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:

Man blowing his nose in a green t-shirt

Ongoing crusting inside the nose

Woman breathing looking down with a yellow t-shirt on.

A whistling sound when breathing

Woman looking worried holding her nose with both hands

Nasal dryness or irritation

Woman with curly hair having a nose bleed with a tissue to her nose.

Frequent nosebleeds

man with a beard and hair tied back holding his nose

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

  • Common symptoms include crusting, nosebleeds, dryness, whistling sounds when breathing, and difficulty breathing through the nose.

  • Small perforations may remain stable, but most do not close without treatment. Surgery may be recommended if symptoms are significant.

  • Discomfort is usually mild to moderate and managed with pain relief. The procedure is performed under general anaesthetic.

  • The length of surgery varies depending on the size and complexity of the perforation. This will be discussed during consultation.

  • Most patients need some time off work to allow proper healing. This depends on your role and recovery progress.

  • There is a small risk of recurrence. Careful surgical technique and good aftercare help reduce this risk.

  • Costs vary depending on individual needs. A full quotation is provided after assessment.

  • Assessment may include nasal endoscopy or imaging. Mr Bast will advise what is required.

FAQ

Your Questions Answered

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 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.

  • 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 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.