• Nasal blockage due to combined septal/nasal pyramid deformity
  • Reconstruction of post-traumatic nasal deformity
  • Reconstruction of complex congenital deformities such as facial clefts
  • Aesthetic improvement


NB Indications for septorhinoplasty and rhinoplasty are limited by NHS policies, as well as private insurance provider policies. Purely aesthetic (septo)rhinoplasty is limited to self-funding patients in the private sector.



Depending on the modifications required, septorhinoplasty can be performed endonasally (without external incisions), and open (with a small incision across the columella).

The nasal skin and soft tissue is degloved from the underlying cartilage and bone.  The shape of the bones and cartilage are altered by excision, reshaping, suturing and osteotomies.  Augmentation may be carried out using cartilage from the septum, pinna or rib, or using artificial prostheses.


Length of procedure

A wide range from 1 to 3 or more hours, depending on complexity.



NB Rhinoplasty is a complex area – do not consent a patient unless you are very familiar with the procedure and the individual case.

  • Pain
  • Bleeding
  • Infection
  • Imperfect cosmetic result
  • Blockage
  • Deformity
  • Anosmia
  • Need for revision surgery
  • Skin changes
  • Numbness
  • Scar


Post-operative management

The patient will usually have an external nasal cast or internal splint postoperatively. These are removed in clinic around one or more weeks later: check the operation note. 

Many patients will go home the same day, although some may stay overnight.

In external-approach septorhinoplasty, skin sutures may need to be removed at 5-7 days.



Analgesia, usually with saline/alkaline nasal douche. Chlorampenicol (eye) ointment to be applied to nostrils and skin incision (if present). Some surgeons will give prophylactic antibiotics.




 Page last reviewed: 23 September 2016