There is no substutute for face to face consultation with your ENT surgeon but you may find the following information helpful if contemplating surgery. Where possible I can offer free advice via email but please feel free to contact me at firstname.lastname@example.org to discuss your requirements or book a fixed fee consultation.
In general, purely cosmetic rhinoplasty surgery will not be available on the NHS. Nasal form and function however are intimately related and in some cases, nasal blockage due to a twisted nasal septum (the middle wall separating the two sides of the nose) may be addressed with septorhinoplasty surgery when there is also an external or cosmetic concern.
Septorhinoplasty is therefore an operation which aims to correct both nasal blockage due to deviation of the nasal septum or other damage or asymmetry in the nasal tissues and at the same time problems with external nasal appearance such as a broad or bent bridge of the nose, a twisted nose or significant nasal hump. Many of these findings may occur in combination following nasal trauma.
In the UK, septorhinoplasty surgery is generally performed under general anaesthetic with an overnight hospital stay. Intricate surgery may take up to two hours and can be broadly subdivided into standard closed approach or open/external approach surgery.
The incision used for open approach surgery is placed in the skin separating the nostrils and is typically reserved for complicated or revision cases or where deformity of the nasal tip is undergoing correction. Standard rhinoplasty approach is normally via the nostrils with little or no visible cuts on the skin surface.
After either approach you may have a nasal dressing or pack for some hours to stop bleeding and usually a splint applied to the nose for one to two weeks to avoid trauma to the healing nose. If an external approach is undertaken the sutures are removed typically 4 or 5 days after surgery and the incision usually heals well such that is difficult to identify.
Like any operation, there is a small risk of infection or bleeding as a complication. Most patients develop some postoperative bruising around the eyes but this is easily concealed with make-up in women. Around 1 in 20 patients may request or require a revision procedure for further improvement in either appearance or nasal blockage.
Further information is available at nasalsurgeon.co.uk