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.

Nasal Septal Perforation: Causes, Symptoms and Specialist Treatment in Edinburgh

rohitgohil
Jan 31
4 min read

A nasal septal perforation is a hole in the nasal septum—the thin wall of cartilage and bone that separates the left and right sides of the nose. While some people may live with a small perforation without symptoms, others experience significant discomfort and disruption to daily life.

If you have been diagnosed with a septal perforation or are experiencing symptoms such as crusting, whistling, bleeding, or nasal blockage, assessment by an experienced nose and sinus surgeon in Edinburgh is essential. Mr Rohit Gohil is recognised for his expertise in the investigation and management of nasal septal perforation, including complex and revision cases.

What Causes a Nasal Septal Perforation?

There are several possible causes of septal perforation. In many cases, more than one factor may contribute.

Common causes include:

Previous nasal surgery, particularly septoplasty or nasal cautery
Nasal trauma, including injuries or repeated nasal picking
Long-term use of nasal sprays, especially decongestant sprays
Cocaine use, which reduces blood supply to the nasal septum
Inflammatory or autoimmune conditions, such as vasculitis
Infections or previous nasal packing
Radiotherapy affecting the nose

In some patients, no clear cause is identified. Determining the underlying reason is a key part of assessment with Mr Gohil, as this directly influences treatment decisions.

Common Symptoms of Septal Perforation

Symptoms vary depending on the size and location of the perforation. Small perforations may cause few problems, while larger ones can be very troublesome, the largest possibly causing no problem at all.

Symptoms may include:

Crusting inside the nose
Recurrent nosebleeds
A whistling sound when breathing
Nasal blockage or altered airflow
Dryness or discomfort
Facial pressure or pain

These symptoms often worsen in dry environments or during colds. Many patients report that symptoms significantly affect sleep, exercise, and quality of life.

How Is a Nasal Septal Perforation Diagnosed?

Diagnosis begins with a detailed consultation and nasal examination. Mr Rohit Gohil, an experienced ENT and rhinology specialist in Edinburgh, routinely uses flexible nasoendoscopy to examine the nasal septum in detail.

Assessment focuses on:

Size and position of the perforation
Condition of the surrounding tissue
Presence of inflammation, infection, or crusting
Possible underlying causes

In some cases, additional investigations such as blood tests or imaging may be recommended to rule out inflammatory or autoimmune conditions before treatment is planned.

Non-Surgical Management of Septal Perforation

Not all septal perforations require surgery. In fact, many patients can be managed effectively with conservative (non-surgical) treatment, particularly if symptoms are mild.

The aim of conservative treatment is to reduce crusting, bleeding, and discomfort. Mr Gohil carefully assesses whether non-surgical management is appropriate or whether further intervention is likely to improve symptoms.

When Is Surgery Considered?

Surgery may be considered when symptoms are persistent, severe, or significantly affecting quality of life, and when conservative measures have failed.

Septal perforation surgery is complex and should only be undertaken by surgeons with specific expertise in this area. Mr Rohit Gohil has extensive experience in septal perforation repair, including challenging cases and patients who have previously been advised that repair was not possible.

Factors considered before surgery include:

Size and location of the perforation
Health of surrounding nasal tissue
Underlying causes and medical conditions
Previous nasal surgery

Septal Perforation Repair: What Does Surgery Involve?

Septal perforation repair aims to close the hole and restore normal nasal airflow. Techniques vary depending on the individual case and may involve:

Local tissue flaps
Grafts using cartilage or other tissues
Endoscopic (camera-guided) approaches

Surgery is performed under general anaesthetic and requires careful planning and meticulous technique. Success rates depend on many factors, which is why specialist assessment by Mr Gohil, an expert nose and sinus surgeon in Edinburgh, is crucial.

Recovery After Septal Perforation Surgery

Recovery following septal perforation repair requires patience and close follow-up. Patients are usually advised to:

Avoid strenuous activity initially
Use prescribed nasal sprays or ointments
Attend regular follow-up appointments
Avoid nose blowing during early healing

Healing takes time, and improvement continues over weeks to months. Mr Gohil provides detailed aftercare instructions and ongoing support throughout recovery.

Why Specialist Expertise Matters

Septal perforation is one of the most technically demanding areas of nasal surgery. Attempted repair without appropriate expertise can worsen symptoms or enlarge the perforation.

Seeing a specialist such as Mr Rohit Gohil, who has a focused interest and experience in nasal septal perforation management in Edinburgh, ensures:

Accurate diagnosis
Appropriate selection of treatment
Honest discussion of risks and benefits
Access to advanced surgical techniques

Expert Septal Perforation Care in Edinburgh

If you are experiencing symptoms of a nasal septal perforation or have been told you have a hole in your nasal septum, expert assessment is essential. Mr Rohit Gohil is widely recognised for his experience in managing nasal septal perforation, offering both conservative care and advanced surgical repair where appropriate.

With a personalised, evidence-based approach, patients receive clear guidance, realistic expectations, and specialist care tailored to their individual needs.

RG

Mr Rohit Gohil