A nose that still looks like you.
Open rhinoplasty in Rawalpindi by Dr. Jawad Jahangir. Refined, not rebuilt — for tip work, revision, and structural change that has to hold.
- 4.9 · 1,717 Google reviews
- 15+ years · 1,000+ rhinoplasties
- Rawalpindi · Islamabad
Private · A 30-minute conversation, no pressure to book.
What Open Rhinoplasty Means
Open rhinoplasty is the technique surgeons reach for when a nose needs structural change, not a surface adjustment. A 4–5mm incision is made across the columella — the strip of skin between the nostrils — so the cartilage and bone of the nasal framework can be seen directly, rather than worked on by feel through the nostrils. For complex reshaping, revision work, and tip refinement that has to hold its shape over years, that direct view matters. Closed rhinoplasty (everything done from inside the nostrils, no external scar) suits smaller, simpler changes. Open is the considered choice when precision outweighs a fine, fading scar.
The right technique is the one your nose asks for.
Before, and after.
A patient at consultation, and the same nose after surgery by our team — an anaesthetist, a plastic surgeon, and an ENT surgeon operating together under the supervision of Dr. Jawad Jahangir. Photographed under the same lighting, no filters, no retouching.
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Before -
After
When Open Rhinoplasty Is the Right Choice
Not every nose calls for the open approach, and a good surgeon will say so. We recommend it when the work is structural — reshaping the tip, rebuilding cartilage, correcting asymmetry, or revising a previous result. If your concerns are smaller — a subtle hump, a minor refinement — closed may be the better route. The honest answer comes from a consultation, not a website. Below are the situations where open is usually the considered call.
- Tip work that has to hold Reshaping a drooping or bulbous tip with sutures and grafts that need direct placement.
- Dorsal hump with structural change When the bridge needs reduction and re-supporting, not filing alone.
- Revision rhinoplasty Correcting a previous surgery is almost always done open — the anatomy demands a clear view.
- Significant asymmetry Crooked noses, post-trauma deformities, and congenital irregularities.
- Function and aesthetics together Combining septoplasty or breathing correction with reshaping in a single procedure.
Inside the Procedure
Open rhinoplasty is not a quick operation. It is a quiet, patient one — two to four hours under general anaesthesia, with most of that time spent on millimetre-level work that decides how your nose will look and breathe ten years from now. What follows is what happens, in plain terms, from your first consultation to the morning after surgery.
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Consultation and assessment
Dr. Jawad reviews your concerns, examines your nasal structure inside and out, and discusses what is realistic for your face. No pressure to book.
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Surgical planning
Photographs, measurements, and a written plan tailored to your anatomy and the result you want. You see the plan before the day.
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The day of surgery
Our team — anaesthetist, plastic surgeon, and ENT surgeon — operates together under Dr. Jawad Jahangir's supervision. General anaesthesia, a 4–5mm columellar incision, and gentle elevation of the skin to expose the framework. Most cases run two to four hours.
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Reshaping and closing
Cartilage and bone are refined to the planned shape; the skin is redraped and the columellar incision is closed with fine sutures under magnification.
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The first 24 hours
You rest in our recovery suite, then go home the same day in most cases. A small splint protects the nose; a discreet driver and companion can be arranged.
What Recovery Actually Looks Like
Recovery is the part most clinics understate. The honest version is more useful: visible swelling and bruising fade within two to three weeks, but the final shape of your nose — the version you will see in photographs years from now — keeps refining for up to a year. Knowing the timeline in advance is the difference between trusting the process and panicking at week three. Here is the realistic week-by-week, based on how our patients describe it.
- Week 1 Splint on, swelling and bruising at their peak, low-grade discomfort managed with prescribed medication. You stay home.
- Week 2 Splint comes off. Bruising softens to a yellow tone that covers with makeup. Most patients return to desk work.
- Weeks 3–4 Visible swelling settles enough that close family may notice nothing beyond a slightly fuller tip. No exercise yet.
- Months 2–3 The shape becomes recognisably yours again. You can attend events without anyone asking questions.
- Month 12 Final refinement. The tip — last to settle — finds its true line. This is the photograph you were waiting for.
Why JJ Aesthetics for Open Rhinoplasty
Fifteen years. 1,000+ rhinoplasties. 1,717 Google reviews averaging 4.9. Choosing a rhinoplasty surgeon is not a comparison of price lists — it is a decision about whose hands you trust to make permanent changes to your face. We do not claim to be the only good option in Pakistan. We do offer something specific: a practice built around facial aesthetic surgery, and a culture of telling patients honestly when an operation is — and is not — the right answer.
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A multidisciplinary surgical team Anaesthetist, plastic surgeon, and ENT surgeon operating as one — under the supervision of Dr. Jawad Jahangir, with 15+ years of practice and 1,000+ transformations behind the work.
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4.9 stars across 1,717 Google reviews Read them before you call us.
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Honest pre-operative counsel If closed rhinoplasty, a non-surgical option, or no surgery at all suits you better, we will say so.
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Continuous post-operative care Scheduled reviews at week one, week two, month three, and month twelve. You are not handed off after surgery.
Private · A 30-minute conversation, no pressure to book.
Everything You'd Ask at midnight.
Will I still look like myself after open rhinoplasty?
This is the question we hear most, and the honest answer is yes — if that is the goal you set. Our work is not to give you a different face. It is to refine the line of your nose so the rest of your features read more clearly. The “operated” look most patients fear comes from over-reduction. We do not over-reduce, and we will tell you in consultation which changes will preserve your face and which will not.
How experienced is Dr. Jawad with open rhinoplasty?
Dr. Jawad Jahangir has practised aesthetic facial surgery for over fifteen years, with rhinoplasty as a primary focus. Open rhinoplasty at JJ Aesthetics is performed by a multidisciplinary team — anaesthetist, plastic surgeon, and ENT surgeon — operating together under his supervision, so each part of the procedure is handled by the specialist trained for it. The practice is reviewed by 1,717 patients on Google with a 4.9 average. Ask in consultation to see before-and-after photographs from cases similar to yours.
What does open rhinoplasty cost at JJ Aesthetics?
We do not publish a single price because every nose is different — primary versus revision, structural versus refinement, time under anaesthesia. You receive a clear, all-inclusive figure in consultation that covers surgeon, anaesthesia, theatre, and follow-up care. No add-on bills after the fact. If you message us on WhatsApp with a brief description of your concern, we can give you a realistic price band before you come in.
How painful is it, honestly?
Less than most patients fear. The most common description is pressure rather than sharp pain — a feeling of congestion through the first week, managed with prescribed medication. Most patients are off pain relief by day five. Bruising and swelling are the more visible discomfort; pain itself is short-lived and proportionate.
How visible will the columellar scar actually be?
At three months, most patients tell us nobody has noticed. At a year, it reads as a faint line you have to point out. The columellar scar heals well because the skin in that area is thin, well-vascularised, and hidden under the nose at every conversational angle. We close it under magnification with fine sutures and follow it with scar care for six months.
Can I keep this private — will anyone need to know?
Yes. Consultations are scheduled discreetly at our Rawalpindi clinic. Surgery is day-case in most situations. The visible recovery window is roughly three weeks; we plan your surgery date around weddings, work cycles, and travel so you return to public life looking rested, not recovering. Records are kept confidential, and photographs are never used without written consent.