I perform Septorhinoplasty in patients who have nasal blockage and a deformity of the external appearance of the nose. These symptoms often occur following an injury to the nose but can be congenital and have developed from early childhood, without any record of trauma.
I carefully assess the external appearance of the nose and then pass an endoscope/camera into the nasal channels looking for changes in the shape and position of the nasal septum (central wall dividing the two nostrils). I carefully explain to the patient what it is possible to achieve with surgery and what is not. Complications of surgery are discussed. I will then arrange for a pre-operative series of photographs to be taken which helps me during surgery to adjust the external appearance incrementally.
Following the surgery, which takes place under a general anaesthetic, the patient will be kept in hospital for one night. It is not uncommon to experience a little oozing of blood from the nose over the first 24 hours after surgery. There maybe some swelling and bruising around the nose and under the eyes which settle over the ensuing 3-4 weeks. I recommend that the patient does not undertake strenuous exercise for the first 3 weeks after surgery. Contact sport should be avoided indefinitely after this form of surgery. A post-operative photograph is taken 6 weeks after surgery.