Paul Wilson

Hairline lowering surgery is about far more than simply lowering the hairline.

It’s about creating better facial balance while respecting each patient’s natural features.

By carefully advancing the hairline in suitable patients, we can reduce forehead height and create a softer, more harmonious appearance—without changing what makes someone look like themselves.

Every procedure is tailored to the individual, with the aim of achieving a natural-looking result that complements the face and ages beautifully over time.

🏥 Paul Wilson Aesthetics
📞 0117 332 1585 | 07480 125 890
📧 [email protected]

GLP-1 medications have helped many people achieve significant weight loss, often with life-changing results.

One of the questions I’m increasingly asked is:

“I’ve reached my target weight, but why do I still have loose skin?”

The answer is that while weight-loss medication can reduce body fat, it cannot tighten skin that has been stretched over time or repair separated abdominal muscles.

For patients whose weight has stabilised, an abdominoplasty may be an appropriate option to improve abdominal contour by removing excess skin and, where indicated, repairing the abdominal wall.

The most important step is ensuring your weight is stable and discussing your goals during a consultation. Every patient is different, and treatment should always be tailored to the individual.

If you’re considering surgery following significant weight loss, we’d be happy to discuss your options.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 [email protected]

WeightLossJourney

The first face you see can make a real difference.

Our nurses are often present at the beginning of the patient journey, helping individuals feel informed, settled, and cared for before their appointment or procedure.

Their work may appear simple on the surface, but it comprises many important details: preparation, communication, support, and care.

At our clinic, those details matter.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

Open Preservation Rhinoplasty | Before & After

This patient presented for a consultation with both functional and aesthetic concerns.

She had experienced several previous nasal injuries, including a horse-riding accident, a netball incident, and a facial injury. Although she had undergone a septoplasty in 2022, she was still experiencing intermittent breathing difficulties, shifting between the right and left sides.

Aesthetically, her primary concerns were a dorsal hump and the droopiness of her nasal tip.

On assessment, her nose was reasonably straight, with a dorsal hump created by a combination of prominent nasal bones and increased septal height. There was also slight nostril asymmetry and some external valve collapse on the right side, meaning the outer wall of the nostril could collapse slightly during sharp, deep breathing.

A CT scan revealed a relatively straight septum, with only a small posterior deviation, clear sinuses, and normal-sized turbinates.

An open preservation rhinoplasty was performed.

The plan was to refine the dorsal hump, create a gentle curve to the nose, improve the tip position, and achieve as much symmetry as possible while respecting the patient's existing anatomy.

Rhinoplasty planning is never about chasing perfection. The aim is to make a considered improvement that looks balanced, functions well, and remains in keeping with the rest of the face.

The result shown here is part of that process, with healing continuing over time.

Patient images shown with consent.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

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

Open Septorhinoplasty | Before & After

This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.

Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.

On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.

One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.

In this case, an open septorhinoplasty was performed under general anaesthetic.

Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.

The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient's existing anatomy.

The result shown here is part of that process, with healing continuing over time.

Patient images shown with consent.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

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

A bump on the bridge of the nose can change the entire facial profile.

For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.

However, a dorsal hump is never treated as just a "bump".

The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.

At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.

Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.

The aim is not a perfect nose.

It is a considered, proportionate result that suits the patient.

🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK

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

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]