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Experience Rhinoplasty Artistry by London's Most Sought-After Nasal Sculptor

  • First UK based International Board certified in Facial Plastic and Reconstructive surgery
  • Award-winning surgeon recognised by Tatler and The Times
  • Over 300 five-star patient reviews
  • Specialist in complex revision rhinoplasty cases
  • International reputation attracting patients worldwide
  • State-of-the-art 3D imaging for precise results
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rhinoplasty before after
rhinoplasty before after
rhinoplasty before after
Procedure Performed By:
Mr Santdeep Paun
Consultant Nasal and
Facial Plastic Surgeon

Internationally trained surgeon with over 20 years of experience

National and International speaker. Teaching both Medical students and Surgeons.

First UK based surgeon certified by the International Board of Facial Plastic Surgical Societies.

Tatler magazine Best Doctor’s guide as one of the country’s best nose surgeons.

Beyond Ordinary Rhinoplasty: The artistic precision that transforms lives. Limited consultations with London's master of nasal aesthetics.

Do you find yourself hiding from photos or always turning to your “good side”? Perhaps you’re constantly aware of your nose’s appearance in social situations, or struggling with breathing issues that affect your daily life?

At Symmetry Clinic, you’re not merely seeking cosmetic adjustment—you’re pursuing artistic transformation with a surgeon patients often refer to as “The Michelangelo of Rhinoplasty.” Unlike conventional surgeons, our internationally acclaimed specialist brings unparalleled mastery to even the most complex nasal structures. With limited consultation availability due to worldwide demand, Mr. Paun crafts each rhinoplasty with extraordinary precision, creating harmony that honors your unique facial architecture.

Our patients—many referred by other surgeons—emerge with more than just enhanced aesthetics; they experience profound liberation from self-consciousness and the quiet confidence that comes from knowing they’ve entrusted their appearance to London’s definitive rhinoplasty virtuoso.

BOOK A CONSULTATION WITH Mr. PAUN. 
LIMITED SPOTS AVAILABLE
RealSelf Patient Reviews of Aftab Siddiqui, FRCS(Plast)

Masterpieces in Transformation: The Rhinoplasty Portfolio of London's Surgical Virtuoso

HOW DO I DEFINE THE PERFECT LOOKING NOSE?

Clearly we all define beauty in our own way and it is part of my job to ensure I understand each patient’s desires for their appearance prior to surgery. But for me personally, I define a perfect looking nose in a female as one that is natural, that softens the features and simply brings out the other features of the face including the eyes and smile.

I am not sure I could have hoped for a better result than has been achieved with my patient, who has kindly allowed me to share her 3 months photos. She is ecstatic with how things have healed (as am I) and has been diligently following all my post op instructions about massaging and taping. I think this has all led to the near perfect result, at least in my eyes!

I will share her one week results in a video separately where she describes my post op routine.

REVISION RHINOPLASTY – ONE WEEK POST OP

This patient who had primary surgery elsewhere desired a more feminine profile and narrower appearance to the nose. The original surgery had not really gone to plan from her point of view.

She is only approximately 10 days post surgery and has had her cast removed. She had a beaming smile when I showed her to the mirror. I believe we have achieved everything she has wanted and whilst it is early, the indications are that she will get a beautiful result into the longer term.

We managed to take cartilage needed for the revision surgery from her nasal septum and hence there was no need for any rib to be used.

I am often asked whether revision surgery patients heal in the same way as primary cases. The answer is mostly yes albeit there are some more long term caveats. The immediate healing is similar but revision cases are more prone to scar tissue formation which can potentially cause more longer term consequences. I recommend various post operative massaging and taping techniques to reduce this risk.

NATURAL ENHANCEMENT

Everyone has different wishes about the shape of the nose but the majority of my patients seek a natural, unenhanced look that still keeps their identity.

This lady is now about 3 months post op and has achieved just that. She has a normal looking nose that just looks more refined and aesthetic without a dramatic change.

There is still some puffiness around the tip which will improve with time and injection of a little steroid into the area can help with this, particularly in patients with a thicker skin type.

I also encourage massage and taping in the post op period which further helps settle the swelling.

LOVELY CHANGES – 2 MONTHS ON

I was delighted to see my patient yesterday. She is still only 2 months post op following an open rhinoplasty to reduce the hump, narrow the tip and make the nose a little smaller overall, whilst maintaining a natural look.

She has healed remarkably well and already shows significant improvement. Further definition to the tip will occur with the passage of time as the skin swelling settles further.

She was absolutely delighted with her result. It appears to have increased her confidence immensely despite others not necessarily noticing that she has had surgery. This is an ideal scenario but she has still been kind enough to allow me to share her photos.

Things will get better and better and I look forward to watching the improvement in the months ahead. Seeing her so happy made my day yesterday and this is what keeps up my daily energy and enthusiasm!

ETHNIC NOSES

An early result ( approx 3 months) following a reduction rhinoplasty is an Asian patient. Ethnicity in patients does not necessarily change our patients’ wishes for the operation but the the skin thickness in particular can mean the goals for surgery need to be discussed to ensure management of expectations.

This patient kindly allowed me to share her photos at this stage. There js some swelling still around the tip region which will shrink further with time and improve the definition but she is delighted already with the natural appearance.

Thicker skin types will continue to shrink over a long period usually way beyond the one year we advise most of our thinner skin patients.

BEAUTIFUL PROFILE 5 MONTHS POST OP

I have only posted limited views of this patient at her request but she has a strikingly improved profile that very much is in balance with the rest of her face. It is a strong, natural appearance that will stand the test of time.

She is delighted (as am I) with the results and I wish we could have shown all of her near perfect post op results!

rhinoplasty before after

SHORTENING THE NOSE

The medical term for a nasal tip that sticks out a little too much is “overprojection”. This patient had an droopy and overprojected tip that needed attention. This was done by both rotating the tip up as well as bringing the tip backwards towards the face.

This is achieved by essentially shortening the cartilages that form the tip and is done in a strategic way to achieve both goals.

Clearly the hump on the nose similarly needed to be reduced to keep the whole nasal in balance. Overall a lovely, natural change which will transform this young lady!

rhinoplasty before after

PERFECTING A PROFILE

A female nasal profile ideally needs a little curvature without too much of a ski slope appearance. The tip needs to be slightly higher than the bridge, giving a supratip break which enhances the definition of the tip.

The aesthetics of this depends on the anatomy of each patient, their skin type and, of course, their own personal desires.

Our state of the art 3D digital imaging program helps patient understand what can be achieved. It provides a basis for which a decision can be made about the ideal individual profile based on all the above factors.

TRANSFORMED AT 3 MONTHS

I was delighted to see this lovely patient of mine, now at 3 months post op. I have only shown the nose to protect her privacy at her request but the change is clearly transformative for her.

As always, things will improve further with the skin shrinking back with time but she is already delighted and it has given her a newfound confidence in her appearance, which was very apparent when we met last week.

3 MONTHS INTO A LIFE CHANGING TRANSFORMATION

Is anyone as enthused as I am about this gentleman’s result?

I featured some early on the table photos of my patient previously. He is now at over 3 months post op and things are beginning to look somewhere near where I will hope his eventual post op result to be. There remains a little swelling over the bridge of the nose that I could feel but this will shrink further with time, albeit relatively slowly, due to his thicker skin type.

Nonetheless, he really has had life changing surgery with a masculine, natural looking profile and a radical straightening of his tip. His breathing is massively improved as the septum was so deviated before too.

He has a new found confidence in himself and was kind enough to let me share his most recent pictures.

I would fully expect further improvements with time as the skin settles but he is delighted already (as am I) with his result.

MAKING A LARGE NOSE SMALLER

There are various considerations when trying to improve a larger looking nose. We need to consider how this might impact on the overall appearance relative to the rest of the face, any impact it might have on the function of the nose and also how the skin will shrink wrap onto the smaller framework. This is particular so in the thicker skin nose. Often patients want a significantly smaller looking appearance but I have to explain the limitations of how the thick skin will contract. Post op steroid injections, massage and taping also have a role to play. When planned and performed well, it can be a huge life changing experience

All photos are unedited and actual patients of Symmetry Clinic. The images are displayed with the consent of the patients. The outcomes shown are only relevant for these patients and do not necessarily reflect the results other patients may experience. Our team will discuss any factors that could influence the results that you may get.

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What can Rhinoplasty do for You? 

Nose Reshaping or Rhinoplasty Surgery in London at Symmetry Clinic Mr. Paun

Rhinoplasty can not only enhance the look and function of the nose, it can also improve confidence and eliminate years of self-consciousness by your nasal appearance.

  • Increase or decrease the size of the nose
  • Give the nostrils a new shape
  • Reduce the nasal tip
  • Reduce or enhance the bridge
  • Enhance the balance and harmony between other facial features
  • Have a positive effect on your overall facial aesthetic
  • Correct problems associated with a deviated septum
  • Improve breathing

Why Should You Choose Symmetry Clinic For Your Rhinoplasty?

Exclusive
Availability

Limited consultation slots with London's rhinoplasty virtuoso—book early to secure your transformative journey.

Premier
Locations

Discreet consultations in prestigious Central London settings benefitting our clientele and exceptional services.

Award-Winning Excellence

Recognised by Tatler as UK's best nose surgeon and featured in The Times as leading facial surgeon.

Master of
Complexity

Transforms the most challenging nasal structures into artistic masterpieces where other surgeons see impossibilities.

20+ Years of Unrivaled Expertise in Rhinoplasty

Over 20 years perfecting rhinoplasty techniques, establishing unparalleled expertise in nasal aesthetics and function.

Concierge Experience for Overseas Patients

We are able to provide highly individualised care packages for our overseas patients.

Rhinoplasty at a Glance​

Surgery Time

1 - 3 hours

Time off work

2 weeks

Hospital Stay

Day Case

Shower

After 1 day

Reasonable Mobility

After 2 days

Exercise

Gentle after 2 weeks

Sexual Activity

4 weeks

Sleeping on back

1 week

Full Recovery

6 - 8 weeks

Driving

2 days

Is it Right for You?

You may be an appropriate candidate for Rhinoplasty for one of the following reasons:

  • You wish to improve the appearance of your nose
  • Trauma or infection has changed the shape of your nose
  • Breathing through your nose is obstructed
  • The effects of ageing have changed the shape of your nose. For example you may feel the tip of your nose is hanging or droopy
  • A congenital disability like a cleft lip was corrected at a young age, and you are now at least 18 years of age and would like the nasal deformity corrected

Experience Rhinoplasty Artistry by London's Most Sought-After Nasal Sculptor.

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Types of Rhinoplasty We Offer

Reduction

The majority of our patients seek reduction in the size of the nose. This might involve taking down the hump of the nose as well as reducing the volume of the nasal tip to keep the nose in balance. Once the hump is removed, the nasal bones normally need to be reposition to narrow the nose to keep things in proportion. Keeping the nose looking normal and natural looking is the key to a successful unoperated look.

Deviated Noses

Deviation of the nose is common after trauma but may occur naturally, perhaps after an injury in childhood that went unnoticed. Correction normally involves repositioning of the nasal bones and cartilage into the midline and may require additional cartilage being added to help keep the nose straight in the longer term. Such procedures are often the most challenging as the nose has a tendency to want to redeviate and a variety of complex procedures may be needed.

Augmentation

Patients with naturally flat nasal bridges or those affected by trauma or previous surgeries often benefit from nasal augmentation. This correction typically uses cartilage from the septum, ear, or rib, though specific implants may sometimes be recommended. Our expert surgeon tailors all approaches to individual needs.

Revision Rhinoplasty

The majority of our patients seek reduction in the size of the nose. This might involve taking down the hump of the nose as well as reducing the volume of the nasal tip to keep the nose in balance. Once the hump is removed, the nasal bones normally need to be reposition to narrow the nose to keep things in proportion. Keeping the nose looking normal and natural looking is the key to a successful unoperated look.

Revision Rhinoplasty

Rhinoplasty is a popular surgery that is carried out to refine the shape and size of the nose and is the most performed procedure in our clinic. It is also widely recognised as the most complex of all cosmetic procedures due to the variety of techniques needed to perfect the shape of the nose and the way the nose heals after surgery.

As a result, the need for revision surgery is not uncommon. Our own revision rates are relatively low (about 5%) compared to published figures of other surgeons.

Having cosmetic surgery of any kind can be extremely daunting and to undergo corrective surgery to put right a previous rhinoplasty operation might be even more so. Revision rhinoplasty is most often performed to correct deformities caused as a result of prior surgery but may be required in patients unfortunate enough to have suffered trauma following prior rhinoplasty surgery.

Patients may unhappy with the look of the nose following their initial procedure and it can also impact upon the breathing. It is, however, critically important that the surgeon feels that any further surgery would improve the current situation and gaining trust is critical.

Revision Rhinoplasty Surgery at Symmetry Clinic by Mr. Paun
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What Can We Treat With Rhinoplasty

  • Dorsal hump: A bump at the bridge of the nose
  • Nasal width: A nose that is too wide or too narrow
  • Asymmetry: A nose that is twisted or deviated
  • Prominent nasal tip: A nasal tip that is round, bulbous, fatty, or disproportionate to the rest of the face
  • Drooping nasal tip: The angle between the upper lip and lower nose that is less than 90 degrees
  • Post-traumatic deformities: Shape aberrations after nasal injury
  • Nasal airway problems: Internal valve collapse and septal deviation

Your Consultation with Mr. Paun

Your journey begins with Mr. Santdeep Paun, our internationally acclaimed Medical Director, at one of our prestigious Central London locations. During this comprehensive assessment, we explore both your aesthetic concerns and functional issues through advanced diagnostic techniques, including endoscopic examination.

The hallmark of our consultation process is our state-of-the-art 3D imaging technology—a sophisticated system that allows Mr. Paun to demonstrate potential outcomes with extraordinary precision. This visual collaboration ensures alignment between his artistic vision and your expectations.

We insist on multiple consultations, allowing you to reflect thoroughly on Mr. Paun’s recommendations. Following your initial visit, you’ll receive detailed correspondence outlining all aspects discussed, including a personalised quotation identifying any components potentially covered by medical insurance. Additional pre-operative consultations are complimentary for cosmetic procedures—reflecting our commitment to exceptional patient care.

BOOK A CONSULTATION WITH MR. PAUN

Rhinoplasty Post-Operative Support

We remain committed to supporting you throughout your recovery journey, offering:

  • A highly personalised post operative support programme
  • A take-home post-operative package
  • Follow up care multiple times post procedure
  • Access to a dedicated patient care practitioner to provide a personalised tailor made support at all time
  • Free consultation for other procedures

Here’s who you’ll be meeting or talking to during your post-op journey:

  • 1 day after procedure: A phone call with our nursing staff for a quick check-in
  • 1-2 weeks - Appointment to see Mr Paun personally for cast and dressing removal and for you to see your new dream nose!
  • 3 mo and 12 mo: in clinic appointment with Mr Paun
  • Further virtual and in patient appointments arranged if needed
Rest assured, Symmetry Clinic is dedicated to accompanying you through each phase of your transformative journey.
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Why Mr Paun Is Your Best Choice For a Rhinoplasty

Mr Santdeep Paun, Consultant Nasal and Facial Plastic Surgeon is the Medical Director of Symmetry Clinic. In the NHS, he works at and was the former Head of Department at St Bartholomew’s and the Royal London Hospitals, one of the biggest and well respected teaching hospital trusts in the UK.

He performs complex cases there and, by reputation, am referred patients from other surgeons from within the region and other parts of the country. He is an honorary Lecturer at Queen Mary’s University, where he teaches students and is involved in clinical research with colleagues particularly In the areas of rhinoplasty and aesthetic reconstruction following facial trauma.

  • Over 20 years of experience
  • Internationally trained surgeon
  • National and International speaker
  • Teaching both medical students and young & established surgeons
  • Inaugural and past President of the European Board for Certification in Facial Plastic and Reconstructive Surgery
  • President of the International Board for Certification in Facial Plastic and Reconstructive Surgery
  • Past Executive Board Member of the European Academy of Facial Plastic Surgery
  • First UK based surgeon certified by the new globally recognised International Board of Facial Plastic Surgical Societies
  • Tatler magazine Best Doctor’s guide as one of the country’s best nose surgeons
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Concierge Experience for Overseas Patients

Due to the international reputation of our Medical Director, Mr Santdeep Paun, we have a lot of patients from abroad seeking our care.

We are able to provide highly individualised care packages for our overseas patients. Preliminary consultations can be had using Zoom or Teams or other such video messaging services although it is always difficult to assess patients properly in this way and we would insist on an eventual face to face meeting.

We can schedule such conversations to reflect time differences. If appropriate, to ensure minimising the time spent in the UK, we will book consultations and surgery in advance and can help our patients choose suitable accommodation close to our hospitals.

It is very rare to need specialist overnight care for our patients outside of the hospital environment, but this can be arranged if required to suit an individual’s needs. Most patients can undergo surgery and go home within an approximate 2 week period, but we can advise on the time required to stay in the UK on a case to case basis.

Frequently Asked Questions

Is a Rhinoplasty painful?

Most patients experience minimal discomfort rather than acute pain following rhinoplasty. Mr. Paun employs advanced techniques to minimize trauma, and our exclusive post-operative care protocol includes personalized pain management. Many of our distinguished patients report being pleasantly surprised by the comfort of their recovery experience.

A rhinoplasty procedure with Mr. Paun typically takes between 2-3 hours, though complex revision cases may require additional time. This precise timeframe allows for the meticulous attention to detail that distinguishes Mr. Paun’s artistic approach from standard rhinoplasty procedures.
While rhinoplasty is considered a significant surgical procedure, in the hands of London’s premier rhinoplasty specialist, it becomes a refined art form. Mr. Paun’s exceptional technique, developed over 15+ years, transforms what others might view as “major surgery” into a precisely choreographed procedure with predictable recovery and extraordinary results.
Recovery follows a carefully managed timeline: initial swelling subsides within 10-14 days, allowing return to social activities. Subtle refinement continues for several months, with final artistic results evident after approximately one year. Mr. Paun’s exclusive patients receive personalized recovery protocols that often accelerate this timeline.
Mr. Paun personally evaluates each prospective patient and may recommend postponing surgery for those with unrealistic expectations, certain medical conditions, or who have not reached skeletal maturity. Our commitment to exceptional outcomes occasionally means declining patients whose goals would compromise Mr. Paun’s artistic standards or patient safety.
Septoplasty addresses purely functional issues within the nasal septum to improve breathing, while rhinoplasty encompasses both aesthetic refinement and functional correction. Mr. Paun is distinguished for his mastery in combining these approaches, creating harmony between appearance and function that few surgeons can achieve.
Most of our distinguished patients return home the same day, though our exclusive partnerships with London’s premier medical facilities allow for overnight stays when preferred. International patients often appreciate our optional private recovery accommodation arrangements with dedicated nursing care.
Purely aesthetic rhinoplasty is typically not covered by insurance. However, Mr. Paun’s expertise in functional correction means that portions of procedures addressing breathing difficulties may qualify for coverage. Our dedicated concierge team assists with all insurance documentation for qualifying patients.
Investment for Mr. Paun’s artistic rhinoplasty begins at £11,500, with complex revision cases starting from £13,500. This reflects the exceptional expertise, personalized care, and extraordinary results that distinguish Symmetry Clinic as London’s premier rhinoplasty destination. Payment plans are available through our partner hospitals.

Mr. Paun adheres to a strict policy of recommending rhinoplasty only for patients who have reached full maturity at age 18 or older. Only in exceptional cases involving significant functional impairments or severe structural abnormalities might he consider evaluating younger patients. There is no upper age limit for those in good health seeking refinement.

All rhinoplasty procedures are performed under general anesthesia administered by our consultant anaesthetists who work exclusively with facial surgery patients. Most patients return home the same day, though overnight stays can be arranged for those who prefer additional monitoring or travel from international locations.

Mr. Paun employs a refined approach that includes a discreet external cast for one week and typically uses dissolving internal sutures that eliminate the need for removal. His advanced techniques often avoid internal packing altogether, enhancing comfort during recovery—a distinction that sets apart his artistic approach.
Mr. Paun predominantly uses dissolving sutures that eliminate the need for removal. In the rare instances where non-dissolving sutures are required for precision in complex cases, removal is a quick, painless process performed during your post-operative appointment by Mr. Paun himself.
Most patients return to desk work within 10-14 days. Social engagements can typically be resumed after 2 weeks with minimal visible signs of surgery. Light exercise may begin after 3 weeks, while contact sports and activities requiring significant exertion should be avoided for 6 weeks to protect your investment in refinement.
To protect the refined nasal structure, we recommend avoiding pressure on the bridge for 6 weeks. Our exclusive patients receive custom protocols for taping lightweight glasses or using specialized supports that prevent pressure on the nose while maintaining your appearance during the healing period.
Direct sun exposure should be avoided for at least 3 months as the skin over the newly sculpted nasal structure is particularly sensitive. When our distinguished patients return to sun exposure, we provide guidance on specialized sun protection to safeguard their investment in refinement.
Heat and steam environments should be avoided for at least 6 weeks following your procedure, as they can increase swelling and potentially affect the refined results. Mr. Paun provides each patient with personalized recovery protocols that include precise guidance on resuming all activities.

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9 Harley Street
London
W1G 9AL

The Symmetry Clinic
6th Floor, The Shard
St Thomas Street
London SE1 9BS

Symmetry Clinic
9 Harley Street
London
W1G 9AL

Symmetry Clinic
6th Floor, The Shard
St Thomas Street
London SE1 9BS

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