Preparation for Surgery

It is paramount that you explain the exact changes that you wish to make on the appearance of your nose.

This is to ensure that you and your surgeon are on the same wavelength and can discuss what is possible to achieve and
the appropriate surgical or non-surgical approach.

During your first consultation, a thorough medical history is obtained. The external and internal nose is examined.

If there is a medical indication such as nasal obstruction and sinus disease, a small endoscope will be used to examine the
inside of your nose. Digital clinical photographs of your nose and face are taken and you can expect a thorough explanation
of the risks vs benefits of the surgery.

At your second consultation, you will review your manipulated (morphed) digital images which provides a platform for having a more in-depth discussion of your desires and realistic expectations. Such images are not a guarantee of exact results but a great tool to ensure that you and your surgeon are on the same wavelength.

Mr Elmiyeh suggests that you bring a family member or a friend for this consultation to help you in your decision making if possible. They may also ask important questions that you had not thought of.

Please use this opportunity to ask all questions you may have and ensure that your questions have been answered satisfactorily.

The bottom line is that you need to feel comfortable that the likely benefits to be gained by the operation outweigh the small, but definite risks of developing any problems following the surgery. Mr Elmiyeh will guide you through this process so that you have a grounded acceptance of what your ‘new’ nose may look like. Only then can you make an informed decision and proceed with your surgery.


It is useful to avoid smoking at very least 2 weeks prior to your surgery.

Avoid taking nonsteroidal anti-inflammatory drugs such as Aspirin and Ibuprofen/ Neurofen 7 days prior to your operation.

Stop taking all vitamins, herbs and diet supplements 7 days before surgery as they may increase bleeding during surgery. In particular primrose oil, garlic, Omega 3 fish oil, St John's wort, ginger, turmeric, cumin and vitamins C & E.

Arnica is one of the most popular homeopathic medicines may help to reduce swelling and bruising. Arnica taken by mouth, can cause side effects such as irritation of the mouth and throat, stomach pain and skin rash.

Bromelain is a mixture of enzymes found in the pineapple plant. Pineapple has anti-inflammatory properties and may help reduce bruising. If you are considering taking any supplements, please discuss it with Mr Elmiyeh.

You are advised to purchase a couple of saline sprays such as STERIMAR Breathe Easy and also a NeilMed Sinus Rinse device with 120 premixed sachets.

You will also need to arrange someone to drive you home from hospital and help you out for a few days after surgery.

You may wish to get your home cleaned and stock up your fridge so that you have a stress-free recovery.

Do not wear any make up on the day of the surgery.

Bring your glasses along as you will not be able to wear contact lenses for about one week after surgery.

Behrad Elmiyeh