Spire Thames Valley Hospital 01753 665434
Spire Dunedin 0118 9553420
Berkshire Independent Hospital 01753 665434


Rhinoplasty involves modifying the nasal skeleton of bone and cartilage to alter the shape of the nose. Occasionally reduction of excess skin is also done at the base of the nose. Rhinoplasty can be done as an open or closed procedure depending upon the changes that need to be made.

An open rhinoplasty is particularly useful for changing the contour of the tip of the nose when direct visualisation of the cartilages which form the nasal tip, can be achieved. It is then easier to adjust their position, reshape them, or augment them with cartilage grafts. The disadvantage of an open rhinoplasty is that it leaves an external scar and the tip of the nose tends to be more swollen for longer after surgery.

A closed rhinoplasty is done entirely through incisions inside the nose without any visible incisions except a very small puncture wound on the side of the nose which virtually disappears.

During a rhinoplasty the bone and cartilage framework of the nose is reduced and reshaped. This usually involves removing excess from the back of the nose to reduce a prominent hump. The nose is then narrowed by perforating the nasal bones through a small stab incision using a chisel and fracturing them to move them closer.

The procedure is then completed by reshaping the tip cartilages to narrow the tip and the tip can then be repositioned by either setting it further back or higher depending upon the aesthetic goals of the nose that are required.

COVID-19 Update

With the present curtailment of activity in private hospitals we are no longer able to see or treat Private Patients except in emergencies. Unfortunately there is no indication as to when we may be able to resume normal activity. If you have concerns or wish to register for a future appointment please contact one of the following; For Spire Thames Valley, Circle Reading or Chiltern Hospitals: Jackie Pincham 01753665434. For Spire Dunedin in Reading: Natalie Headley 01189521319. For the Berkshire independent Hospital in Reading Ann Randall; 0118 902 8121. We apologise for any inconvenience and look forward to being of assistance in the future. Stay safe and healthy. John Dickinson