What surgical techniques are used in rhinoplasty?

Rhinoplasty is typically carried out under general anaesthetic and takes two to three hours. Two techniques are used: closed rhinoplasty, with all incisions placed inside the nostrils, leaving no visible scars; and open rhinoplasty, which involves a small incision between the nostrils for better visibility of bone and cartilage. During your consultation, Mr Bast will explain the benefits of each approach and recommend the technique that best suits your anatomy and goals.

What can I expect the day after rhinoplasty surgery?

Most patients go home the same day of the surgery but may stay overnight for comfort and observation. The day after surgery, mild swelling or tenderness is normal. Pain relief and cold compresses help ease discomfort. Bruising fades within a week, and swelling gradually reduces over the following weeks. A small splint is removed after 7–10 days, and most patients feel ready to return to work or light activity soon after.

What does recovery and aftercare involve after rhinoplasty?

You will receive a personalised recovery plan that supports healing and comfort. This may include gentle lymphatic drainage and skincare to reduce swelling. Light activity can usually resume after one week, but full recovery takes time as tissues settle. Mr Bast reviews every patient throughout recovery to ensure progress and comfort. Over time, both nasal appearance and breathing function continue to refine. Patients who wear glasses can use RhinoShields to protect the healing nose, and many choose Skinade MD supplements to support recovery and reduce side effects such as bruising and inflammation.

What happens during your consultation?

Before recommending surgery, Mr Bast conducts a detailed consultation that includes a discussion of your goals, review of your medical history, and physical examination of your nasal airway and facial structure. Medical imaging and detailed facial analysis, including morphed pictures, form an integral part of the consultation process. He also explains how rhinoplasty surgery may improve your comfort, breathing, and confidence, as well as what to expect during recovery.

What are the risks and considerations of rhinoplasty?

Rhinoplasty is a well-established and safe surgical treatment, but as with any operation, there are possible short-term effects. Temporary swelling, bruising, or minor changes in the sense of smell can occur, but these usually resolve as healing continues. Mr Bast will explain all risks clearly and take every precaution to ensure a smooth recovery.

What is the cost of rhinoplasty?

The cost of rhinoplasty surgery with Mr Bast starts from around £11,500, which includes surgeon, hospital, and anaesthetist fees. The final cost depends on the complexity of the procedure—for example, if additional treatments such as septoplasty, nasal valve repair, or nasal fracture reduction are required. Revision rhinoplasty procedures are generally more complex and therefore higher in cost. Every treatment plan is created individually and fully discussed at your consultation.

Where does Mr Bast perform rhinoplasty surgery?

As one of the most experienced rhinoplasty surgeons in London, Mr Bast operates at The Cromwell Hospital, Weymouth Street Hospital, and King Edward VII’s Hospital. He also consults patients at Harley Street, LIPS Battersea, Montrose, and HCA London. Patients choose him for advanced nose surgery in London that improves breathing, corrects deformities, and restores confidence—combining precise functional correction with natural, aesthetic results.

Endoscopic Dacryocystorhinostomy (DCR) in London

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Award-winning care with Mr Florian Bast, ENT and Facial Plastic Surgeon. Winner of Best Surgical Result at the Aesthetic Awards 2025.

Mr Florian Bast - Rhinologist and ENT Surgeon London

Endoscopic Dacryocystorhinostomy

Endoscopic Dacryocystorhinostomy (DCR) is a minimally invasive procedure used to treat tear duct obstruction in adults. It helps tears drain normally from the eye into the nose. This can relieve symptoms such as constantly watery eyes and repeated infections.

The procedure is performed by Mr Florian Bast, Consultant Rhinologist, ENT and Facial Plastic Surgeon. He uses advanced endoscopic techniques to achieve reliable, long-lasting results, without any external scars.

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About Mr Florian Bast, Rhinologist and ENT Surgeon London

MR FLORIAN BAST EXPLAINS

What Is Endoscopic Dacryocystorhinostomy (DCR)?

Endoscopic Dacryocystorhinostomy surgery treats blockage in the tear drainage system, known as the nasolacrimal duct. When this duct is blocked, tears cannot drain into the nose. Instead, they overflow onto the face.

The procedure creates a new internal drainage pathway between the tear sac and the nasal cavity. This allows tears to drain normally again. Because the surgery is carried out through the nose, there are no cuts on the skin.

Endoscopic DCR is a functional tear duct obstruction treatment. Its aim is to relieve symptoms and prevent infection, not to change appearance.

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When This Procedure Can Help

Endoscopic Dacryocystorhinostomy may be recommended if you have symptoms of tear duct obstruction that do not improve with simpler treatments. It is commonly used for:

Woman unhappy and covering her eyes with her hands due to painful tear ducts

Tear duct obstruction in adults

Ongoing watery eyes (epiphora)

Close up of a womans eye red from an infection

Repeated infections of the tear sac (dacryocystitis)

A full assessment is needed to confirm the cause of the blockage and decide whether surgery is the right option.

MR FLORIAN BAST EXPLAINS

How the Procedure Is Performed

Endoscopic Dacryocystorhinostomy surgery is usually carried out in a hospital under general anaesthetic.

A small endoscope is gently passed through the nostril to view the inside of the nose. Using fine instruments, Mr Bast creates a new opening between the tear sac and the nasal cavity. This allows tears to bypass the blocked duct.

In some cases, a small temporary stent is placed to keep the new opening open while healing takes place. The procedure is minimally invasive and usually takes less than one hour. Most patients go home the same day.

MR FLORIAN BAST EXPLAINS

Frequently Asked Questions

Common symptoms include constant watery eyes, repeated eye infections, discharge from the eye, irritation around the inner corner of the eye, and blurred vision caused by excess tears.
Most patients notice a significant reduction in watery eyes once healing is complete. Results depend on the cause of the blockage, which Mr Bast will assess during consultation.
Discomfort is usually mild and well controlled with simple pain relief. The procedure itself is performed under general anaesthetic.
Endoscopic Dacryocystorhinostomy surgery usually takes between 30 minutes and one hour.
Many patients return to desk-based work within a few days. Your recovery plan will be discussed in advance.
Improvement is often noticed within the first few weeks, as swelling settles and healing progresses.
Risks are uncommon but can include bleeding, infection, or persistent symptoms. These will be fully explained by Mr Bast.
Endoscopic DCR is usually performed on its own. In some cases, it may be combined with other nasal treatments if needed.
Costs vary depending on individual needs. A full quotation is provided after consultation.
Not always. Assessment may include nasal endoscopy or imaging if required. Mr Bast will advise what is necessary.

Patient Review

“My experience with Mr Bast was excellent. I saw him for an initial consultation due to breathing problems and he recommended a functional Septoplasty with turbinate reduction, but emphasised that it was my decision…he explained the surgery and recovery process thoroughly, including possible complications and the practices he uses to mitigate these, so I felt I was in very safe hands throughout… My breathing has improved vastly since, as well as secondary issues such as sleep. I am very thankful to Mr Bast and I recommend him highly!”
Patient Review

“I had a wonderful experience undergoing Septoplasty and turbinate reduction with Mr Bast. I cannot praise him enough for his expertise, thoroughness and support throughout the process. He is meticulous and takes great pride in his work, and the results speak for themselves.”
Patient Review

“Honestly, I can't recommend Mr Bast enough. He is so thorough, patient and highly skilled, his attention to detail is amazing. I was extremely nervous to have surgery on my nose and had researched so many surgeons, Mr Bast came highly recommended by a surgeon friend of mine. After my first consultation I was already certain Mr Bast was the best choice. Aesthetic result is even better than the morphed photos, and breathing is now perfect. No issues start to finish, highly highly recommend. His secretary Julia was such a pleasure too, so helpful and knowledgeable!”

Mr Florian bast in a black suit and white shirt

Why Choose Mr Florian Bast

Mr Florian Bast is a Consultant Rhinologist, ENT and Facial Plastic Surgeon with extensive experience in endoscopic nasal and sinus surgery. His detailed understanding of nasal anatomy allows for precise, minimally invasive treatment with a strong focus on safety and long-term results.

All care is consultant-led, with clear communication and attentive follow-up throughout your treatment.

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Mr Florian Bast offers Rhinoplasty, ENT and facial plastic surgery at a variety of hospitals in London, England. These include: Rhinology at Cromwell Hospital, London; Rhinology at Cadogan Clinic, London; Balloon sinus dilation at The Lister Hospital, London; Endoscopic balloon dilation at Weymouth Street Hospital, London; Rhinology at Guys Hospital and St Thomas’ Hospital, London; ENT services at 25 & 9 Harley Street, London; Rhinology at Sydney Street Diagnostics Centre, London.

Endoscopic Dacryocystorhinostomy (DCR) in London

Award-winning care with Mr Florian Bast, ENT and Facial Plastic Surgeon. Winner of Best Surgical Result at the Aesthetic Awards 2025.

Award-winning care with Mr Florian Bast, ENT and Facial Plastic Surgeon. Winner of Best Surgical Result at the Aesthetic Awards 2025.

Mr Florian Bast - Rhinologist and ENT Surgeon London

Endoscopic Dacryocystorhinostomy

About Mr Florian Bast, Rhinologist and ENT Surgeon London