Nose Procedures

If we think surgery may help you we consider it of utmost importance that you are fully informed so as to be able to make your own decisions.

We will carefully explain to you:

  • the intended benefits of surgery
  • the risks and limitations of surgery
  • the alternatives to surgery when they are present
  • the consequences of not having surgery
  • the recovery period after surgery
  • Septoplasty
  • Septoplasty is an operation to correct displacements, bends or twists in the nasal septum that are causing blockage.

    Septoplasty can be performed to allow more room in the nose for other operations such as sinus surgery.

    Some noses may look deviated on the outside because the septum is twisted. There may be a dip on the outside of the nose with nasal blockage, known as a ‘boxer’s nose’ or a “saddle nose”, where the septum has collapsed and buckled.

    Septoplasty may be part of a cosmetic operation to straighten a bent nose or rebuild a collapsed nose.

    septoplasty-normal  Normal

    septoplasty-twisted  Twisted

    septoplasty-boxer  Saddle or Boxer’s Nose

  • Septorhinoplasty and Rhinoplasty
  • Rhinoplasty (nose job) is the name for an operation that re-shapes the nose. If the tip of the nose is miss-shaped or weak this can cause blockage. Functional rhinoplasty corrects the tip to improve breathing. Aesthetic or cosmetic rhinoplasty improves the appearance of the nose.

    In some cases nasal twists on the outside are associated with a twisted nasal septum on the inside of the nose that can cause blockage. It is possible to correct both these conditions with one operation. The procedure is called septorhinoplasty.

  • Inferior Turbinate Reduction Surgery
  • The mucous membrane of the inferior turbinates may become thickened in patients with rhinitis and this swelling may cause nasal blockage and increased mucus production.

    Surgery can reduce the size of the turbinates by decreasing the thickness of the mucous membrane or in more severe cases by trimming away part of the turbinates. This helps to relieve nasal blockage by creating more space in the nasal passages.

    inferior-turbinate-before Before

    inferior-turbinate-after After

  • Nasal polypectomy
  • Nasal polypectomy is an operation to remove polyps that are hanging down from the sinuses into the nose causing blockage.


  • Functional Endoscopic Sinus Surgery (FESS)
  • FESS is an operation for patients suffering from sinusitis, with or without polyps, who have not improved with medical treatment. Every patient’s sinuses are different and so each FESS operation is tailored specifically for the individual patient.

    FESS is minimally invasive / keyhole surgery. It is performed through the nostrils inside the nose and sinuses with no cuts on the face.

    An endoscope is used to light the inside of the nose and sinuses and to provide a close up view of the area needing surgery. This is magnified on a television. Small, intricate, specially designed instruments are used.

    The aim is to remove diseased mucous membrane that is sticking together or filling the sinuses and / or nose and causing symptoms. The sinus drainage pathways are unblocked and may be enlarged if necessary. If polyps are present these are removed.

    fess-after Before


    fess-before  After

  • Balloon Sinuplasty
  • This is a new technique, used to treat sinusitis, that we have introduced to the UK this year, after training in the USA. It is a smaller procedure than FESS and is performed as a day case with the patient returning to work often the day after. Currently the procedure is performed with the patient asleep and usually takes half an hour, depending on the number of sinuses treated. Rather than removing soft tissues and bone with FESS to unblock the sinuses, instead the sinus drainage holes and gutters are stretched with a small balloon.

  • Other Operations
  • tear duct surgery / endoscopic dacrocystorhinostomy

    Tears drain from the inner corner of the eye into a tube which drains into the nose. If this tube is blocked the eye waters and tears spill onto the face. We can open the tube from inside the nose and so avoid an operation from outside that would leave a scar on the face.

    cosmetic surgery for prominent eyes

    Some patients with overactive thyroid glands develop prominent eyes that bulge forward from the eye socket. We work closely with eye surgeons and can offer surgery from inside the nose to create more space for the eyes to sit back into the eye socket. This avoids scars on the face.

    complex forehead / frontal sinus surgery

    We are privileged to be referred cases from other specialists for this complex surgery.

    surgery for persistent nose bleeds

    If simple cautery is unsuccessful or a blood vessel cannot be found as the cause of bleeding we can clip the main nasal artery (sphenopalatine artery) from inside the nasal passage at the back of the nose. This blood vessel is found using the sinus endoscope and is clipped or sealed with specially designed, small instruments.

Call now to book appointment or find out more

Guildford 01483 573 850

Harley Street 0207 118 3553

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