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.

Septal Perforation Closure 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 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.

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Guide to aesthetic vs functional rhinoplasty procedure with specialist
Mr Florian Bast.

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.

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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

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

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.

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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 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.

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

Guide to aesthetic vs functional rhinoplasty procedure with specialist
Mr Florian Bast.