Septal Perforation Closure 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 Rhinoplasty Surgeon London
Septal Perforation Closure
Septal perforation closure is a surgical procedure used to repair a hole in the nasal septum. The nasal septum is the wall of bone and cartilage that separates the two sides of the nose.
When a nasal septum perforation develops, it can cause discomfort, breathing problems, and ongoing nasal symptoms. This procedure is performed by Mr Florian Bast, Consultant Rhinologist, ENT and Facial Plastic Surgeon, using specialist techniques to restore nasal function and comfort.
About Mr Florian Bast, Rhinologist and ENT Surgeon London
MR FLORIAN BAST EXPLAINS
What Is Septal Perforation Closure?
A septal perforation is a hole in the nasal septum. This opening disrupts normal airflow and moisture inside the nose. Over time, it can lead to irritation, crusting, and bleeding.
Septal perforation closure surgery aims to close this hole and restore the normal structure of the nasal septum. The procedure is functional, not aesthetic, and focuses on improving comfort, breathing, and nasal health rather than changing appearance.
When This Procedure Can Help
Septal perforation closure may be recommended if you have a hole in the nasal septum that is causing symptoms or affecting daily life. Symptoms that may lead to treatment include:
Ongoing crusting inside the nose
A whistling sound when breathing
Nasal dryness or irritation
Frequent nosebleeds
Difficulty breathing through the nose
A careful assessment is required to confirm whether closure is suitable.
MR FLORIAN BAST EXPLAINS
How the Procedure Is Performed
Septal perforation closure is performed in a hospital setting, usually under general anaesthetic.
There are several techniques used, depending on the size and location of the perforation. These may include:
Using nearby nasal tissue to cover the hole
Placing graft material to close the perforation
Mr Bast carefully selects the most appropriate approach for each patient. The procedure is technically complex and requires specialist experience in nasal surgery. Most patients return home the same day or
after a short stay.
Real Patient Results
MR FLORIAN BAST EXPLAINS
Frequently Asked Questions
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Common symptoms include crusting, nosebleeds, dryness, whistling sounds when breathing, and difficulty breathing through the nose.
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Small perforations may remain stable, but most do not close without treatment. Surgery may be recommended if symptoms are significant.
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Discomfort is usually mild to moderate and managed with pain relief. The procedure is performed under general anaesthetic.
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The length of surgery varies depending on the size and complexity of the perforation. This will be discussed during consultation.
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Most patients need some time off work to allow proper healing. This depends on your role and recovery progress.
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There is a small risk of recurrence. Careful surgical technique and good aftercare help reduce this risk.
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Costs vary depending on individual needs. A full quotation is provided after assessment.
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Assessment may include nasal endoscopy or imaging. Mr Bast will advise what is required.
FAQ
Your Questions Answered
Why Choose Mr Florian Bast
Mr Florian Bast is a Consultant Rhinologist, ENT and Facial Plastic Surgeon with advanced expertise in complex nasal surgery. His detailed understanding of nasal anatomy and airflow allows him to manage septal perforations with precision and care.
All treatment is consultant-led, with clear communication and close follow-up throughout recovery.
Mr Florian Bast offers expert Septal Perforation Closure alongside advanced Rhinology, ENT, and Facial Plastic Surgery across a number of leading hospitals in London. Patients experiencing symptoms such as nasal crusting, bleeding, whistling sounds when breathing or discomfort due to a septal perforation can be assessed and treated at King Edward VII’s Hospital in Marylebone, Montrose Clinic, LIPS Healthcare Battersea, Cromwell Hospital, Cadogan Clinic, The Lister Hospital, Weymouth Street Hospital, Guy’s Hospital and St Thomas’ Hospital, and Sydney Street Diagnostics Centre and hospitals near Harley street. With extensive experience in complex nasal reconstruction and delicate nasal anatomy, Mr Bast provides a highly personalised approach, guiding patients from initial consultation through to surgical repair, recovery and long-term functional improvement.