Paul Wilson

We offer a comprehensive aesthetic plastic surgery service at Wood MediSpa, Devon and St Joseph's Hos

16/06/2026

A blocked nose is not always "just congestion".

A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.

The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.

It is not always visible from the outside.

This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.

Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.

The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

📞 0117 332 1585 | 07480 125 890
📧 [email protected]

14/06/2026

Dorsal Preservation Rhinoplasty | Before & After

This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.

Her primary concerns included a prominent dorsum and a bulbous nasal tip.

In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.

Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.

The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.

This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual's face.

The result displayed here represents an stage of that process, with healing progressing over time.

Patient images shown with consent.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

📞 0117 332 1585 | 07480 125 890
📧 [email protected]

12/06/2026

Rhinoplasty is not a single technique.

It is a series of decisions.

In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.

The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.

For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.

However, suitability is crucial.

If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.

That is why consultation and assessment are so important.

The technique should fit the patient, not the other way around.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

📞 0117 332 1585 | 07480 125 890
📧 [email protected]

10/06/2026

A second rhinoplasty is not simply a repeat of the first.

Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.

The nose may need more support, better definition, improved symmetry, or correction of breathing issues.

In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.

The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

📞 0117 332 1585 | 07480 125 890
📧 [email protected]

$Preservation Rhinoplasty with Septoplasty | Before & AfterThis patient presented with a previously fractured septum, lea...$

08/06/2026

Preservation Rhinoplasty with Septoplasty | Before & After

This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.

In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.

The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.

A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.

What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.

Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.

Patient images and feedback shared with consent.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

📞 0117 332 1585 | 07480 125 890
📧 [email protected]

29/05/2026

Happy Friday! Cycle to work day!

25/05/2026

Dorsal Preservation Rhinoplasty: What’s the Hype?

Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃

Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results

The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry

The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍

rhinoplastyjourney noseaesthetics

19/05/2026

Precision in motion. 🦴✨

Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.

Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.

From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙

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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.

MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
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16/05/2026

VASER 3D Liposuction goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio

14/05/2026

It was a great honour to present my experience on at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues.

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