couple of years, the rise in male facelift procedures is down to remote working after the pandemic. Video calls were the only way to keep in face-to-face contact with colleagues and employers, making men more aware of the flaws in their facial features.

As working from home became more popular, men also had more time to undergo a facelift procedure without anyone knowing. The recovery from a facelift can be quite extensive, so having the option to recover in the comfort and privacy of their own home was a huge deciding factor.

Of course, male cosmetic surgery has also become a lot more accepted in recent years. Men are much more open about the work they have had done, often to help them progress in their career.

What is a facelift?

A facelift is a major procedure that involves making incisions on both sides of the face. The skin is pulled back to allow the surgeon access to the tissue underneath. The facial tissues are manipulated and tightened to produce a much more youthful appearance.

Any excess skin is also removed, and the procedure can be combined with liposuction to eliminate any excess fat.

What other procedures are men having done?

It isn’t just facelifts that are attracting men to go under the knife. Other common procedures carried out on male patients include:

  • Rhinoplasty
  • Male breast reduction
  • Abdominoplasty
  • Chin augmentation
  • Liposuction

Non-invasive treatments are also popular, including facial fillers, and anti-wrinkle injections.

If you want to improve your appearance, gain confidence, and achieve the look you have always wanted, book a consultation with Mr Paul Tulley today. He will help you to choose the best procedure to achieve the best results.

Nose Reshaping Surgery

Nose reshaping surgery is one of the most common procedures carried out in the UK. Helping to significantly alter the overall aesthetics of the face, this popular procedure takes a lot of skill to get it right.

If you are planning on undergoing a nose reshaping surgery, here’s everything you can expect to help you prepare…

What does nose reshaping surgery involve?

You will be given a general anaesthetic before undergoing a nose reshaping procedure. Two methods can be used to carry out the surgery including open and closed techniques.

Open procedures tend to produce the best results, giving the surgeon much better precision. A small incision is made beneath the tip of the nose, at the narrowest point between the nostrils, helping to hide the scarring as much as possible. The skin is then lifted to reveal the structures beneath.

Closed reshaping surgeries are generally less invasive, though they do provide less visibility. This means the changes that can be made may be more limited in comparison to an open procedure.

What kind of results can I expect?

While every patient is different, it is possible to get an idea of what to expect from your surgeon. A rhinoplasty procedure can help to remove lumps and bumps, reduce the size of the nose, and straighten the nose.

Most people who undergo a nose reshaping procedure are happy with the results. A very small number may have revision adjustments in a few cases.

Preparing for your recovery

The standard recovery time for nose reshaping is a couple of weeks. You will need to wear a cast for a period of around 10 days, followed by Steristrips an additional 4-5 days. Avoid working, driving, and exercising during this time.

You will be given aftercare instructions by the surgeon after the procedure. Providing you follow these instructions; it will help you to achieve the best results. Don’t be surprised if bruising develops around the eyes. This is a normal part of the recovery and can last for up to 10 days.

Nose reshaping surgery is a complex procedure that should only be carried out by an experienced surgeon. To make sure you get the best results, book your surgery with Mr Paul Tulley now.

Prepare for a tummy tuck

A tummy tuck, or Abdominoplasty, is a common procedure that can help you to achieve your dream abdomen. However, if you want the best results, you are going to want to know how to prepare for a tummy tuck.

In this brief guide, you’ll discover how best to prepare for a tummy tuck in order to achieve fantastic results.

Prepare for a Tummy Tuck by managing your weight

Although part of the reason you likely want a tummy tuck is to help you shed excess fat from the abdomen, it’s important to go into the surgery at a healthy weight. Being overweight can increase the risks of the procedure, as well as impact the results you experience.

Managing your weight isn’t just important for the procedure itself. It will also help you to maintain your results. When you lose weight, it can leave behind excess skin. Therefore, if you lose weight after a tummy tuck, it can leave you with unflattering results.

Similarly, if you gain weight after the procedure, the results may be stretched out.

Book time off work

Tummy tucks are a major procedure, and they require a period of downtime to recover. Ideally, you should book at least a couple of weeks off work.

During a tummy tuck, a lot of work is carried out on the abdominal muscles. This, combined with a large incision, means the recovery can be trying. If possible, try and work from home after having that initial couple of weeks off. The longer you give the body to recover, the better the result.

Know what to expect from scarring

Your tummy tuck procedure will leave a scar. However, it is usually well hidden within your bikini line. Out of those who have undergone the procedure, around 96% said it was worth it. This means any scarring that was left behind didn’t have an impact on their self-confidence or satisfaction rating.

Your surgeon will give you a list of aftercare instructions that can help to reduce scarring and boost results.

Tummy tuck and body lift surgery in London

Consultant Plastic, Reconstructive and Cosmetic Surgeon Mr Paul Tulley specialises in Abdominoplasty and body contouring surgery. So, if you would like expert advice on how to prepare for a tummy tuck, book a consultation with Mr Paul Tulley today.

Knowing what to expect and taking steps to prepare will ultimately improve the results you experience. Keep in mind that the results of a tummy tuck are designed to show up over a long-period of time.

Cosmetic Surgeries

Despite an uncertain economy, a new survey has found that women under the age of 45 are driving a spike in cosmetic surgeries. Carried out by the American Society of Plastic Surgeons, the survey polled its surgical members and found 30% of them had seen at least double the demand as before the pandemic.

So, which procedures are proving popular and why has the pandemic caused a rise in cosmetic surgery for the under 45’s?

The rise in post-lockdown cosmetic surgery

There are several reasons why demand for cosmetic surgery has risen after the pandemic. The lockdowns and new work from home culture have certainly helped to give women more time to recover after going under the knife.

People have also been saving money due to not going out or heading off on holidays. Many women are using the money they have saved to improve their look.

These are just a couple of reasons why cosmetic surgeries have seen a boom in patients since the pandemic. So which procedures are proving the most popular?

The cosmetic surgeries experiencing a boom in popularity

All types of cosmetic procedures have seen an increase in demand. However, the top three that stand out are liposuction, tummy tucks, and breast augmentation. Let’s look at these procedures in a little more depth…


Liposuction is an effective way of contouring the body. It is used to eliminate stubborn pockets of fat that won’t go away through diet and exercise alone. The fat is sucked out of the body, leaving the area instantly more defined.

While most patients return home the same day, you may need to stay in hospital overnight. The procedure can take up to three hours, and you will need to wear compression bandages to reduce swelling and bruising for several weeks.

Tummy tucks

A tummy tuck is an extensive procedure that aims to tighten and eliminate excess skin from the abdomen. A full tummy tuck creates a large incision across the abdomen, and a second incision to release the belly button. The skin is then separated from the abdominal wall and the muscles are realigned.

It can take up to five hours to complete, and the recovery takes anywhere from four to six weeks.

Breast augmentation

Breast augmentation adds volume to the breasts through the form of an implant. Newer techniques use fat transfer, where the patient’s fat is transferred from one part of the body to the breast. It is a common procedure that requires up to a couple of weeks off work.

If you are considering undergoing a cosmetic procedure, book a consultation with Mr Tulley now. After discussing the problem you want to correct, he will advise you on the best procedures you can undergo.

malar bags

Everyone develops bags under their eyes at some time in their life. Typically caused by a lack of sleep, a poor diet, and a lack of hydration, most bags disappear by themselves once lifestyle changes have been implemented. If they don’t, you could have malar bags.

Malar bags tend to be a little tougher to treat than lifestyle-related bags. So, what are they and what treatment options are available?

What are malar bags?

Also referred to as festoons, malar bags are swollen mounds that develop under the lower eyelid. This causes a puffy appearance that can give the impression that you are continuously tired.
While in most cases they are harmless and more of a cosmetic issue, in serious cases they can cause vision loss.

The main causes

It isn’t just one thing that causes malar bags to develop. They occur due to a range of combined factors, and these may be different from person to person.

They tend to occur due to a structural problem in the skin of the cheek area and lower eyelid. The Orbicularis muscle and fat and skin compartments of the cheek loosing up, are the biggest culprits. They are a common problem that occur naturally due to ageing, and they may appear worse when you lose weight.

Different treatment options

There are surgical and non-surgical treatments for malar bags. If you want to avoid surgery, laser skin resurfacing, and fillers are ideal options. Fillers can be used to add volume around the bags, though they are only an option if other signs of ageing are also present in the area. Laser skin resurfacing is a more effective choice, helping to tighten the skin and reduce fluid retention in the area.

If you want the most noticeable and permanent results, surgical options such as blepharoplasty and a facelift may be a better option. Blepharoplasty is particularly effective, helping to remove excess skin and fat from the eye area, preventing the eyes from drooping.

To find out which treatment option is right for your malar bags, book a consultation with Mr Paul Tulley today.

after a tummy tuck

After undergoing a tummy tuck, the body needs plenty of time to recover. The procedure is intensive, which means you need to ensure the body is given enough time to rest to fully heal. Returning to exercise too early could damage the results, particularly the muscle repair.

If you are keen to get back to exercise after a tummy tuck, here you’ll discover everything you need to know before you do. From how soon you can exercise, to tips on getting back to it, read on to learn what to expect after the procedure.

After a Tummy Tuck – How soon can I exercise?

While you will likely be desperate to get back to exercise and maintain your new, trimmed physique, it’s important not to get back into exercise too quickly. You shouldn’t return to exercise for six to eight weeks after surgery, depending upon the extent of the procedure.

Your surgeon will let you know how long you need to avoid exercising after the procedure. You will be provided with a list of aftercare instructions to help speed up recovery and get the body back to its pre-surgery fitness level.

Never start exercising until you have received the go ahead from your surgeon. If you get back to it too early, you could risk developing complications, as well as lengthen the time it takes to recover.

Get back into exercise gradually

Above all else, you’ll want to make sure you are getting back into exercise gradually. Not only have you had a lot of time off, but you have also been through a major surgery. So, take it slow and do small workouts to start. Classes and personal trainers should be avoided for the initial 6-8 weeks restarting exercise. You should gradually build up aerobic exercises such as swimming, gentle running and very light weights at your own pace.

Modify your exercises if needed

You’ll also want to modify the exercise you do. Avoid strenuous abdominal workouts, planks, squats, and pull-ups. When you do exercise, if you lift weights make sure you switch to lighter ones.

Overall, waiting until the body is fully healed before you exercise is vital to enjoying a safe recovery. To book a tummy tuck or learn more about getting back to exercise after the surgery, contact Mr Paul Tulley today.

Risks of a Facelift

Facelifts are a popular cosmetic procedure used to eliminate the signs of ageing. Thousands of facelifts are carried out each year in the UK, correcting sagging skin, wrinkles, and deep creases around the mouth.

While a facelift procedure is typically safe and effective, there are some risks involved. To ensure you make the right decision, it is important to be aware of the potential risks and complications you may encounter.

What are the complications of a facelift?

Improved techniques have made facelifts a lot safer over the past decade. However, there are some complications you need to be aware of. These include:

  • Bleeding and bruising
  • Temporary damage to the facial nerves
  • Infection
  • Numbness
  • Scarring
  • Hair loss around the incision site
  • Skin necrosis

Some of these complications are rarer than others. Bruising is common, and typically lasts up to 2-3 weeks, depending on the extent of surgery. Bleeding is unusual and measures such as the use of drains and drugs to tighten blood clotting are used to minimise the risk. Patients should take things very quietly for the initial 3 weeks to reduce the risk further.

Hair loss around the incision site and skin necrosis on the other hand, are quite rare. Incisions are very carefully placed in skin creases to minimise the risk of hair loss. Smoking and all nicotine products must be avoided for at least a month before and after surgery to avoid this risk.

Risks associated with the procedure

There are some risk factors that can increase the likelihood of you suffering complications after a facelift. They include those with serious medical issues, diabetes, high blood pressure, smokers, and blood thinners.

All patients should be in good physical and mental health. If you do have a medical condition, or you have diabetes and high blood pressure, the risks of the procedure will be increased. If you are a smoker, quitting before a facelift is essential.

If you are taking blood thinning medication, this will need to be stopped before the procedure and will be discussed at consultation as to whether this is possible or desirable.

Following your surgeon’s aftercare advice

If you want to avoid the risks and complications of a facelift, it is best to follow your surgeon’s advice. They will provide you with a list of aftercare instructions you’ll need to follow. This ensures a speedy, straightforward recovery.

You can learn more about the risks and complications of a facelift by booking a consultation with Mr Tulley today. During your consultation, you will undergo an assessment to ensure you are an ideal candidate. Your individual risks will be discussed, alongside any advice on how to minimise them.

Pregnant After A Tummy Tuck

A tummy tuck is an extensive procedure that helps to shape and contour the abdomen. Ideally, you should wait to have one until you have finished having children. However, what happens if you do get pregnant after undergoing the procedure?

Here, you’ll discover whether it is safe to get pregnant after a tummy tuck, and what will happen to your results if you do.

Is it safe to get pregnant after undergoing a tummy tuck?

Generally speaking, there aren’t any risks of falling pregnant again after you have undergone a tummy tuck. Both you and your baby will remain safe, regardless of whether you had a mini tummy tuck or a full abdominoplasty. However, there are some risks you should be aware of including:

  • An increased risk of infection
  • An uncomfortable pregnancy

The risk of infection is still low, but it is something to keep an eye on after the procedure. The main complication you may experience is an uncomfortable pregnancy. This is because the skin around the midsection is tighter, which can lead to some level of discomfort.

If you have any doubts, book a consultation with Mr Paul Tulley to identify your individual risk factors.

Will you be able to maintain results after giving birth?

The main concern patients have when they are thinking of giving birth after a tummy tuck is what will happen to their results. It is possible that the pregnancy will stretch the skin once again, causing the same results as before you underwent the procedure.

The rectus muscles may become separated, and you may also develop additional stretch marks in the area. However, there is a chance you will still maintain the results after giving birth.

Will I be able to have a second tummy tuck?

If you do lose the results of your initial tummy tuck after pregnancy, you can undergo a second one. However, you will need to wait until the body has fully healed before you can undergo another procedure.

It is also possible that you may not need a full tummy tuck. Instead, you may benefit from a limited revision, which wouldn’t be as intensive.

If you are thinking about getting pregnant after undergoing a tummy tuck, book a consultation to discuss the risks with Mr Paul Tulley. He will be able to advise you on whether it is better to wait a while to get pregnant again, and what you can expect if you do need an additional procedure.

Breathe more easily

Rhinoplasty procedures are typically associated with the aesthetic benefits they provide. However, did you know they can also aid in the way your nose functions too?

If you suffer with breathing issues, a rhinoplasty can help to correct them, providing a significant improvement in your quality of life. In this blog, you’ll discover how a nose job can help you to breathe more easily.

What is a rhinoplasty procedure?

A rhinoplasty procedure can be carried out for cosmetic and functional purposes. In the case of functional procedures, the nose is re-shaped to allow proper drainage and to restore airflow. If the issue is caused by a deviated septum, a procedure known as a septoplasty will be performed. This includes straightening out the septum to encourage adequate airflow.

The procedure is intensive, typically requiring a minimum of two weeks of rest. However, vigorous exercise should also be avoided for a period of six weeks. Your surgeon will be able to give you a more accurate picture of what to expect from your recovery.

How can a rhinoplasty help you breathe easier?

Breathing impairments are most often caused by structural abnormalities. The most common structural abnormality experienced by patients is a deviated septum. The septum is the piece of thin cartilage which splits the nostrils into two. But if it isn’t centred correctly, breathing normally can become difficult.

A rhinoplasty can help to correct breathing issues by changing the structural shape of the nose.

Do you need a rhinoplasty to correct breathing issues?

Although a rhinoplasty can correct breathing issues caused by structural problems with the nose, it won’t necessarily fix every issue. This is because your breathing troubles may not be caused by a structural concern.

A couple of other causes of breathing difficulties include:

  • Nasal polyps
  • Allergies

Firstly, nasal polyps can develop in the sinuses. These are associated with asthma, regular infections, and allergies. They are soft and painless, but they can cause serious issues with breathing if they are left untreated. In addition, allergies can play a role, causing the nasal passages to become inflamed.

If you are experiencing breathing difficulties of any kind, the first step is to visit your GP. If it is connected to structural issues within the nose, a rhinoplasty could be an effective treatment. To learn more about functional rhinoplasty, book a consultation with Mr Paul Tulley today.