Do you catch your profile in photos and wish your nose sat in better balance with the rest of your face? If you've felt self-conscious about your nose, you're not alone, and we listen carefully before discussing whether rhinoplasty is right for you. Preservation rhinoplasty refines your profile while keeping your natural framework intact, for a softer, more predictable result. You will look like yourself, only more in harmony, and finally at ease.
Serving Bristol, Bath and the South West, with consultations at Northwood Hospital, Stoke Gifford.
A glimpse of Mr Wilson's preservation rhinoplasty work, refined profiles that still look unmistakably like the patient.
All photos are unedited and actual patients of Paul Wilson Aesthetics. 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.
Open preservation rhinoplasty. Following several past injuries and a 2022 septoplasty, this patient presented with a dorsal hump, a droopy tip, intermittent breathing difficulty and right-sided external valve collapse. The plan addressed both function and aesthetics — softening the bump into a gentle dorsal curve with a subtle supratip break, while straightening the nose and preserving her natural character.
Open tip rhinoplasty with piezo-electric surface reduction of the dorsum, a septal projection graft and tip definition. Referred after a modelling agency suggested rhinoplasty, the patient presented with a bulbous tip and a lack of definition (her mother had also had a rhinoplasty). The plan refined the tip and softened the dorsum while keeping the result natural and unmistakably hers.
Rhinoplasty, often called a nose job or nose surgery, reshapes the nose to bring it into better balance with the rest of your face. A preservation approach does this while protecting its natural structure. For the right candidate, it can:
Refine the bridge while keeping a natural, unbroken contour.
Subtle definition that respects the rest of your face.
Better balance, balance and symmetry across your features.
No widening of the nose when seen straight on.
A preservation approach tends to be more predictable long term.
Functional concerns can be addressed alongside reshaping.
A lasting, settled result you stop thinking about.
Preserving your natural framework tends to deliver a more predictable, lasting result.
Every figure here is a guide. Your consultation will personalise each one to your anatomy, your work and your life.
Mr Wilson's philosophy is simple: refine, don't rebuild. Wherever the anatomy allows, he chooses preservation rhinoplasty, reshaping the nose from underneath while keeping your natural bridge, ligaments and profile intact. The result is a quieter recovery, a more stable long-term outcome, and a nose that still looks unmistakably like you. It's the technique he uses for most primary rhinoplasties — with structural or hybrid methods reserved for the cases that genuinely need them.
If your concern is as much about breathing as appearance, you may have searched for septorhinoplasty, surgery that straightens the septum to improve airflow while reshaping the outside of the nose. Mr Wilson routinely combines functional and aesthetic correction in a single operation, so a blocked or previously broken nose can be refined and unblocked at the same time. Whether your priority is cosmetic, functional, or both, your consultation and 3D assessment will set out exactly what your nose needs.
Mr Wilson is a recognised preservation rhinoplasty specialist and an experienced structural rhinoplasty surgeon. That range matters: most primary rhinoplasties are best served by a preservation approach, while secondary and revision cases usually call for structural techniques. Some noses are best treated with a hybrid of the two — and choosing correctly is what protects your result.
For most first-time rhinoplasties, Mr Wilson works beneath the bridge to reshape the nose while keeping its natural framework intact — a gentler operation with a more predictable long-term result.
For revision surgery and noses with weakened or previously altered anatomy, Mr Wilson draws on decades of structural experience — rebuilding support with precise cartilage grafting to restore both shape and breathing.
Some noses benefit from the best of both worlds. Where the anatomy calls for it, Mr Wilson combines preservation of the natural bridge with targeted structural refinement — tailoring the technique to your nose, not the other way round.
Your care does not end on the day of surgery. At Paul Wilson Aesthetics, your recovery is guided and reviewed at every stage by Mr Wilson and his dedicated team.
Mr Paul Wilson is a consultant plastic and reconstructive surgeon with 35 years of surgical experience and a rare dual qualification in medicine and dental surgery. A preservation rhinoplasty specialist, he is an elected Council Member of the British Association of Aesthetic Plastic Surgeons (BAAPS) and a member of the Rhinoplasty Society of Europe.
His background in complex facial reconstruction informs a meticulous, natural approach to aesthetic surgery. Patients consistently describe him as calm, honest and reassuring, with no sales pressure and a commitment to setting realistic expectations using advanced Vectra 3D imaging. Beyond the clinic, he volunteers with Facing Africa, reconstructing the faces of children affected by Noma.
The final cost depends on the complexity of your surgery and whether it is for cosmetic reshaping, breathing correction, or both. You will receive a clear, personalised quote following your consultation and surgical assessment, with no surprises.
A relaxed, no-commitment introduction to discuss your goals and check basic suitability with Mr Wilson.
A detailed 45-minute assessment with Vectra 3D imaging, so you can see a realistic preview of your potential result and ask every question.
A considered cooling-off period, with a follow-up to finalise your plan once you feel ready.
A nurse-led health check to make sure you are fully prepared for surgery.
Your preservation rhinoplasty, performed under general anaesthetic at Northwood Hospital.
Your splint is removed and early healing is checked.
Reviews at 6 weeks, 3, 6 and 12 months as your refined result settles.
The best way to know is a personal consultation, where your suitability is properly assessed.
Rhinoplasty reshapes the outside of the nose; a septorhinoplasty also straightens the septum inside to improve breathing. Mr Wilson often performs both together, correcting appearance and airflow in a single procedure.
Outreach clinics also available in Devon and Newport for new patients and follow-ups. Excellent transport links from London and across the South West.
Tell us a little about what you are considering. We reply personally, within one working day.
