Septo Rhinoplasty – Nose Surgery Melbourne

Septo Rhinoplasty Nose Surgery in Melbourne and Sydney

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What Is Septo Rhinoplasty Surgery?

Septo-Rhinoplasty is a combination of aesthetic and functional procedures on the nose – a combination of Septoplasty and Rhinoplasty.

A surgeon may recommend this surgery when a patient has breathing difficulties due to septal deviation, or “valving” (collapsing nostrils on sniffing), and at the same time wants to aesthetically correct the nose.

Rhinoplasty or a nose job is the name for a surgical procedure that corrects the nasal shape. Nose-shortening, tip reduction, alarplasty (nostril narrowing), hump reduction, bump removal, and nose reshaping in general, are common actions when performing a Rhinoplasty.

On the other hand, Septoplasty is the correction of functional tasks of the nose such as; difficulties in breathing, nose bleeding, headaches, and various sinus problems. A Septoplasty corrects the deformed septum and improves the nasal airflow. Sometimes, surgeons will also perform a formal sinus surgery (Functional Endoscopic Sinus Surgery, or FESS) at the same time, especially for recurrent or chronic sinusitis, polyps, and sometimes Palate surgery for snoring.

As the name suggests, Septo-Rhinoplasty combines both surgical procedures.

Since almost 80% of people have some form of septal deviation, it is common to perform these two procedures together to not only reduce recovery time, and stress, but also reduce the costs two separate surgeries would cause.

Looking for the BEST Nose Surgeon?

Nose surgeries are considered to be one of the most complicated procedures in facial reconstructive surgery. Therefore, it is vital you find the best surgeon, whether they be an ENT or Plastic Surgeon.

Septo-Rhinoplasty is a complex nose surgery that requires an experienced surgeon in order to produce the best results and reduce the possibility of a revision. Your Surgeon’s past experience, education, and technique should be the deciding factors when choosing the right option.

Mr Stephen Kleid and Dr Richard Sackelariou are top Rhinoplasty Surgeons and experts in Nose Reshaping procedures and revisions, offering patients well-balanced, natural-looking, and uplifted post-surgery results. Mr Stephen Kleid is an experienced ENT surgeon, well-trained in Rhinoplasty, and a Member of the Australian Academy of Facial Plastic Surgeons (AAFPS), and the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS).

If you are looking for a calm, caring, and precise expert in nasal surgery it may be worth exploring your options for with Dr Stephen Kleid, or Dr Richard Sackelariou.

septo-rhinoplasty nasal reconstruction for men - fixing-a-broken-nose-plastic-surgery-Australia

Am I A Good Candidate For Septo-Rhinoplasty?

Septo-Rhinoplasty is a surgical procedure that patients undergo due to aesthetic and functional difficulties. Deformities can be congenital, developmental, or acquired as a result of various injuries or traumas.

The most common reasons why patients choose Septo-Rhinoplasty are:

  • Breathing issues
  • Nose-bleeds, crusting
  • Sinusitis, Post-nasal drip, Headaches
  • Snoring and Apnea
  • Nose too big
  • Nose too small
  • Dilated, thickened or droopy tip of the nose
  • Hump Reduction, Bump Removal
  • Nose straightening, Reshaping
  • Nostril Reshaping

The nose, including the septum, develops by the age of 14-16 in girls, and 16-18 in boys.

Nowadays, with cartilage-sparing techniques, a surgeon will usually perform a Septo-Rhinoplasty mainly after that age, occasionally on younger patients with severe nasal obstructions or deformities.

Benefits Of Septo-Rhinoplasty Surgery

Septo-Rhinoplasty is an aesthetic and functional procedure that creates a much more beautiful and elegant look of the nose, while also improving its function, enhancing the patient’s quality of life.

Surgeons will adjust the shape and size of the nose to the proportions of the face, which gives it a much more harmonious look. With improved airflow and respiration, Septo-Rhinoplasty might be the best choice for those who look for an esthetic and functional change to their nose.

Septo-Rhinoplasty Before and After Photos

These before and after surgery photographs represent typical results our patients get. Results depend on individual patient circumstances and can vary significantly.


See the Nose Surgery Before and After Photos page

Septo-Rhinoplasty Procedure

Depending on the patient’s wishes and needs, the surgeon will assess what type of rhinoplasty will be performed as a part of Septo-Rhinoplasty will be performed: Open or Closed.

A Closed Rhinoplasty is performed through the nostrils and is useful for some minimal-change Septo-Rhinoplasties.

In an Open Rhinoplasty, a short incision is made in the columella, the bridge of skin hidden under the nose and between the nostrils. It is a zig-zagged incision, which makes it even less visible. In order to achieve nose stability and function, the patient’s septal cartilage is used as grafts. This addresses both the function and appearance of the nose during the same procedure, in a stable, strong, supported nose that does not sag with time.

Some noses need to be made larger, particularly Revision cases and Asian noses. These cases often require Cartilage grafts from the patient’s septum, ear, or donor’s rib, if this is not viable then synthetics are an option.

All surgery has risks – for detailed information about the risks and potential complications of Septo-Rhinoplasty Surgery please visit the risks of surgery page.

Recovery after Septo-Rhinoplasty

After Septo-Rhinoplasty, internal packing or splinting is rarely required. This leads to much less post-operative pain and swelling. Tapes and sometimes an external plastic splint is used for a week and easily removed by the surgeon.

It is an uncomfortable operation, due to internal scabbing, crusting and blockage, but usually not painful, as the nose is a non-moving part.

The nose will take 2- 6 weeks to look better but keeps on changing for a year or so as subtle swelling subsides, sometimes aided by steroid injection.

The length of recovery and severity of the instructions depend on the general condition of the patient, and the extent of the procedure itself.

General instructions are:

  • Sleeping propped up, just for the first 1-2 nights.
  • Avoid running or gym workouts for 2 weeks, and contact sports for at least 6 weeks.
  • It is OK to blow your nose – in fact I advise it, to clear the crusts, aided by saline irrigations.

Patient Journey for a Septo-Rhinoplasty

1. Initial Consultation with your Surgeon

Before the Septo-Rhinoplasty, your surgeon will have a consultation and medical health examination with you. At the consultation, you can discuss the issues caused by nasal asymmetry and deformities.

The surgeon will; explain what Septo-Rhinoplasty Nose Surgery entails, discuss the reasons for undergoing the procedure, educate the patient about the benefits and risks, show photos of previous patients, and perhaps do computer imaging to pre-plan the operation and talk about the patient’s personal expectations.

2. Surgical Procedure

Septo-Rhinoplasty nose correction is usually performed under general anaesthesia, with an overnight stay in hospital (although it can be done as a day-patient).

3. Post-Op Recovery

The patient leaves the hospital with a supply of painkillers, spray, saline irrigation and ointment, to use 3 times a day. After a week, the cast is removed by the surgeon, and the internal nasal scabs and crusts cleaned and “vacuumed” out under local anaesthesia on the Dental chair. There is usually not much bruising, but it subsides within two weeks.

By 6 weeks, the nose is nearly at its final result but continues to settle over 6-12 months, sometimes aided by steroid injection.

Septo-Rhinoplasty Melbourne Costs – How much is Septo-Rhinoplasty Melbourne?

Every patient is different, therefore the prices vary.

You will recieve a price quote after your first consultation. This will include a Surgeon’s fee, an Anaesthetist fee, and hospital fees. Part of this will often be rebated by Medicare and your Private Health Insurance.

See more information on Medicare coverage of Nose Surgery and for information about a Septo-Rhinoplasty Melbourne Payment Plan.

FAQ’s about Septo-Rhinoplasty

Can I go out in the sun after the Septo-Rhinoplasty surgery?

You should avoid excessive exposure to the sun. However, sensible sun exposure with skin protection is ok.

Can I wear glasses after surgery?

Please Avoid wearing spectacles or sunglasses for 6 weeks, as they can leave little divots on the sidewall of the nose. Discuss the various options with your surgeon, if you can’t use contact lenses.

Will I be able to sneeze?

Since you cant stop the sneezing reflex through the mouth instead of the nose is advisable.

Can I smoke before or after surgery?

Preferably, no smoking for at least 2 weeks before and after surgery.

Do I need to stop drinking alcohol before the Septo-Rhinoplasty?

Please refrain from drinking alcohol for at least 48 hours before surgery.

Can I fly after the Septo-Rhinoplasty?

Flying is not a problem after nasal surgery, even the day after, but pressure changes and air dryness can be uncomfortable.

How long will I stay at the hospital?

In most cases, patients stay overnight, but some can go home on the same day of surgery.

What food should I eat after the Septo-Rhinoplasty?

Eat whatever you want in moderation!

Further Reading – Medical Resources

Always Choose a qualified, experienced Expert in Septo-Rhinoplasty

Be sure to find out if your surgeon is FRACS qualified and has proven and relevant surgical experience.

Don’t choose someone who studied a different area of medicine as they are unlikely to have the same rigorous surgical training required to become recognized as a Specialist in Plastic, Cosmetic & Reconstructive Surgery.

Coco Ruby is an Australia-wide Specialist Plastic Surgeons Group, with the appropriate qualifications and members of recognized associations. Look for members of FRACS, ASPS, ASAPS or ISAPS as some of the qualifications of your Surgeon. Our Surgeons operate in an accredited hospital, not in the back-room of a clinic.

Proven experience and examples from real patients or recommendations from your friends, family, or GP are available.

Choosing the best Septo-Rhinoplasty Surgeon in Melbourne VIC or Sydney NSW

When choosing the right plastic surgeon for Septo-Rhinoplasty, the patient should always keep in mind that the experience, training, and credentials have greater importance than the price tag. Special deals, fixed prices, and big discounts should raise a red flag. Usually, those kinds of procedures lead to another disappointing result and in the end line cost more and produce more stress, pain, take more time, and discomfort than one procedure conducted by the professional and experienced surgeon.


Dr Stephen Kleid is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist). He consults in three Melbourne practice locations here at Coco Ruby Plastic Surgery in Hawthorn East, St Kilda East and East Melbourne. Dr Kleid has a passion for rhinoplasty and Rhinoplasty Revision.

Dr Richard Sackelariou is a Specialist Plastic Surgeon and Nose Expert operating in Melbourne and Sydney

The Next Steps – What to do Next

  • Visit the FAQs pages and read patient reviews to learn more about your intended procedure.

How to Book your Initial Consultation

  • Email us or call on 1300 264 811 to arrange your consultation with your surgeon
  • A referral from your GP or your specialist is helpful but not essential

What to Bring to your Surgeon Consultation

  • You are more than welcome to bring a friend or relative to help discuss the information and your choices
  • Ensure you also take a lot of notes and thoroughly examine the documents provided
  • Please be aware you may need to undress for a physical exam so wear simple clothes.

If you want to learn more about our Specialist Plastic Surgeons or to get a quote for a Nose Reshaping procedure, please Phone 1300 264 811 or email us at


Coco Ruby’s Specialist Plastic and ENT Surgeons

With a wealth of experience and training, our Specialist Plastic Surgeons are dedicated to best practice patient care and education, customising Breast Enlargement Surgery for each and every patient to best meet their needs and desired surgical outcomes.

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What to do next?

Our Patient Liaison Team can assist with any questions you may have when considering a procedure. You can send in an enquiry form below or call our Melbourne Clinic between 9 am – 5 pm Monday to Friday.

Phone 1300 264 811, Email us: or Book a FREE 15-minute Phone Chat with our Patient Liaison Manager or a Virtual Consultation with a Surgeon.

Disclaimer: Results depend on individual patient circumstances and can vary significantly. Results may also be impacted by a variety of factors including your lifestyle, weight, nutritional intake and overall health. Consult your Specialist Plastic Surgeon for details. This information is general in nature and is not intended to be medical advice nor does it constitute a doctor-patient relationship. Surgery risks and complications will be covered in detail during a consultation with your Surgeon.