Septorhinoplasty | Jonathan Britto Clinic
Septorhinoplasty brings together nasal form and function. The external appearance of the nose and the internal airway are closely related, so planning must consider both together.
At the Jonathan Britto Clinic, the emphasis is on evidence-based excellence, layer-by-layer analysis and a natural result that remains individual to the patient. Here are ten of the questions people commonly ask when researching this procedure in London.
Septorhinoplasty combines reshaping of the external nose with surgery to the nasal septum, the internal partition between the two sides of the nose. It may therefore address appearance and breathing function within one carefully integrated operation.
Rhinoplasty primarily describes reshaping of the external nose. Septorhinoplasty includes correction or reconstruction of the septum where internal structure or airway function also needs attention. The distinction matters because the nose must work as well as look balanced.
Yes, when breathing difficulty is caused by problems that can be corrected surgically, such as septal deviation or structural narrowing. Nasal obstruction can have more than one cause, so assessment is essential before promising improvement.
Yes. Functional septal surgery can be combined with aesthetic changes such as reducing a hump, refining the tip, correcting deviation or altering projection. The plan should integrate internal support and external appearance rather than treating them as separate operations.
It can be, particularly when external deviation is associated with septal deviation. A crooked nose is a three-dimensional structural problem and may involve bone, cartilage and the septum. Perfect symmetry cannot always be guaranteed, but substantial improvement may be possible.
The early recovery commonly includes nasal blockage, swelling and bruising, with a splint or support used for part of the initial healing period. Many patients plan one to two weeks away from work. Nasal breathing and appearance continue to improve progressively as internal and external swelling settles.
Breathing can feel blocked in the early days because of internal swelling, crusting and any splints or supports used. Improvement is progressive rather than immediate. Internal tissues may take weeks or longer to settle fully, and postoperative instructions are important.
The broad change is visible once the external splint is removed, but this is not the final result. Swelling, particularly at the nasal tip, can persist for many months. Refinement continues gradually, and final judgement may take a year or longer in some patients.
If the nasal bones have been altered, pressure from glasses may need to be avoided for a period while healing takes place. The exact restriction depends on the operation. Jonathan’s team will give individual postoperative guidance based on what was done during surgery.
Revision is occasionally required because healing is biological and the nose is a complex three-dimensional structure. Scar tissue, asymmetry, persistent breathing difficulty or an aesthetic concern may sometimes remain. Revision surgery is generally considered only after sufficient time has passed for the first operation to settle.
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Your journey begins with a conversation. Let us take the first step together.
The journey begins with the analysis phase, which is your opportunity to get to know us and our opportunity to welcome you, inform you and understand what you want to achieve.
There will be information that you want from us and information that we need from you. The more complete and comprehensive this is, the better the results will be.
We aim to build trust so that we can be open with each other about your goals, the indications for treatment and the alternatives available. This allows you to carefully consider the balance of risks, responsibilities, recovery and expected outcomes.
As part of our holistic philosophy, we will also offer you a complimentary lifestyle medical plan called Prepare and Repair. This includes guidance on how to optimise your health before surgery and support your recovery afterwards.