Septorhinoplasty is a combined operation that both straightens the wall inside the nose, known as the septum, and reshapes the outer appearance of the nose. In simple terms, it brings together two procedures: a septoplasty to improve breathing and a rhinoplasty to refine the shape. It is a popular choice for people who have both a blocked nose and aesthetic concerns.
What is a deviated septum?
The septum is the thin partition of bone and cartilage that divides the two nostrils. Ideally it sits in the middle, but in many people it is bent or off-centre, either from birth or after an injury. A deviated septum can block airflow on one or both sides, causing a persistently stuffy nose, snoring, recurrent sinus problems, and disturbed sleep.
Why combine the two procedures?
Correcting the septum improves breathing, while reshaping the outer nose addresses appearance. Doing both together means a single operation, one anaesthetic, and one recovery period rather than two. It also allows the surgeon to balance form and function, ensuring the nose both looks natural and works well.
What happens during surgery?
Performed under general anaesthetic, the surgeon straightens the deviated septum to open the airway and then reshapes the bone and cartilage of the nose to refine its appearance. The operation usually takes around one and a half to two hours. Many patients return home the same day or after an overnight stay.
What is recovery like?
A splint and sometimes soft internal supports are used for about a week. Expect some swelling, congestion, and bruising at first, which improve over a couple of weeks. Most people resume normal activities within two weeks, while the final shape continues to settle over several months as swelling fully resolves.
When should you see a specialist?
If you have a long-standing blocked nose along with concerns about the shape of your nose, an ENT and facial plastic surgeon can assess both together and advise whether septorhinoplasty is suitable. Addressing breathing and appearance in one procedure is often the most efficient solution.
Disclaimer: This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor for diagnosis and treatment.