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.

What to Expect During Your First ENT and Rhinology Consultation

rohitgohil
Jan 29
3 min read

If you have been dealing with a blocked nose, sinus pressure, facial pain, snoring, or difficulty breathing, you might have been advised to see an ENT (Ear, Nose, and Throat) specialist or a subspecialist rhinology expert. The idea of a first consultation can feel overwhelming, but knowing what happens during the visit can ease your worries and help you prepare.

An ENT or rhinology consultation with Mr Gohil is designed to be a thorough and patient-focused journey. The goal is to understand your symptoms clearly and work with you to find the best treatment plan. Here is what you can expect during your first appointment.

Understanding Your Symptoms

Your consultation will start with a detailed conversation about your symptoms. Mr Gohil will ask questions to get a clear picture of your condition. Common symptoms discussed include:

Nasal blockage or congestion
Sinus infections or repeated episodes of sinusitis
Facial pain related symptoms
Post-nasal drip sensation
Loss or change in sense of smell or taste
Concerns about the shape or function of your nose
Snoring or breathing difficulties during sleep and exercise

You will be asked how long you have had these symptoms, what triggers or relieves them, and how they affect your daily life, including sleep and physical activity. This step is essential because it helps the specialist understand the severity and impact of your condition. You may find it useful to bring notes or written prompts to your consultation so that nothing is missed.

Examination of the Nose and Sinuses

After discussing your symptoms, Mr Gohil will examine the nose and other relevant areas thoroughly. This is a key part of the consultation. This typically includes the use of a fine flexible camera called a nasoendoscope. This tool provides a clear view of the nasal passages, sinuses/sinus openings and throat regions.

The nasoendoscopy procedure is quick and usually well tolerated. It allows Mr Gohil to identify features such as:

Nasal polyps
Septal deviation
Inflammation or swelling of the nasal lining
Signs of infection or blockage

This examination helps the specialist see problems that might not be visible with a simple external look.

Close-up view of a nasoendoscope inserted into a patient’s nasal passage during examination

Discussing Investigations and Treatment Options

Based on the examination and your symptoms, the ENT specialist may suggest further tests. These could include:

CT scan to get detailed images of your sinuses and surrounding regions - with fine detail of the bone.
MRI scan for details images of the soft tissues
Blood tests

It is important to know that not all nasal or sinus problems require surgery. Many conditions improve with medical treatments or simple nasal routines.

Mr Gohil will explain the options clearly and help you understand the benefits and risks of each. Together, you will create a personalised treatment plan that fits your needs and lifestyle.

What Is the Goal of the Consultation?

The main goal of your rhinology consultation is to provide a clear diagnosis and explain your treatment options in simple terms. Mr Gohil wishes you to feel confident about the next steps, whether that means starting medication, monitoring your condition, or considering surgery.

You will leave the consultation with a better understanding of your nasal and sinus health and a plan to improve your symptoms.

Preparing for Your Consultation

To get the most out of your appointment, consider these tips:

Write down your symptoms and how long you have had them
Note any triggers or things that make symptoms better or worse
List any medications or treatments you have tried
Prepare questions you want to ask the specialist

Being prepared helps you communicate clearly and ensures the specialist has all the information needed to help you.

RG

Mr Rohit Gohil