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.

When Rhinology Meets Prime-Time: Mr Gohil’s Appearance on Surgeons: At the Edge of Life

rohitgohil
Feb 17
3 min read

Updated: May 19

Seeing the world of surgery through the lens of television offers a fascinating window into what really happens in the operating theatre — and it’s not just drama; it’s real life. In Surgeons: At the Edge of Life (Series 7, Episode 6: Nothing Left to Chance), broadcast on BBC Two and available on BBC iPlayer, viewers were given unprecedented access to the work of NHS Lothian’s surgical teams — including Mr Rohit Gohil, a specialist nose and sinus surgeon based in Edinburgh.

This episode captures the reality of high-stakes decision-making and complex surgery in a way few programmes do. For patients and families, it’s an eye-opening reminder that today’s surgical care is both highly technical and deeply human. Excellence in medicine is built on years of rigorous training, collaboration, and focus under pressure.

Why Training and Skill Matter

Complex cases in rhinology and ENT are rarely “routine.” Problems such as extensive sinus disease, complicated nasal anatomy, septal perforations, and craniofacial issues require precise planning and expert execution. The level of skill shown in Surgeons: At the Edge of Life reflects the years of postgraduate training, specialist examinations, and supervised clinical experience that surgeons like Mr Gohil complete before leading care in Edinburgh and beyond.

This training equips surgeons to:

Assess challenging anatomical situations
Anticipate and manage potential complications
Choose the safest, evidence-based surgical approach
Adapt rapidly during surgery when unexpected findings arise

It also underpins the confidence that patients place in their surgeon — whether they are facing functional rhinoplasty, complex sinus surgery, or reconstructive procedures.

The Power of Teamwork, Not Solo Performance

Complex surgery is never a one-person show. One of the most striking aspects of the BBC documentary is its depiction of multidisciplinary working. Surgeons from different specialties collaborate with anaesthetists, nurses, theatre assistants, radiologists, and allied health professionals. Patients with multifaceted needs benefit enormously from:

Shared expertise across specialties - this time with Mr Robert Peden (https://www.robertpeden.com/).
Real-time support in theatre
Coordinated postoperative care plans
Holistic approaches that prioritise safety and outcomes

In real clinical practice, whether at NHS Lothian hospitals or in private referrals, Mr Gohil works within larger teams to ensure every patient receives the most appropriate and tailored care.

What the Episode Showed — Real Lives, Real Surgery

Surgeons: At the Edge of Life doesn’t shy away from the difficulty of medical decision-making. In the episode featuring Mr Gohil, the focus is on tough cases where exploring every possible option — leaving nothing left to chance — is the only way to provide the best chance of success. The programme highlights how modern surgery blends:

Deep clinical knowledge
Advanced imaging and diagnostics
Technical precision
Team coordination under pressure

For patients and families in Edinburgh and across the UK, this kind of transparency is invaluable. It demystifies the operating theatre and brings to life the dedication and expertise of clinicians committed to pushing the boundaries of care.

The Importance of Patient-Centred Care

Patient-centred care is essential in modern medicine. It ensures that the needs and preferences of patients are at the forefront of treatment decisions. Mr Gohil and his team prioritise understanding each patient's unique circumstances. They engage in thorough consultations to discuss concerns, expectations, and treatment options. This approach fosters trust and empowers patients to make informed choices about their care.

Building Trust Through Communication

Effective communication is crucial in establishing a strong patient-surgeon relationship. Mr Gohil emphasises the importance of clear and open dialogue. Patients are encouraged to ask questions and voice their concerns. This two-way communication helps to alleviate anxiety and ensures that patients feel heard and understood.

The Role of Follow-Up Care

Follow-up care is a vital component of the surgical process. After surgery, patients require ongoing support to monitor their recovery. Mr Gohil and his team provide comprehensive follow-up care to address any complications and ensure optimal healing. This commitment to patient care extends beyond the operating theatre, reinforcing the importance of continuous support.

Watch the Episode

Curious to see this in action? You can watch Surgeons: At the Edge of Life – Series 7, Episode 6: Nothing Left to Chance on BBC iPlayer here: 👉 https://www.bbc.co.uk/iplayer/episode/m0029m50/surgeons-at-the-edge-of-life-series-7-6-nothing-left-to-chance

RG

Mr Rohit Gohil