The Harley Medical Group

Nose reshaping is an increasingly popular cosmetic procedure and with the introduction of non-surgical techniques, is becoming more and more accessible. Here we are taking a deep dive into the key differences between surgical and non-surgical nose reshaping procedures.

The difference between surgical and non-surgical rhinoplasty

Surgical Rhinoplasty involves making incisions in the skin and making changes to the shape of the bone and cartilage in the nose. Non-surgical rhinoplasty offers a less invasive alternative to surgical interventions for those searching for a way to correct, enhance or alter the shape and appearance of the nose. Dermal fillers are injected under the skin in specific locations to alter the proportions and contours of the nose to give the illusion of a thinner, straighter or more symmetrical appearance.

Non-surgical rhinoplasty vs surgical: The pros and cons

As with any aesthetic procedure, there are pros and cons that make the different options more suitable for some patients than others.

Non-surgical techniques provide solutions that are less costly, associated with fewer risks and require shorter recovery periods. Whereas surgical Rhinoplasty facilitates a more drastic, permanent change to the shape of the nose.

The nature of surgical Rhinoplasty means that it is associated with greater risk than non-surgical Rhinoplasty, especially when performed under general anaesthetic. A study published in The Aesthetic Surgery Journal found that the overall complication rate of surgical Rhinoplasty was 0.7%[1] and some of the risks include:

Non-surgical rhinoplasty is considered to be safe and complications are rare but there is a risk of swelling, bruising and redness around the injection sites. A safety review published in The Journal of Facial Plastic Surgery and Aesthetic Medicine found that serious events occur in just 0.2% of cases when administered by a Doctor[2].

Non-surgical vs surgical nose job: Who is suitable?

Surgical Rhinoplasty is most suitable for patients who are searching for a permanent solution to their cosmetic concerns and where more significant changes are required. Non-surgical rhinoplasty is a suitable alternative for many patients looking to make minor adjustments to the contours of the nose or smoothen small bumps and irregularities.

However, there are circumstances where it would not be possible to achieve a patient’s desired results with non-surgical Rhinoplasty. Some examples of when this might be the case include:

In these cases, surgical intervention may be more appropriate. In any instance, the most suitable approach for your aesthetic goals should be discussed with your expert at The Harley Medical Group during a free no-obligation consultation. You can read about the most important questions to ask your Rhinoplasty surgeon here.

If you would like to explore how non-surgical Rhinoplasty can help you to achieve your desired results, sk:n, the UK’s leading skin clinic, provides non-surgical nose job treatments administered by highly trained and experienced expert clinician injectors.


1. Layliev J, Gupta V, Kaoutzanis C, Ganesh Kumar N, Winocour J, Grotting JC, Higdon KK. Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients. Aesthet Surg J. 2017 Jul 1;37(7):757-767. doi: 10.1093/asj/sjx023. PMID: 28472446.

2. Rivkin A. Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures. Facial Plast Surg Aesthet Med. 2021 Jan-Feb;23(1):6-11. doi: 10.1089/fpsam.2020.0291. Epub 2020 Dec 2. PMID: 33270519.

What is a deviated septum?

The nasal septum is essential in providing the nose with structure and enabling effective passage of warmed and humidified air through the nose. The septum can become deviated in several ways including C and S-shaped deviation, septal outpouching and septal perforation. When this happens it can cause obstruction and interference with the flow of air through the nose, leading to a sensation of blockage in the nose, difficulty sleeping, pain and recurrent nose bleeds.

If you are unsure about whether you are experiencing septal deviation and are wondering how to tell if you have a deviated septum, there are a number of signs and symptoms that are linked to the problem. Alongside the symptoms mentioned earlier, you might have been told that your breathing is noisy during sleep, you might have an unusual awareness of your breathing or a preference for sleeping on one side.

How to fix a deviated septum?

Deviated septum can be corrected using specialist deviated septum surgery, or Septoplasty, which can often be combined with nose reshaping in a Septorhinoplasty operation. In Septoplasty, incisions are made in the internal lining of the nose to expose the underlying cartilage and bone. Any corrections that need to be made to the shape of the septum can then be completed.

The operation is one of the most commonly performed facial plastic surgery procedures and is usually completed under general anaesthetic. The procedure is relatively short and commonly takes between an hour and 90 minutes. Similarly to Rhinoplasty, following Septoplasty, the surgeon may place packing inside the nostrils and use splints to maintain the shape of the septum.

A question that is commonly asked by patients is ‘Can I get a nose job with a deviated septum?’. The answer to this question varies depending on the individual and the extent of any breathing difficulty. Your expert surgeon will need to determine whether improving cosmesis with Rhinoplasty could further compromise breathing to an unacceptable level. In cases such as this, it may be necessary to repair the nasal septum alongside Rhinoplasty. So, in short, it is absolutely possible to have a nose job with a deviated septum, but septal correction may be required in tandem.

Benefits of deviated septum surgery

The main advantage of undergoing septum correction surgery is to improve your ability to breathe and eradicate the symptoms associated with septal deviation. Whether it be headaches and sinus pain, or nose bleeds and breathing difficulty that affect your quality of life, Septoplasty with The Harley Medical Group may provide the optimum solution.

When is the right time? Will a deviated septum get worse?

If you struggle with your breathing and are becoming concerned about how your life is being affected, it is important to understand the cause. There are many potential explanations, but an issue with your septum is something that can be resolved.

If you have been diagnosed with a deviated septum, this will not repair of its own accord and should not be left alone. Crucially, it is possible for deviated septa to worsen with time as the nasal structures change throughout life.

The expert team here at The Harley Medical Group are available to explore your options for septum correction surgery, understand your concerns and create a treatment plan that suits you and your goals. Book a consultation with one of our experienced Patient Advisors to make your breathing difficulties a thing of the past.

Regardless of the type of rhinoplasty, open, closed or even non-surgical, swelling is expected following the procedure and is a normal component of the recovery process. The extent of any swelling depends on a number of factors including the type of reshaping technique, the surgical approach and individual skin properties. With non-surgical rhinoplasty there may be some minor swelling, bruising and itching, particularly around the injection sites. However, this will be minor in comparison with surgical rhinoplasty.

During the consultation process at The Harley Medical Group, your surgeon will explain and discuss the anticipated level of swelling in your personal circumstances but here we will take a look at what you can expect, the stages of swelling after rhinoplasty and what can be done to reduce swelling.

Rhinoplasty swelling timeline

It is no secret that the rhinoplasty recovery process requires patience and determination to achieve your desired results. This is due to the masking of final results by postoperative inflammation due to facial trauma and longer-term swelling as a result of fluid retention.

Here we have created a timeline of rhinoplasty swelling week by week to guide your expectations either in preparation for your procedure or to support you during your recovery period. In a study published in the Journal of Plastic and Reconstructive Surgery, more than 97% of facial swelling resolved within 1 year of rhinoplasty surgery, and 95% within 6 months. It is clear then that the time it takes for the final facial contours to be revealed varies between individuals.

How to help swelling after rhinoplasty?

  1. Ensure that any strenuous activity is avoided during the initial 2-week period
  2. Shower and bathe using lukewarm water only during the first week
  3. Engage with your post-operative care plan provided by the experts at The Harley Medical Group
  4. Stop smoking before surgery and continue to avoid smoking during the aftercare period
  5. There is limited evidence that arnica ointment or supplementation can help to reduce swelling following surgery

What to eat after rhinoplasty to reduce swelling?

  1. Reduce salt intake during recovery to help minimise water retention. Opting for low sodium alternatives can be an easy way to do this
  2. Eat a well-balanced diet incorporating the recommended daily intake of vitamins and minerals. It may be helpful to supplement Vitamins C, A and K if you suspect that your diet may not provide an adequate supply of these


Pavri S, Zhu VZ, Steinbacher DM. Postoperative Edema Resolution following Rhinoplasty: A Three-Dimensional Morphometric Assessment. Plast Reconstr Surg. 2016

Glancing in the bathroom mirror or reviewing those recent family photos and being met with the surprise of unwelcomed fullness under the jaw is an experience that many people have suffered. A double chin is a result of excess fat tissue or skin underneath the jaw that is a common cause of self-consciousness and discomfort.

Fortunately, a double chin is not something that needs to be accepted and there are solutions that can alter the contours of the jaw and restore self-confidence. In this article we will shed light on the causes of a double thin, some of the available treatments and some examples of results.

What causes a double chin?

It is a common misconception that the sole cause of a double chin is weight gain and that only overweight people are affected. However, there are several factors that come together as a group of causes that impact a diverse range of people at various points in their life.


How do you get rid of a double chin?

The ideal double chin treatment for any individual depends on the cause. A double chin that is caused by excess fat can be treated effectively using liposuction. A technique known as tumescent liposuction is used commonly to treat the chin area as it is useful in removing smaller volumes of fat. In many cases this type of liposuction requires only local anaesthesia and an overnight hospital stay would not be necessary. Whilst recovery times vary depending on the individual, it is expected that a full recovery would be made within 1-2 weeks. If you would like to, you can read more about the different types of liposuction here.

If a double chin is caused by excess loose neck skin or a dysfunctional platysma muscle, a neck lift procedure (or platysmaplasty) may be more appropriate. During this procedure any unnecessary excess skin is removed, resulting in a tightened, rejuvenated appearance.

If you would like to discover more about how The Harley Medical Group can help you to achieve the results you desire, book a free no-obligation consultation to discuss your circumstances with an experienced patient advisor.

The Advertising Standards Authority (ASA) is the UK’s independent advertising regulator that makes sure ads across UK media stick to the advertising rules. They have announced that the Committee of Advertising Practice (CAP) and Broadcast Committee of Advertising Practice (BCAP) are introducing new targeting restrictions that prohibit cosmetic interventions advertising from being directed at under-18s.

The new targeting restrictions came into effect on 25th May 2022 and essentially require that:

At The Harley Medical Group we acknowledge and appreciate the new rules behind these cosmetic advertisements and why they’ve been put in place. Particularly because this ensures that young people who may be more vulnerable to these advertisements aren’t exposed to them and therefore isn’t impacting on their self-esteem, wellbeing, mental health and behaviours.

Children and young people’s body image perceptions and their susceptibility to pressures to change their appearance are hugely influenced by a number of social and cultural factors.
Evidence shows that exposure to different forms of media including advertising, particularly those that focus on body image ‘improvements’ such as cosmetic intervention procedures, is likely to exacerbate body image dissatisfaction and negativity during vulnerable stages of their lives.

In a paper published by The Harley Medical Group’s Mr Amir Sadri in the Journal of Plastic, Reconstructive and Aesthetic Surgery, the increased media attention on aesthetic surgery was analysed. Between 1991 and 2013, the number of articles relating to the field increased from 45 to over 3500. Mr Sadri shared that accessibility of aesthetic surgery has widened over recent years, but that social media and celebrity culture has led to the significance of surgery being underplayed.*

CAP and BCAP will conduct a 12-month post-implementation review to ensure that the new rules are functioning as intended. The Harley Medical Group openly acknowledges and supports these informative changes.

*Amir Sadri, Reza Nassab, Cosmetic surgery and the press: A 22 year review of a growing relationship, Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 68, Issue 2, 2015, Pages 269-270, ISSN 1748-6815,

For years, there has been a stigma around men seeking cosmetic treatment. Yet with an overall 15% year on year increase in enquiries at The Harley Medical Group, it seems men have pushed past the stigma and are starting their journey to prioritising their self-confidence.

From rhinoplasties to liposuction, Mr T K Sankar, Chief Medical Officer and Consultant Plastic Surgeon at The Harley Medical Group, exclusively reveals the top surgical cosmetic treatments men have been turning to.

Surgical Treatments for Men

I’ve seen a large uptake in men enquiring about cosmetic surgery – especially within the last year or so due to the pandemic. With the zoom boom phenomena, people are becoming more aware of their appearances after having to stare at their faces on camera. It has had a significant impact on self-confidence, especially for men who hadn’t previously spent too much time in front of the mirror.

Whilst in the past it may have been more taboo for men to seek out cosmetic treatments, it’s becoming more common, especially in today’s culture where people are feeling empowered to embrace self-confidence. Below are the three most popular treatments enquiries amongst men.


Accounting for 21% of enquiries, Rhinoplasty is the second commonest surgery within our group and one of the most popular facial procedures in the UK and has seen significant growth over the last few years, and especially during the pandemic.

The nose is such a central part of the face, a facial feature that not many people were used to staring at on camera all day long. Before undergoing surgery, it is vital to understand the client’s expectations to ensure they are aligned with what is realistic and achievable.

Brandon, aged 24 from Northamptonshire came to The Harley Medical Group for an open rhinoplasty, amending his septum and removing the bump from the bridge of his nose. 

before and after male rhinoplasty

“I felt self conscious about my nose and breathing was also an issue, I could only sleep in one position making it quite uncomfortable at times. My family has noticed I’m a lot more confident. For anyone that’s looking to get it done, I’d highly recommend The Harley Medical Group!”.


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But it’s not always about the faces. We are also seeing an increasing trend towards minimally or non-invasive treatments to aid in reducing stubborn pockets of fat that are hard to shift with diet and exercise. Conventional liposuction, with the assistance of power, water, laser, ultrasound or radiofrequency driven devices, has become more popular in the recent years (accounting for 18% of surgical enquiries amongst men), to achieve precise and desired outcomes.

From spending more time at home and indulging in comfort foods, some men have become increasingly aware of love handles or the increase in tissue around the breasts and are looking to reduce them. Liposuction surgery can be performed on most parts of the body and the technique is often used as part of other cosmetic surgery procedures, such as a tummy tuck or male breast removal to achieve the desired result. Therefore, it is always a popular treatment for our clients.

However, when considering liposuction, it’s important to understand that if you remove a large amount of fat you are likely to have loose skin and therefore you may also need skin removal or skin tightening treatments to take place afterwards to achieve the desired look. It is also important to know that the liposuction is not a weight reduction surgery.


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Eye Bag Removal

Getting older can take its toll on your appearance, particularly to the skin around the eyes which can become loose and wrinkled, start to sag, and make the eyes look tired, adding years to the face. Since wearing masks I have noticed an increase in male clients looking to tweak the eye area. Because of this, many have become self-conscious about the appearance of dark circles and under eye bags – which is why eye bag removal surgery has accounted for over 8% of male enquiries.

Blepharoplasty, also known as eye bag removal or eyelid surgery, helps to restore youthfulness to the face and despite the name, this procedure helps to improve the appearance of the overall eye area. If you opt for lower blepharoplasty, or a combination of upper and lower eyelid surgery, this will almost always be performed under general anesthesia.

Your surgeon will make an incision along the lower lash line before removing any excess fat (often known as eye bags) and stretching the skin to ensure a smooth finish. Once the incision has been stitched, any excess skin will be removed and you will be left with smoother, younger looking skin underneath the eyes.


Often, we have clients wanting to look like celebrities, however, it’s important to remember that even with surgery you will still look like you, so understanding and accepting this is really important before embarking on your cosmetic surgery journey. Our job as surgeons is all about improving our client’s psychological self-awareness and the quality of their day to day life. This can be achieved only by delivering patient centered safe and appropriate surgical procedures.

If you would like to explore how The Harley Medical Group can help you achieve your goals, book a free-no obligation consultation with a patient advisor today.

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