Rhinoplasty in London (Nose Surgery) | Mr. Ivo Gwanmesia Skip to main content

Natural defects or trauma to the nose can significantly alter your nasal appearance. A nose that is disproportionately sized or oddly shaped can have a negative impact on how you view yourself. As the focal point of the face, nasal structure plays an important role is creating an overall attractive facial appearance. If you wish to dramatically improve your appearance by enhancing your nose, rhinoplasty can sculpt a new nasal structure to restore balance and facial beauty. In his practice, Mr Gwanmesia now uses a modern 3D device that enables him to achieve a nasal appearance that allows for the restoration of natural facial balance and harmony.

Enhance Your Facial Appearance

An overly large or crooked nose can detract from your facial appearance, and an extremely small nose may make the face appear unbalanced. Most patients seeking rhinoplasty wish to improve the size or shape of their nose to restore a more proportional and attractive facial appearance. Cartilage may be removed, repositioned, or added to custom-shape your new nasal structures.
Nasal bridges can be poorly shaped due to genetics or due to improper healing following trauma. A deformed nasal bridge can result from a wide or dented appearance. Rhinoplasty is designed to narrow and smooth the bridge of the nose. Additionally, a drooping nasal tip can lead to a more prominent-looking nose. Your nose surgery can address the size or shape of your nasal tip by adjusting its overall shape and projection.
Mr Gwanmesia’s goal for any rhinoplasty is to craft a nose that both enhances your facial appearance and provides completely natural-looking results. Targeting key nasal structures during your surgery will help obtain flawless rhinoplasty results. Adjusting the nostril size plays an important role in creating a balanced and natural nasal appearance. Modifying the angle of the nose’s bridge so it has a subtle slope will also help create a more natural nasal shape.


Rhinoplasty Techniques

Open Rhinoplasty

  • An incision is created on the columella (the narrow bridge between the nostrils that connects the tip of the nose to the base)
  • The skin is separated from the underlying structural layers of the nose
  • Cartilage may be added, repositioned, or removed to custom-shape your nose
  • An open incision allows more visibility of the nasal structures, and in some patients, allows for more extensive adjustments

Closed Rhinoplasty

  • All incisions are created inside of the nasal cavity, which prevents the development of visible scarring
  • The skin is released from the cartilage, and the structures of the nose are shaped
  • The closed technique is typically a shorter procedure and requires a less extensive recovery period


  • Septoplasty is designed to treat a deviated septum that causes breathing problems
  • Deviated septums occur when the cartilage that separates the nasal passages is crooked, obstructing the flow of air in one or both nostrils
  • A deviated septum can cause difficulties breathing and intense snoring
  • Septoplasty straightens the septum, restoring breathing function

Precision Rhinoplasty

  • Precision rhinoplasty uses cutting edge technology to get results that are both functional and aesthetically pleasing
  • Use of 3D imaging allows for a more detailed preoperative plan to be made
  • The ultrasonic Piezo device is used to precisely remove bone with less damage to surrounding soft tissues while allowing for more accurate repositioning
  • Use of the Piezo device allows for shorter operation times and a faster reduction in facial swelling

Rhinoplasty Surgery Concerns

Age: 24 year old female

Description: Photos taken at 5 weeks post op

Procedure: Primary open rhinoplasty

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Age: 31 – 35 year old female

Description: Photos taken at 7 months post-op

Procedure: Primary Rhinoplasty

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Age: 26 – 30

Description: Photos taken at 12 months post-op

Procedure: Primary Rhinoplasty

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*Results may vary from patient to patient. There is no guarantee of outcome.

Patient Testimonials


Frequently Asked Questions

Most patients will require the use of a general anaesthetic. However, patients requiring only minor corrections using a closed technique may be able to use a local anaesthetic.
Rhinoplasty can provide a number of emotional and physiological benefits for teens and adults. Nose surgery should only be performed on patients with complete facial growth, which usually occurs around 16 years of age for girls and 17 years of age for boys.
In most cases, the rhinoplasty procedure lasts between two and three hours. The length of time will depend on the necessary corrections and adjustments needed to achieve your desired results.
The first several days following your procedure may be accompanied with breathing difficulties. Swelling and splints will likely obstruct the nasal passageways. This feeling is only temporary and doesn’t affect your overall health.
Rhinoplasty is designed to provide life-long correction to the nasal appearance. It is important to properly follow all aftercare instructions to ensure beautiful, lasting results.
There are some risks involved with nose surgery. These include infection, poor wound healing, nose asymmetry, blood clots, and changes in skin sensation.
Rhinoplasty can address many issues related to a deviated septum and other breathing restrictions. Mr Gwanmesia can assess any problems you have and determine the best plan of action to correct your deviated septum. Some airway obstructions may be caused by the septum and can be treated by septoplasty.
Yes, as smoking disrupts the healing process and can lead to post-op complications. To get the best results, you will be asked to stop smoking and stay smoke-free before and after surgery.
Because every nose is different, Mr Gwanmesia will determine the appropriate technique based on your anatomy and goals.
You may experience some pain following your rhinoplasty. Mr Gwanmesia will prescribe pain medication to help reduce any discomfort.
Mr Gwanmesia is expert in all types of nose restructure and can repair Boxer's or Saddle nose by adding volume and structure with cartilage grafts. This method uses your own natural cartilage to augment the dorsum of the nose. As part of this repair Mr Gwanmesia can straighten a crooked nose.
Perforated septum repair surgery uses other tissue (either from within the nose or sometimes elsewhere on the body) to seal up holes in one's septum. The surgery usually takes between 1 and 3 hours, and patients can return home the same day. Mr Gwanmesia is expert in all types of nose restructuring surgery.
Learn about Mr Ivo Gwanmesia’s cosmetic surgery experience and professional credentials at his 'about' profile page.

Contact us to learn more

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Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.