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Septorhinoplasty is surgery to reshape and resize the nose and correct a deviated nasal septum. Septorhinoplasty is an operation that changes the nose's appearance and straightens the septum to restore its healthy function.

The London Clinic offers a functional septorhinoplasty by world-leading cosmetic surgeons and ENT consultants, and a comfortable, stress-free environment in which to recover.

If you've always been unhappy with your nose, or an injury or ageing have changed its appearance, septorhinoplasty can change the shape, correct distortion, cure any breathing difficulties, improve symmetry and restore facial harmony.

What is septorhinoplasty?

Septorhinoplasty is also known as a nose job. It is surgery to change the shape, size, and contour of the nose and treat a crooked nasal septum. 

The nose is prominently placed in the middle of the face so that it can have an enormous impact on your appearance, confidence, and self-esteem. A deviated septum can make your nose feel blocked and make breathing difficult when exercising, eating, and speaking.

Septorhinoplasty improves the appearance and function of the nose. It can include:

  • Surgery to straighten the septum that divides the nostrils so that you can breathe, talk, and sleep more comfortably
  • Surgery to reduce the size of the nose and sculpt the shape
  • Surgery to augment part of the nose and build-up undersized areas to restore balance.

Treatment options

The London Clinic’s surgeons can help you decide whether surgery is the best way of achieving your goals. 

Surgery is the only way to correct a crooked septum. However, cosmetic improvements can be made in many ways. An attractive appearance is often about balance and symmetry. Sometimes a nose can seem prominent because the jaw is relatively weak.

Also, changing your nose can transform your features. This may be precisely what you want, but sometimes having a small, pretty nose can remove your distinctive edge.

A non-surgical nose job using fillers can reshape the nose, although the results are temporary. The surgeon will help you make the right choice of nose shape and size, to help you achieve the nose and the look you want.

Septorhinoplasty consultation at The London Clinic

The London Clinic’s specialist surgeons offer expert assessment and advice in the clinic’s comfortable and discreet consulting rooms. The surgeon will discuss the concerns you have about your nose and examine your septum to check for deviation. They will also take a detailed medical history and perform a thorough examination to ensure that you are medically well and fit for surgery. 

The consultant will use different photos of noses and post-operative pictures to understand the appearance you want to achieve and show you what results are possible.

In consultation with you, they will plan your admission for septorhinoplasty, advise you on any preparation needed, and explain the procedure's risks and benefits.

Septorhinoplasty surgery at The London Clinic

The specialist surgeons at The London Clinic perform a functional septorhinoplasty under general anaesthetic. The operation takes between 75 and 90 minutes. It is usually a day case procedure, meaning you won’t need to stay in hospital overnight.

The surgeon will make an incision inside the nose. This means that any scars will be invisible. 

The consultant will trim, correct and reposition the bone and cartilage of the nose to straighten the septum. Several structural problems can push the septum off centre. The surgeon can straighten any crooked nasal bones and insert cartilage grafts to correct the deviation.

The consultant will also alter the bone and cartilage that make up the nose's structure to provide the look you want. They can reduce the size of the nose and sculpt the shape. If the tip is too big or bulbous, the surgeon will trim the cartilage in the area. If the bridge is wide or prominent, they will plane this down to improve the profile. 

The specialist can also augment part of the nose. If any areas are small, flat, or out of proportion, they will use cartilage grafts to build these sections. For noses with significant damage or deformity, the surgeon can rebuild the nose to create a new shape.

Once they have created the new structure, the surgeon will stretch the tissues over the nose and suture in place. Finally, they may place dressings inside the nose, to prevent bleeding and apply a splint to the outside of the nose. This will protect the nose, reduce swelling, and maintain the shape as it heals.

Recovery and aftercare

You will be taken into The London Clinic’s recovery area, where the expert theatre staff will be on hand to monitor and support you as you wake up from the anaesthetic.

You will be able to go home on the same day as your surgery. However, you will need someone to escort you home as you will be unable to drive. The London Clinic team will advise you about your recovery and arrange follow-up to assess your progress.

Post-operative swelling and any nasal dressings can make it difficult to breathe through your nose during the first few days after surgery. You can usually remove the dressings inside the nose on the day after your operation. Keeping your head raised, using extra pillows at night, and avoiding blowing your nose, will aid healing and prevent excess fluid accumulating.

Bruising and swelling on the nose and under your eyes are normal following surgery. This should gradually settle, but it can take several months to see the final results of your operation.

It's essential to take time to rest and recover; avoid work, exercise, hot baths, and bending down for two weeks. It's sensible to avoid crowds and busy places because getting a cold can increase the risk of post-operative infection. After this time, you can gradually build-up to normal activities.

Your consultant and the team at The London Clinic are always available to offer support, guidance, and a helping hand during your recovery. 

Frequently asked questions

What are the complications of septorhinoplasty?

All surgery has risks. The surgeons and The London Clinic team are dedicated to reducing complications and helping your recovery. Problems with pain, bleeding, scarring, and infection can happen after any operation. 

Specific issues with septorhinoplasty include:

  • adhesions, where scar tissue forms deep inside your nose which blocks airflow
  • a collection of blood or an abscess between the layers of your septum
  • damage to nerves that supply the skin at the tip of your nose
  • a hole in the septum
  • reduced sense of smell
  • dissatisfaction with the cosmetic result.

Speak to your surgeon if you have any concerns. They will always take time to discuss the pros and cons of the procedure and answer any questions.

How long will it take to see the final result?

Swelling and bruising are normal after surgery, and it can take some time to see the final cosmetic result. Most bruising settles within two to three weeks. The swelling can take months to go down, however, by three months, it is generally much less noticeable, and you will be able to start to appreciate your new nose.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments. An All-Inclusive Package for this treatment is available from £4,365.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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