Septorhinoplasty London & UK
Transform both the form and function of your nose with septorhinoplasty, the ultimate solution for aesthetic and breathing concerns
Septorhinoplasty involves a combination of rhinoplasty and septoplasty to address a wide range of aesthetic and functional concerns affecting the nose. Septorhinoplasty surgery UK may be advised when you may be experiencing breathing difficulties because of septal deviation. Some patients may find their nostrils collapse inwards when breathing through the nose. These functional aspects can be corrected at the same time as improving the cosmetic appearance of the nose as part of a septorhinoplasty procedure.
Cosmetic rhinoplasty surgery, also known as a nose job, is designed to surgically alter the size and shape of the nose. Tip plasty, nostril reduction, dorsal hump removal and nose reshaping are commonly performed as part of a rhinoplasty procedure. Rhinoplasty surgery is commonly used to reduce a wide nose, also known as a bulbous nose. Septoplasty, also known as nose septum surgery, is designed to address functional disturbances affecting the nose, including difficulty in breathing, sinus problems and persistent headaches. Septoplasty surgery is designed to correct a deviated septum to relieve airflow obstruction and improve breathing. ENT surgeons may also perform functional endoscopic sinus surgery, also known as FESS, in the same procedure for people affected by chronic or recurrent sinusitis and nasal polyps. Palate surgery may also be carried out to address snoring issues.
Septorhinoplasty is a combination treatment combining both aesthetic and functional correction of a wide range of abnormalities in nose anatomy or function. A deviated septum or septal deviation is remarkably common in the general population, with up to 80% of people experiencing problems with the position of the septum. Septorhinoplasty can correct a deviated septum at the same time as a rhinoplasty to eliminate the need for a separate procedure. This eliminates having to have a second recovery period and makes the overall costs of treatment much more affordable.
Septorhinoplasty Before & After
How to choose the best surgeon for septorhinoplasty
Nose surgery is generally considered to be one of the most complex types of surgery carried out on the face. It is, therefore, important to find a highly experienced Surgeon with many years of experience in carrying out both aesthetic and reconstructive surgery on the nose. Septorhinoplasty is a complex surgical procedure, and producing the best results requires a specialist rhinoplasty surgeon to perform it. This will help to minimise the requirement for a future revision procedure. When researching rhinoplasty surgeons in London, it is important to learn about your surgeon’s experience, training and reputation and how many rhinoplasty procedures they perform each year.
Here at Centre for Surgery, our rhinoplasty surgeons are skilled in all types of surgical rhinoplasty, including septorhinoplasty. Optimal results should result in a well-balanced and natural-looking appearance that looks in harmony with your overall facial features. If you have been searching for a renowned expert in nasal surgery, look no further than Centre for Surgery to achieve your treatment goals at our state-of-the-art Baker Street clinic in Marylebone.
Am I suitable for septorhinoplasty?
Septo rhinoplasty is an advanced type of rhinoplasty procedure involving both aesthetic and functional correction of problems affecting the nose. Many people may have noticed they have difficulty breathing from a young age or have developed problems after sustaining a traumatic injury. People choose to have a septorhinoplasty procedure to address many nose problems, including:
- Difficulty breathing
- Wide nose
- Dorsal hump
- Crooked nose
- Nostril reshaping or reduction
- Nose tip correction
- Straightening a bent nose
The growth and development of the nose are generally complete by the ages of 16 to 18 in boys and 14 to 16 in girls. Patients should be aged 18 or over to be considered for septorhinoplasty surgery. Modern surgical techniques aim to preserve as much of the delicate nasal cartilage as possible. Many younger patients develop nasal airflow obstruction or significant deformities, and cartilage-sparing techniques allow surgery to be undertaken in young adults.
What are the benefits of septorhinoplasty surgery?
Septorhinoplasty, also known as nose surgery or a “nose job,” is a surgical procedure that is used to reshape the nose. The benefits of this surgery can include the following:
- Improving the appearance of the nose: Septorhinoplasty can be used to correct a variety of aesthetic issues, such as a hooked or bulbous nose, a crooked nose, or a nose that is too large or too small.
- Improving breathing: Septorhinoplasty can also be used to correct structural issues within the nose that are causing difficulty breathing. This can include a deviated septum, which is a condition in which the bone and cartilage that separates the nostrils are off-centre.
- Improving self-confidence: Many people who undergo septorhinoplasty report an improvement in self-confidence and self-esteem following the procedure.
- Improving overall facial harmony: A well-balanced and proportionate nose can improve overall facial harmony and make a person feel more attractive.
- Improving Quality of Life: Septorhinoplasty can improve the quality of life of people who have difficulty breathing or chronic nasal congestion, sinusitis or other nasal-related issues.
It’s important to note that septorhinoplasty is a complex and delicate procedure that requires a skilled and experienced surgeon. Therefore, it’s important to carefully research potential surgeons and to have realistic expectations about the outcome of the surgery.
Here is an on-table before and after of the profile of one of our septorhinoplasty patients:
Your surgeon will determine the most appropriate type of septorhinoplasty procedure, whether open or closed, at your consultation. A closed rhinoplasty involves all incisions being made inside the nostrils and may be suitable for mild surgical correction of septal deformities and changes in nose size and shape. In most cases, an open rhinoplasty technique will be needed to perform septorhinoplasty surgery. Open rhinoplasty involves an incision being made in the columella, which is the area of skin located between the nostrils. The incision has a zigzag shape to help minimise the appearance of the resulting scar. Septal cartilage is often required as a graft material to enhance the structure and function of the nose. Using septal cartilage as part of a septorhinoplasty allows correction of both septal deviation and improves the aesthetic appearance of the news. The nose requires proper structural support, and septal cartilage is the best material to help achieve this stability. Failing to use septal cartilage as structural support may result in noses beginning to droop with age.
Although most septorhinoplasty procedures involve reducing the size of the nose, certain types of procedures may require augmenting the size of the nose, and this is particularly applicable for revision rhinoplasty and ethnic rhinoplasty. These types of surgeries often require cartilage graft material to be taken from the septal cartilage. In cases where the septal cartilage is absent from a previous rhinoplasty procedure, donor cartilage will need to be taken from the ear or the rib. Some surgeons may prefer to use synthetic graft material to avoid the pain, recovery and downtime that a rib cartilage graft often requires. As with all types of surgery, septorhinoplasty involves certain risks, which are minimised by selecting a reputable surgeon and clinic to perform your septo-rhinoplasty procedure.
What is recovery like after a septorhinoplasty?
Septorhinoplasty surgery may sometimes involve the need to have internal nasal packs inserted to stabilise the position of the septum. In most cases, our surgeons utilise advanced techniques to minimise their use, which helps reduce the post-operative discomfort experienced after surgery. Nasal tape, combined with an external splint, will be used to protect and stabilise the nose. The nasal splint will be removed at your one-week postoperative appointment.
In most cases, septorhinoplasty is a well-tolerated procedure. It is common to experience a congested feeling for the first few days after surgery. This will rapidly improve with time. The surgery is associated with little, if any, discomfort, as your surgeon will inject local anaesthetic during your surgery to minimise any postoperative discomfort. You will also be given a prescription for painkillers to help you stay comfortable and relaxed during the septorhinoplasty recovery period. It takes approximately 4 to 6 weeks for initial bruising and swelling to disappear. The appearance of the nose will continue to improve over the weeks and months after surgery. Final results after a septorhinoplasty can be expected approximately 12 months after the procedure. Residual rhinoplasty swelling may persist for up to 18 months after surgery, and in some cases, this can be improved with the injection of steroids. Every patient’s recovery will be different, and this will be determined by the extent of surgical correction required as well as the overall state of health including whether patients smoke or not during the postoperative period.
We advise sleeping on your back propped up on a couple of pillows for the first few days after surgery. You should avoid strenuous exercise six weeks after surgery to reduce post-operative swelling. It is not considered harmful to blow your nose and may be recommended by your surgeon to help clear crusting after surgery. Our postoperative nurses can help to reduce crusting in the nose by irrigating the nose with sterile saline.
Is recovery after septorhinoplasty painful?
Recovery after septorhinoplasty, which is a combination of a deviated septum correction and a cosmetic nose job, can be uncomfortable, but it is typically not very painful. The extent of discomfort during the recovery period can vary depending on the extent of the surgery, the patient’s pain tolerance, and other factors. Here are some common experiences during the recovery period:
- Pain and Discomfort: Most patients experience some degree of pain and discomfort following septorhinoplasty. However, this is usually well-controlled with prescription pain medication, which is often prescribed for the first few days following the procedure. The pain and discomfort typically subside over time, with most patients able to manage their discomfort with over-the-counter pain relievers within a week or two.
- Swelling and Bruising: Swelling and bruising are common after septorhinoplasty, particularly around the eyes and nose. This can make it difficult to breathe through the nose or eat and drink comfortably for the first few days following the procedure. However, this usually resolves within the first week or two, and most patients are able to return to work or other activities within two weeks after surgery.
- Congestion and Nasal Stuffiness: Following septorhinoplasty, the nasal passages may be congested and stuffy for a few days to several weeks. This can make it difficult to breathe through the nose, but is typically temporary and improves as the swelling and inflammation subside.
- Activity Restrictions: Most patients will need to limit their activity and avoid strenuous exercise or activities for at least two weeks following septorhinoplasty. This is to prevent complications such as bleeding or increased swelling. Patients should also avoid blowing their nose or getting the nasal packing or splints wet.
- Follow-Up Care: Follow-up appointments with the plastic surgeon are important during the recovery period to monitor healing and ensure that the patient is progressing as expected. The surgeon may remove any packing or splints from the nose within a week or two after the surgery and provide additional instructions for care and recovery.
In summary, while the recovery period after septorhinoplasty can be uncomfortable, it is typically not very painful. The discomfort can be managed with medication, and patients are usually able to return to work and other activities within a few weeks after surgery. Follow-up care with the plastic surgeon is important to ensure a smooth recovery and a successful outcome.
Risks of septorhinoplasty
Septorhinoplasty is a surgical procedure that combines a septoplasty (correction of a deviated septum) with a rhinoplasty (nose reshaping) to improve both the function and appearance of the nose. As with any surgical procedure, there are certain risks associated with septorhinoplasty.
- Anaesthesia risks: As with any surgery that requires anaesthesia, there is a risk of complications related to the use of anaesthesia, such as allergic reactions, breathing difficulties, and blood clots.
- Infection: There is a small risk of infection following septorhinoplasty. This risk can be minimized by following the post-operative care instructions provided by your surgeon.
- Hematoma: Hematoma, or bleeding under the skin, can occur after septorhinoplasty. This can cause swelling and discolouration of the skin and may require additional surgery to correct.
- Unsatisfactory results: Although most patients are pleased with the results of septorhinoplasty, in some cases, patients may be unhappy with the outcome of the surgery. This may require revision surgeries to correct.
- Loss of sense of smell: In rare cases, septorhinoplasty can result in a loss of sense of smell. This is usually temporary and resolves with time, but in some cases, it can be permanent.
- Scarring: Septorhinoplasty is an invasive procedure, and it will leave scarring. Although the scarring is usually minimal and well hidden in the natural creases of the nose, in some cases, the scarring may be more visible.
- Numbness or pain: Some patients may experience numbness or pain in the nose and face following septorhinoplasty. This is usually temporary, but in rare cases, it can be permanent.
It’s important to note that these risks are rare and that most patients have a successful and complication-free surgery. Make sure to discuss any concerns about the risks and benefits of septorhinoplasty with your surgeon prior to the procedure.
How much does a septorhinoplasty cost?
The cost of a septorhinoplasty in London will vary depending on the extent of surgical correction required and your overall state of health. Once you have had a face-to-face consultation with a surgeon, you will be seen by your dedicated patient coordinator to give you a price quote. Your septorhinoplasty quotation includes your surgeon’s, anaesthetic, and facility fees. Your postoperative review appointments are also included as part of the overall cost of surgery.
Centre for Surgery is an approved provider of specialised medical finance in conjunction with Chrysalis Finance. We offer a wide range of flexible finance options, including 0% finance, to help you spread the repayments of your septorhinoplasty procedure.
RELATED: Finance Options
Septorhinoplasty at Centre for Surgery
Centre for Surgery is the leading plastic surgery clinic in London and is home to some of the best plastic and cosmetic surgeons in the UK. We are are a specialist centre for nose surgery and regularly carry out rhinoplasty surgery.
Schedule a consultation by calling us on 0207 993 4849 or completing the contact form below.
How long does a septorhinoplasty take to perform?The duration of a septorhinoplasty procedure can vary depending on the specific techniques used, the complexity of the case, and the surgeon's experience. However, on average, the surgery typically takes between 1 to 3 hours to complete.
The procedure is usually performed under general anaesthesia, and it begins with incisions made inside the nostrils or a small incision made on the columella (the small strip of skin that separates the nostrils) to access the underlying structures of the nose. The bones and cartilages are then reshaped, the septum is straightened if needed, and the skin is redraped over the new framework.
After the surgery, a splint and packing may be placed on the nose to support the new shape and protect the area during the healing process. The patient will be discharged home the same day or the next day with instructions to follow.
It's important to note that the surgery may take longer if other procedures like sinus surgery or a turbinectomy are also performed in conjunction with septorhinoplasty. It's also important to remember that recovery time may vary depending on the individual case and the surgical techniques used.
Can I wear glasses after a septorhinoplasty?We would recommend avoiding wearing glasses or sunglasses after surgery for at least six weeks. The weight of the frames can leave small indentations on the side of the nose. Contact lenses should be used instead during the recovery period.
Speak to your surgeon if you are unable to wear contact lenses.
Can I fly after a septorhinoplasty?There is no increased risk of travelling on a plane after nose surgery, even the day after the procedure. However, expect to be slightly uncomfortable with the pressurised environment and dry air.
What happens if I sneeze after a septo rhinoplasty?The sneezing reflex can't be prevented. However, you should try to divert airflow through the mouth instead of the nose.
When will I see final results after septorhinoplasty?The final results of a septorhinoplasty, which is a combination of a deviated septum correction and a cosmetic nose job, can take several months to become fully visible. While some changes may be noticeable immediately following the surgery, it can take time for the swelling to subside and the tissues to heal and settle into their new shape.
In the first few days and weeks after the surgery, there will be some visible swelling and bruising around the nose and eyes. This is a normal part of the healing process and will gradually subside over time. Most of the swelling will resolve within the first few weeks, but some residual swelling may persist for several months. Patients should be patient during the recovery period and follow their surgeon's postoperative instructions carefully to minimize swelling and promote healing.
It is important to note that the speed and extent of the healing process can vary depending on several factors, such as the extent of the surgery, the patient's overall health, and the individual healing rate. It is important to avoid any strenuous activity, as well as any direct trauma to the nose during the recovery period, as this can delay the healing process and potentially affect the final results.
In general, patients can expect to see significant improvement in the appearance of their nose within the first few weeks to months following the procedure. However, it can take up to a year or longer for the final results to become fully visible as the tissues continue to heal and settle into their new position.
In summary, the final results of a septorhinoplasty can take several months to become fully visible as the tissues continue to heal and settle into their new position. Patients should follow their surgeon's postoperative instructions carefully and have patience during the recovery process to achieve the best possible outcome. It is important to maintain a good relationship with the surgeon, attend all follow-up appointments and raise any concerns in case of any abnormalities.
Can I get a septorhinoplasty on the NHS?Septorhinoplasty, or nose surgery, is generally considered a cosmetic procedure, so it is not typically covered by the National Health Service (NHS) in the United Kingdom. However, in some cases, the procedure may be covered if it is deemed medically necessary, such as if the patient has a deviated septum that is causing difficulty breathing, chronic sinusitis, or other nasal-related issues.
It is important to note that the NHS has a limited budget, and the availability of the procedure will vary depending on the region and the specific circumstances of the case. It's also important to note that even if the surgery is deemed medically necessary, there may still be a waiting list, and patients may have to wait a long time before getting the surgery.
If you are considering septorhinoplasty, it's important to discuss your options with your GP and an Ear, Nose and Throat (ENT) specialist. They can help you understand whether the procedure is covered by the NHS and, if not, what your other options are.
What To Expect
The first step of your patient journey for a septo-rhinoplasty involves having a detailed consultation with an expert rhinoplasty surgeon in London. As part of the consultation, your surgeon will take a detailed medical history, including any medicines he may be taking, followed by a physical examination to assess nasal symmetry and any deformities affecting the nose.
Your surgeon will explain what septorhinoplasty nose surgery involves and will determine your suitability for the procedure. The risks and benefits of the procedure will be discussed in detail, and you will be able to view before and after photos of patients who have had a similar procedure. In some cases, your surgeon may perform computerised image mapping of your nose to plan the procedure and to help you form realistic expectations of what the procedure can achieve.
Septorhinoplasty nose correction is carried out under a general anaesthetic as a day case which means you will be able to go home later the same day once you have recovered from the effects of the anaesthetic.
After your procedure
You will be given a prescription for painkillers to ensure you are as comfortable as possible during recovery. Your surgeon may recommend you apply sterile saline spray each day. When you are reviewed at one week, your nasal splint will be removed, and any internal nasal crusting will be gently removed. There is often minimal bruising, which will usually disappear in two weeks.
You should start to see the final results of nose surgery six weeks after the procedure. The results will continue to improve in the months after the procedure, with final results expected at 12 months. Any residual swelling affecting the tip of the nose can be improved with steroid injection.