Rhinoplasty Surgery London


Specialist Plastic Surgeon Mr Dario Rochira is very experienced at performing all types of facial surgery and has a special interest in nose or Rhinoplasty surgery.  Reshaping a nose is a complex procedure that demands superior training and experience.  Mr Rochira was the first Specialist Plastic Surgeon in the U.K. to incorporate the latest technique, which is known as Preservation Rhinoplasty, into his practice in London.

Located in the centre of the face, Mr Rochira appreciates that every nose is unique and it plays a fundamental role in aesthetic proportions.  He understands that achieving an aesthetically attractive nose, whilst maintaining normal function, is his primary responsibility when performing this surgery.

What Can Be Changed With Rhinoplasty?

The changes that are possible will be subject to and dependent upon each person's nose and facial features.  The nose has the most variable features among different ethnicities.  For example, a greek nose is opposite to an afro-carribean nose and as such, will require particular skills and knowledge of the individual anatomy as well as individual surgical techniques.

At his clinic on Harley Street in London Mr Rochira sees female and male patients from all ethnic backgrounds for nose surgery, and has experience in correcting the following issues:

  • smoothing prominent humps on the bridge of the nose
  • shortening the length of an over-projected nasal tip
  • narrowing a wide nose
  • refining a bulbous round tip
  • straightening a deviated nose
  • improving breathing problems
  • reducing nostril size

Traditionally, Rhinoplasty Surgery was carried out either as an open or closed operation.

Open Rhinoplasty - a minimal incision is made on the skin between the nostrils (usually less than 1cm) allowing for full access to the nasal anatomy.  This is the most common approach in the vast majority of noses since it allows more extensive reshaping.  While many patients are concerned about the possibility of a scar, it is practically invisible after 12 months.  The open approach gives the surgeon greater visibility when planning the operation and allows for challenging procedures, that would otherwise be impossible to perform.

Closed Rhinoplasty - following the development of the open technique, rhinoplasty surgeons began to notice that comparable results with greater control could be achieved using a closed approach, whereby incisions are made internally with no scarring visible on the exterior of the nose. This approach is generally suitable for patients who require little alteration of the bone or the nasal cartilages and tip.

However in the last decade, surgeons have built upon their past experience of conducting nose surgery and developed a new approach that has become known as Preservation Rhinoplasty.


Preservation Rhinoplasty is the biggest change to occur in nose surgery in the last 50 years, and as such has been described as something of a revolution by the small number of Specialist Plastic Surgeons who operate on the nose.  Preservation Rhinoplasty can actually be done either as an 'open' or 'closed' procedure but as the name suggests, it seeks to 'preserve' a number of important structures of the nose during the surgery.

Preservation Rhinoplasty has been developed following new anatomical studies, advanced tip suture techniques, and the refinement of surgical techniques.  Major advances have occurred in surgeons' understanding of nasal anatomy and how it relates to nasal aesthetics and surgical techniques.

What Are The Benefits Of Preservation Rhinoplasty?

The goal during Preservation Rhinoplasty is to preserve the nasal ligaments and carefully manipulate the cartilages with minimal trauma to surrounding tissue.  Benefits to the patient are less swelling, numbness and scar tissue when compared to conventional techniques.

Preservation Rhinoplasty also gives the surgeon greater certainty over the outcome for the patient, thereby addressing the biggest fear of patient (and surgeon) that the result may not look natural.

Preservation Rhinoplasty is quickly becoming the preferred method for conducting nose surgery by expert plastic surgeons around the world. Following training in Italy and Turkey, Mr Rochira became the first Specialist Plastic Surgeon in the U.K. to incorporate this new method for performing nose surgery into his practice in London.  In Mr Rochira's experience up to 80% of the patients who he sees for surgery on their nose are suitable for Preservation Rhinoplasty.


The initial outcome of Rhinoplasty Surgery will be noticeable after 2-3 weeks when most of the swelling goes down, but further improvement can take up to a year to be fully realised, particularly in the tip area.

To make an appointment to see Mr Rochira or to learn more about his rhinoplasty experience and the surgery that he carries out please send an email to info@dariorochira.co.uk or telephone his secretary on 07738 233604.


Closed or open approach


Day case or 1 night