Free video consultation with Dr Ouali
GMC no. 6145007
20+ years in practice
Local anaesthetic

Rhinophyma treatment in Bexleyheath, from £2,450

Rhinophyma makes the skin of the nose thick, red and enlarged. Dr Braham Ouali removes the excess tissue by surgical shave excision, under local anaesthetic, to restore a more natural shape.

2 hours
Typical procedure time
Awake
Local anaesthetic
10 days
Typical time off work
£2,450
Starting price
Would rather ask a question first?Message us on WhatsApp
Free video consultation
See Dr Ouali before you decide anything

Leave your details and the clinic will call you to arrange a free video consultation. He will look at your nose, explain what he would do and give you your exact price.

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20+
Years in surgical practice
10,000+
Procedures performed
GMC
Registered surgeon no. 6145007
CQC
Registered clinic, ID 1-15260527805
BACS
British Association of Cosmetic Surgeons
Free
Video consultation with the surgeon
BAAPS
British Association of Aesthetic Plastic Surgeons

Patients

In their words

★★★★★

“Many thanks for the good job you have done. I also appreciated the relaxed manner which put me at ease.”

Mrs P. Chapman, patient
★★★★★

“I received upper eyelid surgery with Dr Braham Ouali 2 weeks ago and cannot praise the whole experience enough… I would highly recommend him to anyone considering cosmetic or skin surgery.”

Lisa Delamaine, Google review
★★★★★

“I had three moles removed from my back by Dr Ouali, it was a good painless experience and I’m happy with the result as the scars faded away nicely.”

H.S., patient

Is this you?

What rhinophyma looks like

Rhinophyma is a progressive skin condition often linked to advanced rosacea. Overactive oil glands and tissue overgrowth make the nose thicker, larger, redder and bumpier. It most commonly affects men over 50, particularly those with a history of rosacea or Northern European ancestry. At Minor Surgery Clinic, moderate to severe rhinophyma is treated by surgical shave excision, the gold-standard approach. These are the signs people usually come to us with.

Thickened, irregular skin on the nose
A bulbous nasal tip
Visible, prominent pores and an oily, bumpy texture
Persistent redness or flushing
In advanced cases, blocked airflow, breathing difficulty or snoring

Surgery is generally recommended for people in good overall health whose rhinophyma has not responded to non-surgical treatment. Sun, alcohol and spicy food can aggravate the condition.

Good to know

It is not caused by alcohol. There is no evidence of a direct link, although alcohol may worsen rosacea in some people.
It can come back. Rhinophyma is progressive, so recurrence is possible, especially if the underlying rosacea is not managed.
Perfect symmetry is not guaranteed. The aim is a more refined nose and, where it was blocked, better airflow.
It is not funded on the NHS. Rhinophyma treatment is not currently available on the NHS.

Cost

One price, agreed before you book

The package price for rhinophyma treatment starts from £2,450, which includes the initial consultation, surgery and follow-up after surgery. The price you are quoted at consultation is the price you pay.

Rhinophyma treatment
from £2,450
Your exact price is confirmed at your free video consultation, once Dr Ouali has assessed how severe your rhinophyma is. To book, you pay a 50% deposit or the full amount. There is no in-house finance.

What happens

✓
A free video consultation with Dr Ouali
✓
The procedure itself, performed by Dr Ouali
✓
Local anaesthetic, so you feel no pain during surgery
✓
A protective dressing and detailed aftercare instructions
✓
Removal of any non-dissolvable sutures within 7 to 14 days
✓
Follow-up appointments to track your healing

What happens

Four steps, and you can stop at any of them

It starts with a free video call with the surgeon, not a form-filling appointment with a consultant who does not operate.

1

Free video consultation

A video call with Dr Ouali. He assesses how severe your rhinophyma is, explains what he would do, covers the risks, and gives you your price.

No charge, no obligation
2

Decide in your own time

Nothing is booked on the call. If you go ahead, a 50% deposit holds your date, or you can pay in full. Face-to-face beforehand can be arranged, and is charged separately.

Entirely your call
3

The procedure

Around two hours under local anaesthetic. The thickened tissue is carefully shaved away to reshape the nose, then the area is cauterised and covered with a protective dressing.

Day case
4

Follow-up

Swelling and bruising usually settle over one to two weeks. Any non-dissolvable sutures come out within 7 to 14 days, and follow-up appointments track your healing.

Over the following weeks

The part most adverts leave out

This is still surgery

However minor a procedure is, there is a potential for complications. Dr Ouali will go through all of this with you before you decide anything.

Swelling, bruising and some tightness around the nose are normal at first. Full recovery can take several months. The recognised risks are:

Scarring
Infection
Bleeding or haematoma
Delayed healing
Change in skin pigmentation
Skin texture irregularities
Recurrence of rhinophyma
Numbness or altered sensation
Deformity

Before you book anywhere

Whoever you choose, these are worth asking:

Who will actually perform my surgery, and can I meet them first?
What is their GMC number?
How many of these have they done?
What is included in the price, and what is not?
What happens, and what does it cost, if something needs correcting?
Is the clinic registered with the Care Quality Commission?

Questions

What people ask before they book

Is the video consultation really free?

Yes. The video consultation is with Dr Ouali himself, it is free, and there is no obligation. If you would rather be seen in person before you decide, a face-to-face appointment can be arranged, and that one is charged separately.

Can I get rhinophyma treatment on the NHS?

Rhinophyma treatment is not currently funded by the NHS, and choosing a trusted and experienced private clinic is the best option in achieving your desired results.

Is rhinophyma caused by alcohol?

No. It was historically linked to heavy drinking, but alcohol is not a direct cause. It may make rosacea worse in some people.

Is the surgery painful?

It is done under local anaesthetic, with or without sedation, so you will not feel pain during surgery. Discomfort afterwards is usually mild and managed with pain relief.

Are the results permanent?

Surgery gives long-lasting results, but rhinophyma is progressive, so it can come back, especially if the underlying rosacea is not managed.

Can rhinophyma affect breathing?

In severe cases the extra tissue can block the nasal airways. Surgery can help open them and improve airflow.

What should I avoid while healing?

Sleep with your head raised for a few nights and keep pressure off your nose, including tight glasses, until you are told otherwise. Avoid strenuous exercise, heavy lifting and sun for at least two weeks, wear high-SPF sunscreen on the area, and avoid smoking.

How do I pay if I go ahead?

You pay a 50% deposit to hold your date, or the full amount if you would rather settle it in one go. There is no in-house finance.

Dr Braham Ouali, lead surgeon at Minor Surgery Clinic, Bexleyheath
20+ years
Operating in the UK

Your surgeon

Dr Braham Ouali, UK-trained and award-winning

Dr Ouali is a UK-trained, award-winning surgeon with more than twenty years of experience. He has personally conducted tens of thousands of surgeries, sees every patient himself and performs every operation himself.

Qualified
Medical doctor since 1999
Training
Ten years of NHS plastic surgery training in the UK
Further study
Professional Diploma in Skin Cancer Surgery, Bond University, Australia
Memberships
British Association of Cosmetic Surgeons; American Academy of Cosmetic Surgery
Registration
Full GMC registration, no. 6145007
Languages
English, French and Arabic

The clinic

Bexleyheath Broadway

A day-case clinic set up for procedures under local anaesthetic. Your consultation is by video call, so the only visits you make are for the surgery itself and the follow-up.

Address
Ground Floor, 300 Broadway, Bexleyheath, DA6 8AH
Regulated by
Care Quality Commission, location ID 1-15260527805
Getting here
A short walk from Bexleyheath station and the Broadway shopping area, with parking nearby
Ground Floor, 300 Broadway, Bexleyheath, DA6 8AH

Next step

Start with a free video consultation

A video call with the surgeon who would do the operation. No cost, no obligation. If surgery is not the right answer for you, he will say so.