London’s leading Septorhinoplasty Surgeon

When is Septorhinoplasty performed?

A deviated septum occurs when the thin wall dividing the nasal passages (the nasal septum) is shifted to one side, making one nasal airway smaller than the other. While a Septoplasty corrects this functional issue in isolation, a Septorhinoplasty surgery addresses other aesthetic concerns the patient might have in the same procedure.

Septorhinoplasty surgery is one of the most complex aspects of rhinoplasty and it requires decades of experience. After the procedure a corrected deviated septum will address the patient’s functional concerns (such as nasal obstruction, difficulty breathing, sleep disturbances and/or frequent sinus infections).

As a dual cosmetic procedure, the surgery can also address any aesthetic concerns a patient may have such as asymmetry, a wide bridge or tip, a bump (known as dorsal hump) and/or nostril show (columellar show). It is equally vital the patient is happy with how their nose looks.

About Mark Ferguson

Mr Mark Ferguson carries out hundreds of surgeries on noses every year and he is recognised as one of the country’s leading experts in Septorhinoplasty. His unique background as a Facial Plastic Surgeon, Consultant ENT Surgeon and Rhinologist equips Mark with an unmatched understanding of the structural and functional dynamics of the nose and airway; critical when performing Septorhinoplasty.

“As a Consultant Rhinologist, ENT doctor and facial plastic surgeon, I bring a high level of expertise and knowledge of both external appearance and internal nose function. I have a deep understanding of nasal function, airflow and structure – I never compromise the integrity of the nose. What sets my approach apart is simple: it’s about creating a nose that works perfectly and an end result which looks as though you could have been born with it. After Septorhinoplasty your nose should look symmetrical, refined and in harmony with your face and features.”

Mr Mark Ferguson PhD FRCS (ORL-HNS)
Consultant Rhinologist, Facial Plastic and Anterior Skull Base Surgeon

Book Your Septorhinoplasty Assessment

What usually happens during a Septorhinoplasty procedure…

Revision rhinoplasty is performed under general anaesthetic and typically takes 2-3 hours, depending on complexity.

Mr Ferguson will use a closed approach if the surgical outcome can be achieved with this technique (this means all incisions are made inside the nose and from here he accesses the internal structures)

It is slightly more common to use an open approach in Septorhinoplasty (it may be a second corrective nose job or ‘revision’ procedure or the nose may be asymmetric and the septum very deviated or ‘twisted’ inside)

Once the doctor has access to the internal nasal structure he will reshape or rebuild the nose using grafts from, usually from the ear, the patient’s own rib or using donor tissue.

If functional issues are present, he will address them at the same time. This might entail straightening the septum, reinforcing the nasal valves or correcting internal collapse.

Every step is done with precision and care, with the goal of restoring both form and function, while also creating a beautiful and natural looking nose.

Recovery and Results

Recovery from Septorhinoplasty can be longer than a normal Rhinoplasty; this longer healing time is due to scar tissue and the complexity of the procedure.

Week 1: Plaster is removed. Swelling and bruising are expected.
Weeks 2–3: Any internal nasal splints are removed. Bruising fades. You can usually return to work after 10–14 days.
Months 3–6: Swelling continues to settle, especially around the tip.
12–18 months: Final results will become visible.

Mr Mark Ferguson will see you regularly during recovery to monitor healing and ensure everything is progressing as expected.

He personally sees all his patients at 1 week, 6 weeks, 3 months, 6 months and 1 year post-op. Some competitors use other less experienced doctors in their practice or nurses to conduct follow-up appointments. However, Mr Ferguson believes that appointments during the healing period are just as critical as the operation’s technical success to the patient’s outcome.

If clinically indicated, he will see the patient more frequently during the first year or for longer than the initial 12 months.

Book Your Septorhinoplasty Assessment

Case Studies

Patient A – Male

This patient presented with a naturally deviated septum (congenital) which affecting both breathing and facial symmetry. The patient wished for surgery to correct the deviation, restore symmetry and remove the ‘bump’ (dorsal hump), with a final result which still looked masculine.

Surgical approach: Mr Ferguson performed an external approach open SRP (Septorhinoplasty) with an extra corporeal septoplasty. Cartilaginous septum completely removed, plated on PDS foil (made straight) and then sutured back into nose. After reducing the dorsal hump, a radix cartilage graft was used to contour dorsal profile end and refine the nasal framework.

Before and After

Patient B – Female

This patient presented with dual concerns; functional issues (breathing difficulty) from septal deviation caused by previous nasal trauma and things she wanted changed aesthetically (her nose to look straighter and to lose its prominent dorsal hump)

Surgical approach – These are classic indications for primary closed approach septorhinoplasty, a procedure that allows for internal correction without external scarring. I performed a 90-minute surgery addressing the internal nasal architecture and external contour in a single, carefully planned operation. The septum was realigned to improve airflow and correct deviation, while the nasal bones were repositioned to restore symmetry and stability. The dorsal hump was precisely removed to achieve a smoother silhouette.

Before and After

These are some reviews written by Septorhinoplasty patients…

“

Mr Ferguson successfully completed a complicated revision Septorhinoplasty procedure on me in November 2022. I am currently five weeks post-op and am already delighted with the results from both an aesthetic and functional perspective.

“

Mr Ferguson’s expertise meant he had an obvious care for detail in his work (including being skilled in the closed approach, which no previous consultant could offer), having taken the time to discuss with me in detail my cosmetic preferences for the final outcome. All of this helped ensure the perfect end result. I would not hesitate to recommend Mr Ferguson for anyone requiring a similar procedure.

“

Six months post-op: not only have my functional concerns of obstructed breathing completely resolved, but aesthetically, I also feel my nose looks even better than it did before. In hindsight, it was a real added bonus that Mr Ferguson also specialises in cosmetic surgery, even though this wasn't an initial concern for me.

“

I underwent a closed corrective Septorhinoplasty with Mr Ferguson in October 2022 to rectify nasal trauma from a cycling collision. It gives me great pleasure to write a review for Mr Ferguson. My experience with him was outstanding in every respect, which was reflected in the end result.

“

I went to see Mr Ferguson as I had a deviated septum. He had a look and explained to me in great detail what he could see and my treatment option. I decided to take the surgical route, and I am now 2 weeks post operation, recovering well and I can already breathe better.

“

Excellent experience. After suffering a trauma to my nose, Mr Ferguson dealt with everything quickly, professionally and explained everything in simple terms, which was much appreciated. Results of surgery were excellent and so was the aftercare. Cannot recommend more highly.

Book Your Septorhinoplasty Assessment

Limited consultations available this month

Septorhinoplasty fees and medical insurance

Almost all private health insurance companies cover the costs to perform a functional Septorhinoplasty. When a person has a procedure following trauma – such as an accident or sporting injury – it is commonly covered by insurance. But even a congenital deviated septum (the patient is born with a misalignment, insurers recognise it can cause a host of health issues (from recurrent sinusitis to breathing issues or sleep disturbances).

For patients having cosmetic Septorhinoplasty (cosmetic concerns addressed during the same procedure) then hospital bills are divided between the functional Septorhinoplasty (covered by the private health insurer) and the cosmetic adjustments (paid out of pocket by the patient).

If you have a deviated septum and other aesthetic concerns bothering you, there are effective surgical options. With the right assessment and a tailored plan, a Septorhinoplasty can make huge improvements to function of the nose and how it looks. Mr Mark Ferguson would be happy to meet with you, listen to your concerns and help you move forward with confidence.

Book Your Septorhinoplasty Assessment