Functional open septorhinoplasty is a surgical procedure that addresses both internal and external structural problems of the nose to improve airflow and breathing. This surgery is considered when nasal obstruction is caused by a deviated septum, nasal valve collapse, or other deformities of the nasal framework. It is called an “open” approach because a small incision is made at the base of the nose (columella) to allow full access to the nasal structures.
The goal is to improve nasal airflow, relieve obstruction, and restore stable nasal support.
You may be recommended for functional open septorhinoplasty if you have:
Please note that although functional benefits are the main goal, cosmetic improvements may occur but are not the primary aim. Dr Phillips does not perform rhinoplasty for purely cosmetic concerns.
As with any surgery, there are potential risks. Most are rare and manageable. These may include:
Dr Phillips will discuss these risks in more detail and answer your questions before the procedure.
Depending on the cause of your nasal symptoms, alternative treatments might include:
However, these options may not be effective for structural problems, in which case surgery is often the best long-term solution. Dr Phillips will assess your specific needs and outline suitable options.
Please inform Dr Phillips of all medications you take. You may need to stop blood thinners (e.g. aspirin, warfarin, or certain herbal supplements) before surgery.
If your surgery is under general anaesthetic, you must fast (no food or drink) for at least 6 hours prior. Follow all instructions from your anaesthetist or hospital.
If you develop a cold, flu, or any illness before your procedure, contact the clinic. Surgery may need to be postponed for your safety.
This surgery is performed under general anaesthetic and takes approximately 3 hours.
You will wake up in recovery with dressings in place and will usually be able to go home the same day.
Usually performed as a day surgery. Some patients may stay overnight if needed.
Mild to moderate discomfort or pressure in the nose is common and you will feel quite congested and tired, like having a cold or flu. In most cases this can be managed with regular pain relief such as paracetamol or ibuprofen.
A small amount of ooze or bleeding is normal for 3-4 days post-op. Significant bleeding is uncommon. If bleeding is heavy or persistent, seek medical attention.
Facial swelling and nasal blockage are expected for the first 1–2 weeks. Most of the swelling improves within 4–6 weeks, though subtle swelling can last longer (up to 12 months)
No special restrictions, but avoid very hot food or drinks for several days post-op to reduce bleeding risk.
Contact our clinic or seek urgent care if you notice:
A review appointment with Dr Phillips will be arranged about 1 week after surgery to check healing and remove any splints or sutures.
It may. While the surgery’s main aim is functional improvement, some changes in appearance may occur, especially if structural support is added or reshaped.
The results are generally long-lasting. However, ongoing issues like allergies or trauma can affect nasal function again in the future.
Avoid flying for at least 2 weeks after surgery, or until cleared by Dr Phillips.
If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.
To book with Dr Phillips, you’ll need a referral from your GP or specialist. Questions? Call our team — we’re happy to help.
