Septo Rhinoplasty London

Summary

Procedure time
1-4 h

Anaesthesia
Twilight or general

Hospital stay
Optional

Support garment
Splint up to 3 weeks

Exercise
From 2 weeks

Recovery
3 months

Final results
12 months

What is Septo Rhinoplasty

Septo Rhinoplasty is a comprehensive form of nose surgery that addresses both internal structural issues and external nasal appearance. In contrast to a standard rhinoplasty which reshapes the external cartilage and bone Septo Rhinoplasty includes correction of the nasal septum (internal partition), allowing surgeons to correct functional problems like a deviated septum alongside external shaping such as adjusting the nasal bridge, tip, nostril size, or overall nose alignment.

This dual-purpose procedure is particularly suited to patients who have both breathing difficulties (due to septal deviation, valve problems or previous trauma) and aesthetic concerns like asymmetry, a hump on the nasal bridge, or disproportionate nose size relative to facial features.

Septo Rhinoplasty takes around two to three hours (sometimes longer for more complex reconstructive or revision cases).

The Septo Rhinoplasty Procedure

During surgery, Dr Cotrufo will correct internal deviations (e.g. straighten a bent or deviated septum) and remodel or reshape nasal bones and cartilage to achieve the desired external form. Depending on the specific needs, cartilage grafts (from the septum, ear or rib) may be used to strengthen or reshape nasal structures especially when addressing internal valve collapse or external asymmetry.

The technique used (open or closed rhinoplasty approach) depends on the complexity of correction required. Open rhinoplasty, involving a small external incision, may be chosen for more extensive reshaping, whereas closed rhinoplasty (all incisions inside the nostrils) is suitable for less complex modifications.

Once the internal and external corrections are complete, the nose is supported typically with internal splints or nasal packing, and an external splint or cast to stabilize the bones and cartilage as they begin to heal.

Recovery & What to Expect

Recovery from Septo Rhinoplasty follows a gradual timeline. Immediately after your surgery you may experience swelling, bruising around the nose and eyes, congestion, discomfort and nasal blockage especially if internal packing was used.

In many cases, the external splint and any nasal packing or internal splints will be removed after about a week. The first two weeks are critical. Patients are advised to rest, keep the head elevated while sleeping, avoid nose blowing or heavy lifting, and refrain from strenuous activity.

By the end of week two to four, much of the bruising typically subsides, and patients often feel comfortable returning to light work and daily activities. However, the nose will still look somewhat swollen and may feel stiff or numb, especially around the tip.

Over the next several months, as internal healing progresses and swelling continues to diminish, the refined shape of the nose becomes increasingly apparent. While noticeable improvements are often visible within weeks, final results may take up to 6–12 months (or in some cases a little longer) as the tissue settles and the nose assumes its lasting form.

Patients can generally expect a return to red-carpet presentation, resumed social life and gentle exercise within 4–6 weeks (as advised by the surgeon). Contact sports, heavy lifting or any activity risking trauma to the nose should be avoided for at least six weeks.

Why Choose Septo Rhinoplasty With Dr Stefano Cotrufo

With over 15 years’ experience in plastic and reconstructive surgery, Dr Cotrufo brings a unique blend of technical expertise, aesthetic sensibility and personal care to every procedure. Much like his approach to facelifts and neck lifts, he believes in achieving natural, harmonious results that respect each patient’s unique facial structure.

Choosing Septo Rhinoplasty with Dr Cotrufo means your procedure will be planned individually, considering not only your desired outcomes but also functional needs (breathing, nasal airflow, structural integrity). This careful balance helps ensure that results not only look good but also feel right avoiding the “overdone” look common with less considered operations.

Is Septo Rhinoplasty Right for You?

Septo Rhinoplasty may be the right choice if you are experiencing breathing difficulties, nasal obstruction or snoring caused by issues such as a deviated septum, internal valve collapse or previous trauma. Many patients also consider the procedure when they are unhappy with the external appearance of their nose, whether due to the size, shape, symmetry, bridge, tip or nostril proportion. By addressing both internal structure and external profile, Septo Rhinoplasty offers the opportunity to achieve both functional improvement and a natural, balanced nasal appearance that complements the rest of the face. The procedure is commonly recommended for individuals who are in good general health, have realistic expectations, and are prepared to follow the necessary post-operative instructions to support a smooth and predictable recovery. During the consultation, Dr Cotrufo will assess your nasal anatomy, discuss your breathing concerns and aesthetic goals, and advise on the most suitable approach to achieve an effective and harmonious result.

During your consultation, Dr Cotrufo will assess your nasal anatomy, discuss your functional and aesthetic goals, and recommend the most appropriate surgical approach, whether Septo Rhinoplasty alone or combined with adjunctive procedures for optimal results.