Does Edinburgh Nose and Sinus Surgeon offer cosmetic rhinoplasty?

Yes. Mr Rohit Gohil offers cosmetic rhinoplasty and septorhinoplasty in Edinburgh, with a focus on natural-looking results and preservation of nasal function.

What makes an ENT surgeon different from any other surgeon for rhinoplasty?

An ENT surgeon has specialist training in nasal anatomy, airflow and structural support. This is particularly important in rhinoplasty, where cosmetic changes can affect breathing and long-term nasal stability. This married with sensitive approach to nasal form means that the nose can be managed holistically. Mr Gohil will work with his patients to explore their aesthetic and functional concerns in order to create an appropriate bespoke plan for them.

What is closed rhinoplasty?

Closed rhinoplasty is a surgical technique where all incisions are made within the nostrils, resulting in no visible scarring. This method is typically used for less complex cases and allows for quicker recovery. The surgeon works through the nostrils to reshape the bone and cartilage.

What is open rhinoplasty?

Open rhinoplasty is a surgical technique where an incision is made across the columella, the tissue between the nostrils. This allows the surgeon to lift the skin off the nose and have a clear view of the nasal structures. Open rhinoplasty is often used for more complex cases where significant reshaping is required.

What are the different methods of rhinoplasty?

There are two main methods of rhinoplasty: open rhinoplasty and closed rhinoplasty. Open rhinoplasty involves making an incision across the columella, the tissue between the nostrils, allowing the surgeon to lift the skin off the nose and have a clear view of the nasal structures. Closed rhinoplasty involves making incisions within the nostrils, resulting in no visible scarring. Both methods have their advantages and are chosen based on the patient's needs and the surgeon's preference.

What is rhinoplasty and how is it performed?

Rhinoplasty, commonly known as a nose job, is a surgical procedure to change the shape of the nose. It can be performed for cosmetic reasons or to improve breathing. The surgery involves reshaping the bone and cartilage of the nose to achieve the desired appearance and function.

Is cosmetic rhinoplasty suitable if I also have breathing problems?

Yes. Cosmetic rhinoplasty can often be combined with functional correction in a procedure known as septorhinoplasty, addressing both appearance and breathing in one operation. It is always worth considering that any significant change to nasal form can have a perceptible effect on nasal function. Mr Gohil will be able to discuss how these changes will apply to you individually.

What is cosmetic rhinoplasty?

Cosmetic rhinoplasty is a surgical procedure aimed at improving the appearance of the nose. Mr. Gohil specializes in achieving natural-looking results that enhance facial harmony while addressing any functional concerns.

What Are “Realistic Expectations” in Rhinoplasty?

One of the most important parts of a rhinoplasty (nose reshaping) consultation is discussing realistic expectations. Rhinoplasty can achieve beautiful, natural-looking results — but it is not about creating a “perfect” or completely different nose. It is about balance, proportion, and harmony with the rest of your face. Realistic expectations mean understanding that: Subtle changes often look more natural than dramatic ones Your unique anatomy and skin thickness influence results Perfect symmetry is not achievable in any face Swelling can take months to fully settle The unique history of your nasal health and any previous injury/surgery can impact further surgical results considerably. Many patients bring photos of noses they admire. While this can be helpful in guiding discussion, it is important to recognise that every face is different. A nose that suits one person may not suit another. The goal is enhancement — not imitation. Rhinoplasty can improve concerns such as a dorsal hump, drooping tip, asymmetry, or breathing difficulties. However, it cannot change underlying facial structure or guarantee a specific “celebrity” result. During consultation, Mr Rohit Gohil takes time to understand your goals, assess your nasal structure, and explain what can realistically be achieved. Clear communication helps ensure you feel confident, informed, and aligned with the surgical plan. When expectations are realistic, rhinoplasty can be life-enhancing — improving both confidence and nasal function while maintaining a natural appearance that still feels like you, and only you.

What Is a Board-Certified Cosmetic Surgeon?

A board-certified cosmetic surgeon in the UK is a surgeon who has demonstrated advanced training, clinical experience, and professional competence specifically in cosmetic (aesthetic) surgery procedures — not just general surgical training. This certification goes beyond basic qualification and reflects an additional level of specialist scrutiny and professional standards for surgeons performing aesthetic operations. Mr Rohit Gohil is a board-certified cosmetic surgeon in cosmetic nasal surgery, certified by the Royal College of Surgeons. This means he has been formally assessed and accepted onto the Cosmetic Surgery Board Certification Scheme, which helps patients identify surgeons with verified expertise in cosmetic procedures. Why Board Certification Matters in Cosmetic Surgery Because cosmetic surgery is not a protected specialty in the UK, the term “cosmetic surgeon” on its own can be misleading. Any doctor may call themselves a cosmetic surgeon without this extra level of assessment — even without specialist training. Board certification offers patients a trusted indicator of recognised competence in the specific area of cosmetic surgical practice. How Rigorous Is the Process? Achieving board certification in cosmetic surgery through the RCS Cosmetic Surgery Board Certification Scheme is a demanding multi-step process designed to uphold the highest professional standards: 1. Specialist Registration The surgeon must be on the General Medical Council (GMC) specialist register in a relevant surgical field such as otolaryngology (ENT), plastic surgery or oral and maxillofacial surgery — reflecting years of structured surgical training and assessment. 2. Documented Clinical Experience Applicants must provide detailed evidence of their clinical work, including case reviews and outcomes, demonstrating meaningful experience in cosmetic procedures. 3. Professional Behaviours Surgeons complete the Professional Behaviours in Aesthetic Surgery (PBAS) course, which focuses on ethical practice, communication, consent, risk-sharing, and professional standards — ensuring safety and patient-centred care. 4. Ongoing Standards & Revalidation Certification is valid in the UK and must be renewed every five years, with evidence of continued practice, professional development, and review of outcomes. What Certification Means for You Board certification by the Royal College of Surgeons Cosmetic Surgery Board Certification Scheme is voluntary but respected. It demonstrates that a surgeon has been independently assessed and meets agreed UK standards for performing cosmetic surgery safely and effectively — including rhinoplasty and other nose reshaping procedures. When considering cosmetic nasal surgery, choosing a board-certified surgeon such as Mr Rohit Gohil gives patients reassurance that their surgeon has undergone rigorous evaluation of skill, experience, behaviour, and outcomes — not just basic training. If you wish to explore this further and discuss your rhinoplasty with Mr Rohit Gohil, who is Edinburgh-based, do not hesitate to book in.

Why might a rhinoplasty patient be asked to see a psychologist or psychiatrist?

For some patients considering cosmetic rhinoplasty, part of the assessment process may include speaking with a psychologist or psychiatrist. This can feel unexpected at first, but it is actually a normal, well-recognised, and important part of modern cosmetic surgery practice. Rhinoplasty can be life-enhancing for the right patient. However, nose surgery is not just about anatomy — it also involves confidence, self-image, expectations, and emotional wellbeing. Sometimes, a conversation with a mental health professional helps ensure that surgery is being pursued for healthy, realistic reasons and at the right time in a person’s life. This is not about judging patients or suggesting that symptoms are “all in the mind.” In fact, organisations such as the British Association of Aesthetic Plastic Surgeons and the British Association of Plastic Reconstructive and Aesthetic Surgeons strongly emphasise the importance of psychological assessment and holistic patient care in cosmetic surgery. Certain situations may make psychological support especially helpful, including: Significant anxiety about appearance Previous multiple cosmetic procedures Major recent life events or emotional stress Concerns about body image or self-esteem Very high or unrealistic expectations of surgery As a surgeon, Mr Rohit Gohil has extensive expertise in cosmetic nasal surgery — but psychologists and psychiatrists have specialist skills in understanding emotional wellbeing, body image, coping strategies, and mental health. Working together allows patients to be treated safely, compassionately, and holistically. Mr Rohit Gohil works closely with specialists in this field whom he knows can provide the right kind of support for his patients and will recommend their services if he feels this is appropriate. These colleagues are similarly practitioners working in the independent sector and running their own practices and therefore will request a fee for the services that they provide. Importantly, being asked to see a psychologist does not automatically mean surgery will not go ahead. In many cases, it helps patients feel more confident, informed, and prepared for surgery and recovery. Good cosmetic surgery is never just about changing appearance — it is about ensuring the best possible outcome for the whole person.

Should I Have a Computer Simulation (Morphing) Before Rhinoplasty?

One of the common questions patients ask during a cosmetic rhinoplasty consultation is whether they should have a computer simulation, sometimes called digital morphing, to show what their nose might look like after surgery.The answer is that it can be a helpful tool—but it also has important limitations.Digital morphing uses your own photographs to create an edited image that illustrates one possible direction of surgical change. It can help patients and surgeons discuss features such as a dorsal hump, tip shape, projection or overall facial balance, and can be particularly useful if a patient finds it difficult to describe their goals.However, a computer image is not a prediction or guarantee of the final result. Software cannot accurately simulate how your tissues will heal, how swelling will settle over the following 12 months, or how factors such as skin thickness, cartilage strength, scar tissue and individual healing will influence the final appearance.For this reason, Mr Rohit Gohil does not routinely use morphing for every rhinoplasty consultation. His experience is that, while simulations can occasionally aid communication, they can also create unrealistic expectations if viewed as a promise rather than a discussion tool or communicative aid.Instead, consultations focus on understanding your anatomy, your breathing, your facial proportions, and what can be achieved safely and naturally. Mr Gohil will explain which changes are realistic, which are not, and why. This often provides a more meaningful understanding than an edited photograph alone.If a simulation is likely to genuinely improve communication in your individual case, it can certainly be considered. However, the priority is always to deliver a result that is natural, balanced, long-lasting and functional—not simply to reproduce a digitally altered image.Ultimately, successful rhinoplasty depends on careful surgical planning, realistic expectations and honest communication, rather than computer software. The goal is not to create the "perfect" nose on a screen, but the right nose for your face in real life.

Bringing Advanced Technology to Rhinoplasty in Edinburgh: Introducing Piezoelectric Surgery

rohitgohil
Jun 28
3 min read

One of the most exciting developments in modern rhinoplasty (nose reshaping surgery) has been the introduction of piezoelectric surgery, often simply known as the Piezotome. This advanced technology has transformed the way surgeons perform the bony aspects of rhinoplasty, allowing greater precision while minimising unnecessary trauma to the surrounding tissues.

As part of his commitment to providing the highest standards of care, Mr Rohit Gohil, specialist nose and sinus surgeon in Edinburgh, is pleased to offer piezoelectric rhinoplasty at Spire Shawfair Park Hospital.

Like any surgical innovation, the Piezotome is not a replacement for surgical judgement or experience. Rather, it is an additional tool that, when used appropriately, complements meticulous surgical technique and careful planning to help achieve the best possible outcomes for patients.

What Is a Piezotome?

Traditional rhinoplasty often involves reshaping the nasal bones using small surgical instruments designed to carefully divide and reposition bone. A Piezotome uses high-frequency ultrasonic vibrations to cut mineralised tissue such as bone while largely preserving surrounding soft tissues, including blood vessels, cartilage and the delicate lining of the nose.

This selective action allows bone to be reshaped with an exceptionally high degree of precision.

For patients, the important message is simple: the technology is designed to make one of the most technically demanding parts of rhinoplasty more controlled and more accurate.

Why Is This Important?

Rhinoplasty is often regarded as one of the most complex procedures in facial plastic surgery. Every millimetre matters.

Whether surgery is being performed to improve breathing, alter the appearance of the nose, or achieve both aims together, success depends upon careful planning and precise execution.

The Piezotome offers several potential advantages during selected rhinoplasty procedures, including:

More precise bone reshaping
Improved preservation of surrounding soft tissues
Greater control during delicate osteotomies (controlled cuts in the nasal bones)
Potentially less bruising and swelling in some patients

It is important to recognise that every rhinoplasty is different. Some patients may benefit significantly from piezoelectric techniques, while others may achieve equally excellent results using conventional methods. Choosing the right approach is part of personalised surgical planning.

Technology Is Only Part of the Story

While advanced equipment attracts understandable interest, technology alone does not produce excellent rhinoplasty results.

The most important factors remain:

Careful patient assessment
Detailed understanding of nasal anatomy
Appropriate surgical judgement
Experience in managing both cosmetic appearance and nasal function

The Piezotome is simply another instrument within a comprehensive surgical armamentarium. Knowing when to use it is every bit as important as knowing how to use it.

For this reason, Mr Gohil carefully selects the surgical techniques that are most appropriate for each individual patient rather than applying the same approach to every operation.

A Commitment to Modern Rhinoplasty

Throughout his career, Mr Rohit Gohil has remained committed to advancing rhinoplasty practice through education, research and surgical innovation.

Alongside performing rhinoplasty in Edinburgh, he:

Leads the internationally recognised Dundee Advanced Rhinoplasty Course
Organises national educational meetings within facial plastic surgery
Serves on the Council of the British Rhinological Society as the representative for Scotland and Northern Ireland
Continues to teach surgeons from across the UK and Europe

Remaining actively involved in education means continually evaluating new techniques and technologies, ensuring that patients benefit from modern, evidence-based advances rather than simply following tradition.

Introducing piezoelectric surgery into his rhinoplasty practice reflects this philosophy of continuous improvement.

Delivering the Highest Standards of Rhinoplasty in Edinburgh

Every patient seeking rhinoplasty deserves a personalised approach based on their anatomy, goals and nasal function.

For some patients, the Piezotome may offer additional precision during surgery. For others, conventional techniques remain entirely appropriate. The choice is always guided by what is most likely to achieve a safe, natural-looking and long-lasting result.

At Spire Shawfair Park Hospital, Mr Rohit Gohil combines advanced technology with specialist expertise in both functional and cosmetic rhinoplasty, ensuring that every patient benefits from meticulous planning, modern surgical techniques and evidence-based care.

Ultimately, excellent rhinoplasty is not defined by the instruments used—it is defined by thoughtful decision-making, technical precision and an unwavering commitment to achieving the best possible outcome for every patient.

RG

Mr Rohit Gohil