If you’re considering nose surgery, it’s common to come across two terms: septoplasty and rhinoplasty. Have you wondered what sets them apart?
Both involve the nose, but they serve very different purposes: one focuses on function, the other on form.
At Real Plastic Surgery, Consultant Plastic and Reconstructive Surgeon Mr Naveen Cavale performs both procedures, individually or together, to help patients breathe better, look better, and feel more confident in their results.
What Is Septoplasty?
Septoplasty is a functional operation designed to straighten and correct the nasal septum, the internal cartilage and bone that divides your nasal passages.
When the septum is deviated, it can block airflow through one or both nostrils, leading to symptoms such as:
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Nasal obstruction or congestion
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Snoring
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Mouth breathing
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Sleep disturbance or sleep apnoea
The surgery focuses entirely on the internal structure of the nose to restore smooth, balanced airflow. It’s performed under general anaesthetic, typically taking 60 to 90 minutes, and leaves no visible scars.
At Real Plastic Surgery, Mr Cavale performs septoplasty with precision and care, using a minimally invasive approach to achieve long-term functional improvement and a comfortable recovery.
What Is Rhinoplasty?
Rhinoplasty, often called a nose reshaping or nose job, is a cosmetic or reconstructive procedure that refines the external appearance of the nose while maintaining structural integrity.
It can:
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Reduce or smooth a nasal hump
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Refine or lift the nasal tip
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Adjust the width or asymmetry
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Improve breathing when combined with septal correction
Surgery is carried out under general anaesthetic and lasts 90 minutes to 3 hours, depending on complexity.
With over 30 years of surgical experience, Mr Cavale takes a tailored, natural-looking approach to rhinoplasty, ensuring the result enhances the face rather than draws attention to the nose itself.
Key Differences Between Septoplasty and Rhinoplasty
Understanding the differences between septoplasty and rhinoplasty helps you to make an informed decision about which procedure best suits your needs. While both surgeries involve the nose, their purposes, techniques, and outcomes are distinct.
Purpose
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- Septoplasty is a functional procedure performed to correct internal structural problems, such as a deviated septum, and restore normal breathing.
- Rhinoplasty is a cosmetic or reconstructive procedure designed to refine the external shape and proportions of the nose for improved facial balance.
Surgical Approach
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- Rhinoplasty can be performed using either an open or closed technique. The open method involves a small incision across the columella (the strip of skin between the nostrils), while the closed approach uses incisions hidden inside the nostrils.
- Septoplasty focuses entirely on the internal nasal septum and is performed through incisions inside the nose, leaving no external scars.
Complexity and Duration
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- Septoplasty is generally less complex and takes around 30–60 minutes.
- Rhinoplasty, depending on the surgical goals, may take 1.5 to 3 hours to complete.
Anaesthesia
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- Both procedures can be performed under general or local anaesthesia, depending on the case and surgeon’s recommendation.
Recovery
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- Both surgeries require rest and aftercare. You should plan for at least one week off work and arrange support at home, particularly in the first few days after surgery.
Medical vs. Cosmetic Nature
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- Septoplasty is considered medically necessary when performed to correct breathing issues or a deviated septum, and may therefore be eligible for insurance coverage.
- Rhinoplasty is usually elective and performed for cosmetic enhancement, so it is typically not covered by insurance.
Terminology
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- In medical terms, “Rhino” refers to the external nose, while “Septo” refers to the internal nasal septum.
- Rhinoplasty is commonly known as a “nose job,” whereas septoplasty is often referred to as surgery for a deviated septum.
Ultimately, the main difference between septoplasty and rhinoplasty is whether you want to improve how your nose works, how it looks, or both. The right approach depends on your anatomy and what matters most to you.
At Real Plastic Surgery, Mr Naveen Cavale takes time to listen to your concerns, examine your nose carefully, and explain your options clearly. Together, you’ll agree on a safe, personalised treatment plan designed to help you breathe comfortably and feel confident in your appearance — with results that look natural and last.
Can Septoplasty and Rhinoplasty Be Done Together?
Yes, septoplasty and rhinoplasty can be performed together in a single procedure known as a septorhinoplasty.
This combined approach treats both the function and appearance of the nose at the same time, improving airflow while refining its external shape for a natural, balanced result.
A septorhinoplasty is often planned for patients who want to correct a deviated septum and also make cosmetic changes to the nose. Having both procedures together means one operation, one anaesthetic, and one recovery period, making the process more straightforward and convenient.
Sometimes, during surgery, your surgeon may identify areas that would benefit from a little extra internal support or reshaping. In these cases, cartilage removed during septal correction can be reused as a graft to strengthen or fine-tune the nasal structure, enhancing both the function and appearance of your final result.
At Real Plastic Surgery, Mr Naveen Cavale performs septorhinoplasty with precision and care, focusing on results that look natural, feel comfortable, and help patients breathe freely and confidently.
Recovery and Aftercare
While recovery varies between procedures, combining them into a septorhinoplasty means there’s just one healing period rather than two separate recoveries.
Below is a general guide to how recovery differs between septoplasty and rhinoplasty:
Septoplasty vs Rhinoplasty
Even when performed together, recovery timelines and focus differ slightly. Both procedures require rest, patience, and following your post-operative instructions closely to ensure smooth healing and the best possible outcome.
| Aspect | Septoplasty | Rhinoplasty |
| Typical Recovery Time | Most patients recover within 1–2 weeks and can return to normal daily activities soon after. Internal healing of the nasal septum continues for several more weeks. | Initial recovery takes 1–2 weeks, but final results develop gradually over 6–24 months as swelling settles and tissues refine. |
| Primary Healing Area | Internal – focused on the nasal septum (cartilage and bone dividing the nasal passages). | External – involving skin, cartilage, and nasal bones that form the visible nose. |
| Aftercare Essentials | – Keep the nasal passages clear (do not blow your nose until advised). – Avoid heavy lifting, strenuous exercise, or bending over for two weeks. – Sleep with your head elevated. | – Avoid excess facial movement and pressure on the nose. – Sleep on your back with your head elevated. – Do not wear glasses resting on the bridge of the nose until cleared by your surgeon. |
| Common Side Effects | Mild congestion, minor bleeding, or temporary breathing difficulty as internal swelling subsides. | Swelling, bruising around the eyes, and temporary numbness or stiffness at the tip of the nose. |
| Risks and Complications | As with any surgery, infection, bleeding, or persistent nasal blockage (rare when performed by an experienced surgeon). | Potential risks include asymmetry, scarring, or dissatisfaction with shape (all minimised through careful surgical planning). |
| Visible Scarring | None. All incisions are made inside the nose. | Depends on the technique: closed rhinoplasty leaves no visible scars; open rhinoplasty involves a fine incision across the columella that fades with time. |
| Expected Results | – Improved nasal airflow. – Relief from congestion or snoring. – Better sleep quality and easier breathing. | – Balanced, refined nasal shape. – Enhanced facial harmony. – Improved nasal function when combined with septal correction. |
Aftercare and Follow-Up
Following your surgeon’s instructions is essential for a smooth recovery. Use cold compresses for swelling, take prescribed pain relief as directed, and avoid any activity that may place strain on the nose. Regular follow-up appointments with your surgeon ensure proper healing and optimal long-term results.
At Real Plastic Surgery, Mr Naveen Cavale and his team provide detailed post-operative guidance and ongoing support to ensure that every patient’s recovery is comfortable, safe, and successful.
Suggested Guides:
- Open vs Closed Rhinoplasty: Which Is Better for You?
- Can Rhinoplasty Fix a Deviated Septum? Everything You Need to Know
- Rhinoplasty Surgery Guide
Which Surgery Is Right for You?
Choosing between rhinoplasty, septoplasty, or a combined septorhinoplasty depends on whether your goals are primarily cosmetic, functional, or both. Understanding the distinction and discussing your needs with an experienced surgeon is the best way to determine the most appropriate treatment plan for you.
- Rhinoplasty is recommended if you’re unhappy with the appearance of your nose. Whether you wish to refine the nasal tip, reduce a hump, correct asymmetry, or restore balance after an injury, rhinoplasty can harmonise your facial features and help you feel more confident in your appearance.
- Septoplasty is advised if you’re experiencing breathing difficulties caused by a deviated septum or internal structural obstruction. By straightening the septum, the procedure restores clear airflow and relieves symptoms such as snoring, nasal congestion, or sleep disruption.
- Septorhinoplasty may be recommended if you wish to improve both form and function, addressing internal nasal issues while refining the external shape in a single operation and recovery period. This combined procedure can be planned in advance or advised by your surgeon if both elements require correction for the best long-term outcome.
At Real Plastic Surgery, Mr Naveen Cavale will take time to assess your anatomy, listen to your concerns, and recommend a treatment plan tailored specifically to your needs.
Before and After: What to Expect
Before Rhinoplasty
Your consultation is the first step in understanding what’s right for you. During this appointment, you’ll discuss your goals, concerns, and medical history in detail with your surgeon. You may be advised to stop smoking and avoid certain medications or supplements that could increase bleeding risk. Mr Cavale will explain the surgical process clearly, including what to expect from recovery, potential risks, and the kind of results that can realistically be achieved – so you feel informed, comfortable, and confident before moving forward.
After Rhinoplasty
Following surgery, your nose will be gently supported with an external splint or dressing to maintain its new shape as it heals. Some swelling and bruising around the nose and eyes is normal and typically settles within a couple of weeks. You’ll receive detailed aftercare guidance to help manage swelling, protect your results, and ensure a smooth, steady recovery.
Before Septoplasty
Before your septoplasty, your surgeon will carefully examine the inside of your nose – often using a nasal endoscope – to assess the degree of deviation or blockage. You’ll also be asked to avoid anti-inflammatory medicines, alcohol, and smoking before surgery to reduce risks and support the healing process.
After Septoplasty
Most patients notice an improvement in breathing soon after the initial swelling begins to settle. Benefits often include easier airflow, quieter sleep, and greater day-to-day comfort. Some mild congestion, pressure, or swelling is normal for the first week or two as the internal tissues heal.
Understanding the Difference
Although septoplasty and rhinoplasty are sometimes thought to be the same procedure, they serve very different purposes:
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Septoplasty focuses on the internal structure of the nose to improve breathing and airflow.
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Rhinoplasty refines the external shape for improved facial harmony and balance.
When performed together as a septorhinoplasty, both form and function can be enhanced in a single operation, offering a comprehensive and long-lasting result.
Book a Consultation
If you’re unsure which procedure best suits your needs, we recommend booking a consultation at Real Plastic Surgery. Mr Naveen Cavale, best rhinoplasty surgeon in London, will assess your anatomy, listen to your goals, and guide you through your options to create a personalised treatment plan that achieves the best outcome, for both how your nose works and how it looks.
020 3031 0820
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