Quick Summary
Septorhinoplasty combines septoplasty (deviated septum correction) with rhinoplasty (nose reshaping) in a single 2–4 hour procedure, addressing both breathing difficulties and aesthetic concerns simultaneously.
According to published clinical research, the procedure achieves approximately 85% patient satisfaction rates, with overall complication rates of 3–8% at accredited surgical facilities.
This guide covers candidacy requirements, surgical techniques, recovery timelines, costs by country, and what international patients should know before choosing Turkey for septorhinoplasty.
Why Trust This Guide
This guide synthesizes information from peer-reviewed medical literature, clinical practice guidelines from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), and procedural data from the International Society of Aesthetic Plastic Surgery (ISAPS).
Carely Clinic’s editorial team collaborates with board-certified ENT surgeons and facial plastic surgeons to ensure medical accuracy, presenting balanced information about both benefits and realistic expectations for septorhinoplasty outcomes.
What Is Septorhinoplasty?
Septorhinoplasty is a combined surgical procedure that straightens the deviated nasal septum (septoplasty) while reshaping the external nose structure (rhinoplasty), performed in a single operation under general anesthesia.
The nasal septum is the cartilage and bone structure dividing the nasal cavity into two passages. When deviated—meaning shifted from the midline—it can obstruct airflow on one or both sides, causing chronic nasal congestion, difficulty breathing, recurrent sinus infections, and snoring.
Studies indicate that approximately 80% of the population has some degree of nasal septal deviation. While many cases remain asymptomatic, significant deviation affecting daily breathing or quality of life often requires surgical intervention.
Septorhinoplasty offers the advantage of addressing functional breathing problems and cosmetic concerns—such as a crooked nose, dorsal hump, or asymmetric tip—during one surgical session. This single-procedure approach means one anesthesia, one recovery period, and coordinated results where both form and function are optimized together.
The procedure typically takes 2–4 hours depending on complexity. Most septorhinoplasties are performed as outpatient procedures, meaning patients return home the same day after an observation period.
Who Needs Septorhinoplasty?
Candidates for septorhinoplasty experience both functional breathing impairment from a deviated septum and aesthetic concerns about nasal appearance that cannot be addressed by septoplasty or rhinoplasty alone.
Functional Indications
Patients with functional indications typically report persistent symptoms despite conservative treatment. According to clinical guidelines, septorhinoplasty may be recommended when patients experience:
Chronic unilateral or bilateral nasal obstruction not responding to 4 or more weeks of appropriate medical therapy (decongestants, nasal steroids). Recurrent sinus infections attributed to septal deviation and impaired sinus drainage. Significant snoring or mild obstructive sleep apnea related to nasal airway obstruction.
Recurrent nosebleeds (epistaxis) caused by turbulent airflow over septal spurs. Headaches attributed to septal contact points pressing on the lateral nasal wall.
Aesthetic Indications
Patients also seeking aesthetic improvement commonly want to address a crooked or asymmetric nose (often associated with the underlying septal deviation), a dorsal hump or bump on the nasal bridge, a bulbous, drooping, or asymmetric nasal tip, or overall disproportion between the nose and facial features.
Combined Candidacy
The ideal septorhinoplasty candidate has both categories of concerns. If breathing is the only issue, standalone septoplasty may suffice. If cosmetic changes alone are desired without breathing difficulties, standard rhinoplasty may be appropriate.
General eligibility requirements include being at least 16–18 years old (when nasal growth is complete), being in good overall health without uncontrolled medical conditions, having realistic expectations about outcomes, being a non-smoker or willing to stop smoking at least 4 weeks before and after surgery, and having no active nasal infections or chronic conditions that could impair healing.
Septorhinoplasty vs Rhinoplasty vs Septoplasty
The main difference between these procedures lies in their objectives: septoplasty corrects internal septal deviation to improve breathing, rhinoplasty reshapes the external nose for cosmetic purposes, and septorhinoplasty combines both functions in one operation.
Understanding when each procedure is appropriate helps patients and surgeons determine the optimal treatment approach.
| Factor | Septoplasty | Rhinoplasty | Septorhinoplasty |
|---|---|---|---|
| Primary Goal | Improve breathing | Improve appearance | Both breathing + appearance |
| Area Treated | Internal septum only | External nose structure | Septum + external nose |
| Surgery Duration | 30–90 minutes | 1–3 hours | 2–4 hours |
| External Scarring | None (closed approach) | Minimal or none | Minimal (if open approach) |
| Recovery to Work | 3–7 days | 7–14 days | 10–14 days |
| Full Recovery | 3–6 weeks | 6–12 months | 6–12 months |
| Insurance Coverage | Often covered (functional) | Rarely covered (cosmetic) | Partial (functional portion) |
| Ideal Candidate | Breathing issues only | Appearance concerns only | Both concerns present |
Choose Septoplasty If…
You have confirmed septal deviation causing breathing difficulty but are satisfied with your nose’s external appearance. Septoplasty alone is less invasive, has a shorter recovery, and may be covered by insurance when medically necessary.
Choose Rhinoplasty If…
You want to change your nose’s shape—reducing a hump, refining the tip, or improving symmetry—but breathe normally without obstruction. Standard rhinoplasty addresses cosmetic goals without internal septal work.
Choose Septorhinoplasty If…
You have both breathing problems from septal deviation and cosmetic concerns about your nose’s appearance. The combined approach treats both in one surgery, one anesthesia session, and one recovery period—often more cost-effective and efficient than staged procedures.
The Surgical Procedure Explained
Septorhinoplasty is performed under general anesthesia using either an open or closed surgical approach, with the technique selected based on the complexity of required changes and surgeon expertise.
Open vs Closed Septorhinoplasty
Both techniques can achieve excellent results. Published systematic reviews have found no significant difference in patient satisfaction between open and closed rhinoplasty when performed by experienced surgeons.
Open Septorhinoplasty involves a small incision across the columella (the tissue between the nostrils) plus internal incisions. This allows the surgeon to lift the nasal skin and directly visualize all underlying structures.
Open technique advantages include complete visualization for precise modifications, better access for complex structural changes, and optimal placement of cartilage grafts if needed. Disadvantages include a small external scar (typically heals inconspicuously), potentially more swelling initially, and slightly longer operative time.
Closed Septorhinoplasty uses incisions entirely inside the nostrils with no external incision. The surgeon works through limited access to reshape internal structures.
Closed technique advantages include no visible scarring, less tissue disruption and potentially faster healing, and shorter operative time. Disadvantages include limited visualization for complex cases and may not be suitable for major structural changes or revision surgery.
Most septorhinoplasties—particularly those requiring significant tip work, dorsal hump reduction, or addressing severe asymmetry—are performed with an open approach to ensure precision.
Surgical Steps
The procedure typically follows this sequence. After general anesthesia is administered, the surgeon accesses the septum through internal or transcolumellar incisions. Deviated portions of cartilage and bone are removed or reshaped. The remaining septum is repositioned to the midline and may be reinforced with scoring, sutures, or splints.
For the rhinoplasty component, the nasal skin envelope is elevated to expose bone and cartilage. The dorsal hump is reduced by shaving bone and cartilage. Nasal bones may be fractured and repositioned (osteotomies) to narrow a wide bridge. Tip cartilages are sculpted, repositioned, or reinforced with grafts. Asymmetries are corrected by adjusting cartilage on each side.
Once reshaping is complete, incisions are closed with dissolvable internal sutures and fine external sutures (if open approach). Internal splints may be placed to support the septum. An external splint or cast is applied to protect and stabilize the nasal bones.
The entire process typically takes 2–4 hours depending on complexity. Patients awaken in recovery and, after observation, usually go home the same day with accompanying responsible adults.
Recovery Timeline: Week by Week
Full recovery from septorhinoplasty takes approximately 6–12 months for final results to appear, though most patients return to normal daily activities within 2–3 weeks after surgery.
Before Surgery: Preparation Week
Stop smoking at least 4 weeks before surgery to optimize healing and reduce complications. Avoid blood-thinning medications (aspirin, ibuprofen, certain supplements) for 2 weeks unless medically required. Complete all pre-operative tests as directed (blood work, possible CT scan). Arrange 1–2 weeks off work and help at home for the first few days. Stock recovery supplies: soft foods, cold compresses, extra pillows, prescribed medications.
Days 1–3: Immediate Post-Operative Phase
What to Expect: Significant swelling and bruising around nose and eyes. Nasal congestion due to internal swelling and possible packing or splints. Mild to moderate discomfort—described more as pressure than sharp pain. Possible bloody drainage from nostrils (normal in first 24–48 hours).
Recovery Actions: Rest with head elevated 30–45 degrees at all times (even sleeping). Apply cold compresses to cheeks (not directly on nose) to reduce swelling. Take prescribed pain medication and antibiotics as directed. Breathe through your mouth; do not blow your nose. Start saline sprays as directed to keep nasal passages moist.
Days 4–7: First Week Milestones
What to Expect: Bruising peaks around days 2–3 then begins fading. Swelling remains significant but starts decreasing. Congestion persists due to internal healing. Pain typically manageable with over-the-counter medication by day 4–5.
Recovery Actions: Continue elevation and cold compresses. Attend follow-up appointment (typically days 5–7). Internal packing or splints may be removed at this visit. External cast/splint typically removed around day 7. First glimpse of new nose shape visible, though still swollen.
Weeks 2–3: Early Recovery Phase
What to Expect: Most visible bruising has resolved. Swelling decreasing noticeably but still present, especially at tip. Breathing improving as internal swelling subsides. Many patients feel comfortable returning to desk work and social activities.
Recovery Actions: Continue sleeping elevated if possible. Resume light daily activities. Avoid strenuous exercise, heavy lifting, bending. Keep nose protected from accidental bumps. Glasses should rest on forehead or cheeks, not on nose bridge (use tape or specialized supports).
Weeks 4–6: Intermediate Recovery
What to Expect: About 60–70% of swelling resolved. Nose begins showing intended shape more clearly. Breathing significantly improved. Most patients feel “back to normal” functionally.
Recovery Actions: May resume moderate exercise if cleared by surgeon. Continue protecting nose from contact sports or impact. Attend follow-up appointment to monitor healing. Can typically resume wearing glasses normally.
Months 2–6: Continued Refinement
What to Expect: Approximately 80–90% of swelling resolved. Subtle improvements continue as tissue settles. Nasal tip (last area to de-swell) becomes more refined. Breathing continues improving as internal healing completes.
Recovery Actions: Resume all normal activities including contact sports (typically after 3 months). Protect nose from sun exposure (can cause discoloration). Attend scheduled follow-up appointments.
Months 6–12: Final Results
What to Expect: Final shape becomes apparent as residual swelling (particularly at nasal tip) resolves. Complete internal healing of bone and cartilage. Final functional assessment of breathing improvement.
Expert Insight
“Patients should understand that while initial results are visible at 2–3 weeks, the nose continues refining for up to 12–18 months. The nasal tip is the last area to show final results due to thicker skin and prolonged swelling in this region.”
— Clinical summary from facial plastic surgery literature
Success Rates and Potential Risks
Septorhinoplasty is considered safe and effective, with patient satisfaction rates of approximately 85–90% and overall complication rates of 3–8% at accredited facilities, according to published clinical research.
Success and Satisfaction Rates
Research data provides context on outcomes. Septoplasty for nasal obstruction shows improvement in approximately 81–85% of patients at 12 months post-surgery. Rhinoplasty patient satisfaction ranges from 84–90% in published outcome studies. Combined septorhinoplasty revision rates range from 5–15% depending on case complexity and surgeon experience.
Studies indicate that success correlates strongly with realistic preoperative expectations, clear communication with surgeons, and appropriate patient selection.
Potential Risks and Complications
Like all surgeries, septorhinoplasty carries risks. Understanding these allows informed decision-making.
Common Side Effects (Expected): Swelling and bruising (resolves within 2–4 weeks), temporary numbness of nasal skin and upper lip, and nasal congestion during healing.
Uncommon Complications (2–5%): Post-operative bleeding requiring intervention (approximately 4–5%), infection requiring antibiotics (approximately 3%), and prolonged swelling or asymmetry.
Rare Complications (<2%): Septal perforation (hole in septum) occurs in approximately 1–2% of cases. Persistent deviation or incomplete correction requiring revision occurs in approximately 2.5–10% depending on severity. Saddle nose deformity from over-resection is rare with experienced surgeons. Altered sense of smell (usually temporary) occurs in less than 1% of cases.
Very Rare (<0.5%): Anesthesia-related complications, severe infection, or CSF leak (cerebrospinal fluid).
Minimizing Your Risk
Patient actions significantly influence outcomes. Choose a board-certified surgeon experienced in septorhinoplasty specifically. Select accredited surgical facilities meeting international safety standards. Follow all pre-operative instructions (stop smoking, avoid blood thinners). Adhere strictly to post-operative care guidelines. Attend all follow-up appointments.
Septorhinoplasty Cost by Country
Septorhinoplasty costs €3,000–€6,000 in Turkey compared to $12,000–$20,000 in the USA and £7,000–£12,000 in the UK, representing potential savings of 50–70% for international patients.
Price variations reflect differences in operating costs, labor, facility overhead, and market factors—not necessarily quality of care. Many Turkish hospitals maintain the same JCI accreditation and safety protocols as top Western facilities.
| Country | Price Range | Typical Inclusions | Wait Time |
|---|---|---|---|
| Turkey | €3,000–€6,000 | All-inclusive packages common | 1–4 weeks |
| USA | $12,000–$20,000 | Surgeon fee only; extras separate | 2–8 weeks |
| UK (Private) | £7,000–£12,000 | Varies by clinic | 2–6 weeks |
| Canada | CAD 12,000–18,000 | Surgeon fee; facility separate | 4–12 weeks |
| Australia | AUD 15,000–22,000 | Varies; Medicare partial rebate | 4–8 weeks |
| Germany | €6,000–€10,000 | Comprehensive hospital fees | 3–8 weeks |
What Affects Septorhinoplasty Cost?
Surgeon Experience: Highly specialized facial plastic surgeons or rhinoplasty experts typically charge premium fees reflecting their expertise and training.
Case Complexity: Primary septorhinoplasty costs less than revision surgery. Significant structural changes, grafting requirements, or ethnic rhinoplasty techniques may increase costs.
Facility Type: Hospital-based surgery typically costs more than accredited outpatient surgical centers due to higher overhead.
Geographic Location: Major metropolitan areas (New York, London, Sydney) command higher prices than regional cities.
Package Inclusions: Turkish medical tourism packages often bundle surgery, anesthesia, hospital stay, accommodation, and transfers. Western quotes frequently cover surgeon fees only, with anesthesia, facility, and aftercare billed separately.
Hidden Costs to Consider
When comparing prices internationally, account for consultation fees (sometimes non-refundable), pre-operative tests if not included, post-operative medications, compression garments or specialized aftercare products, follow-up appointments, travel and accommodation (if applicable), and potential revision costs if needed.
Always request itemized quotes specifying exactly what is—and is not—included before making decisions.
How This Applies in Turkey
International guidelines from the AAO-HNS and ISAPS apply at Turkey’s JCI-accredited medical facilities, which follow identical clinical protocols and safety standards as leading American and European hospitals.
Turkey has emerged as a leading destination for septorhinoplasty and rhinoplasty procedures, with rhinoplasty ranking among the country’s most performed cosmetic surgeries. The combination of experienced surgeons, modern facilities, and competitive pricing attracts over one million medical tourists annually.
Why Patients Choose Turkey
Significant Cost Savings: Septorhinoplasty in Turkey typically costs €3,000–€6,000 all-inclusive, compared to $12,000–$20,000 in the USA and £7,000–£12,000 in the UK. These savings of 50–70% reflect lower operating costs rather than compromised quality.
High Volume of Procedures: Turkish surgeons perform exceptionally high volumes of rhinoplasty and septorhinoplasty procedures annually. This experience translates to refined techniques and expertise in managing diverse nasal anatomies.
JCI-Accredited Facilities: Over 40 hospitals in Turkey hold Joint Commission International (JCI) accreditation—the gold standard for healthcare quality. These facilities meet rigorous international standards for patient safety, infection control, and clinical outcomes.
All-Inclusive Packages: Medical tourism packages typically include pre-operative consultations and tests, surgery and anesthesia, hospital stay (usually 1 night), post-operative medications and aftercare supplies, accommodation (typically 5–7 nights in partner hotels), airport transfers and clinic transportation, and translator/patient coordinator services.
Accessibility: Istanbul is a major international hub with direct flights from virtually all major cities. The typical medical tourism timeline is 7–10 days: consultation and tests on day 1, surgery on day 2, hospital discharge on day 3, daily follow-ups through day 7, and splint removal and clearance to travel on days 7–10.
What to Verify Before Choosing Turkey
Confirm the surgeon is board-certified in ENT or plastic surgery with specific septorhinoplasty expertise. Verify the hospital’s current JCI accreditation through the JCI website. Request detailed package inclusions in writing. Understand the revision policy (what happens if results are unsatisfactory). Ensure post-operative follow-up arrangements for after you return home.
At Carely Clinic in Istanbul, septorhinoplasty is performed by experienced ENT and facial plastic surgeons at JCI-accredited partner hospitals. All-inclusive packages cover surgery, accommodation, transfers, and comprehensive aftercare coordination.
Learn more about Nose Job in Turkey at Carely Clinic.
Preparing for Your Procedure
Proper preparation requires completing medical evaluations, starting any required pre-operative protocols 2–4 weeks before surgery, stopping smoking at least 4 weeks prior, and arranging adequate recovery time off work.
4 Weeks Before Surgery
Medical Clearance: Complete any required pre-operative assessments (blood tests, ECG if needed, potential CT scan of sinuses). Disclose all medical conditions, medications, and supplements. Obtain clearance from your primary physician if you have any chronic conditions.
Lifestyle Modifications: Stop smoking completely (nicotine impairs healing and increases complication risk). Avoid alcohol consumption. Begin eating a healthy, protein-rich diet to support healing.
2 Weeks Before Surgery
Medication Adjustments: Stop aspirin, ibuprofen, naproxen, and other NSAIDs. Discontinue fish oil, vitamin E, and herbal supplements that may increase bleeding (consult your surgeon for complete list). Continue prescription medications unless specifically advised otherwise.
Logistical Preparation: Confirm time off work (plan for 10–14 days minimum). Arrange transportation to and from surgery (you cannot drive). Prepare your recovery space at home.
1 Week Before Surgery
Final Preparations: Stock recovery supplies (soft foods, ice packs, extra pillows, saline spray, prescribed medications). Prepare entertainment (books, streaming subscriptions) for rest period. Complete any household tasks that require physical effort.
Pre-Operative Consultation: Final discussion with surgeon reviewing surgical plan. Review post-operative instructions. Address any remaining questions or concerns. Complete consent documentation.
Day Before Surgery
Follow fasting instructions (typically nothing to eat or drink after midnight). Shower and wash hair (you may not shower normally for several days post-surgery). Remove nail polish if requested for oxygen monitoring. Prepare comfortable, button-front clothing for surgery day (nothing pulls over head). Get adequate sleep.
Surgery Day
Arrive at scheduled time with required documents. Wear comfortable, loose clothing. Bring photo ID and insurance information if applicable. Leave jewelry and valuables at home. Have responsible adult ready to accompany you home.
Summary Table
| Aspect | Details |
|---|---|
| Procedure Duration | 2–4 hours under general anesthesia |
| Hospital Stay | Same-day discharge or 1 night observation |
| Splint Removal | 5–7 days post-surgery |
| Return to Desk Work | 7–14 days |
| Resume Exercise | Light activity 2–3 weeks; full exercise 4–6 weeks |
| Contact Sports | 3+ months post-surgery |
| Swelling Resolution | 70% by 4–6 weeks; 90%+ by 6 months; final by 12 months |
| Success Rate | ~85% patient satisfaction |
| Complication Rate | 3–8% overall at accredited facilities |
| Revision Rate | 5–15% depending on case complexity |
| Cost in Turkey | €3,000–€6,000 all-inclusive |
| Cost in USA | $12,000–$20,000 |
| Cost in UK | £7,000–£12,000 |
Frequently Asked Questions
Is septorhinoplasty painful?
No, septorhinoplasty is not typically described as painful. Most patients report pressure and congestion rather than sharp pain. Discomfort is well-controlled with prescribed medication for 2–3 days, then manageable with over-the-counter analgesics. Research shows patients use approximately 50% of prescribed pain medication.
How long until I can breathe through my nose normally?
You can breathe through your nose normally within 2–4 weeks once initial swelling subsides. Progressive improvement continues over 2–3 months as internal tissues heal. Most patients notice significantly easier breathing compared to pre-surgery by 6–8 weeks.
Will I have visible scars?
No visible scars result from closed septorhinoplasty since all incisions are internal. Open septorhinoplasty creates a small columellar incision that heals to near-invisibility within 6–12 months. Once fully healed, external scars are rarely noticeable.
When can I see my final results?
Initial results appear at 7 days when the splint is removed, though significant swelling remains. Your nose shows clearer shape at 4–6 weeks (70% swelling resolved) and near-final results at 6 months (90%+ resolved). Final results, particularly at the nasal tip, take 12–18 months.
Can septorhinoplasty fix my snoring?
Yes, septorhinoplasty often improves or eliminates snoring if caused by nasal obstruction from septal deviation. If snoring originates from soft palate or throat obstruction (such as obstructive sleep apnea), septorhinoplasty alone may not resolve it. Pre-operative sleep assessment determines the cause.
What if I’m unhappy with the results?
Wait 12–18 months before considering revision to allow complete healing and final results to appear. Revision rates range from 5–15% depending on case complexity. Many initial concerns resolve as swelling subsides. Always discuss revision policies with your surgeon before primary surgery.
How do I choose between open and closed technique?
The open technique provides better visualization for complex cases requiring significant structural changes. Closed technique works well for simpler refinements with faster recovery. Your surgeon recommends the appropriate approach based on your specific anatomy and desired changes. Both achieve high satisfaction with experienced surgeons.
Is it safe to have septorhinoplasty in Turkey?
Yes, septorhinoplasty in Turkey is safe at JCI-accredited hospitals that meet identical standards as top Western facilities. Over one million medical tourists receive treatment safely in Turkey annually. Verify individual surgeon credentials, current hospital accreditation, and documented outcomes before choosing a clinic.
How soon can I travel after surgery?
You can fly home 7–10 days after septorhinoplasty once the splint is removed and initial healing is confirmed. Short-haul flights (3–4 hours) are generally comfortable sooner than long-haul travel. Discuss your specific travel timeline with your surgeon for personalized clearance.
Does insurance cover septorhinoplasty?
The septoplasty component may be covered if medically necessary for breathing problems. The rhinoplasty component is almost never covered as it’s cosmetic. Coverage for procedures abroad varies by insurance provider—verify your specific policy benefits before traveling for treatment.
What’s the difference between a rhinoplasty specialist and a general plastic surgeon?
Rhinoplasty specialists focus exclusively on nasal surgery and perform higher procedure volumes (100+ annually). They complete fellowship training beyond general plastic surgery or ENT certification. General plastic surgeons can perform rhinoplasty competently, but specialized training and focused experience typically correlate with refined technique for complex cases.
Conclusion
Septorhinoplasty offers a comprehensive solution for patients experiencing both breathing difficulties from septal deviation and dissatisfaction with nasal appearance. By combining functional septum correction with aesthetic nose reshaping in a single procedure, patients benefit from one surgery, one anesthesia, one recovery—and coordinated results.
With approximately 85% patient satisfaction rates and complication rates of 3–8% at accredited facilities, septorhinoplasty is both safe and effective when performed by qualified surgeons in appropriate settings. Recovery requires patience, with return to normal activities typically within 2 weeks and final results emerging over 6–12 months.
For international patients, Turkey offers a compelling option: experienced surgeons performing high volumes of these procedures at JCI-accredited hospitals, all-inclusive packages simplifying logistics, and costs 50–70% lower than Western alternatives without compromising quality or safety.
Individual requirements and outcomes vary. This guide provides general information based on international guidelines and published clinical research. Consult qualified medical professionals for personalized advice regarding your specific situation.
If you’re considering septorhinoplasty and want to learn more about treatment options in Istanbul, contact Carely Clinicfor a confidential consultation with our surgical team. We’ll assess your goals, explain what’s realistically achievable, and provide transparent information to help you make an informed decision.
Medical Review: Dr. Aliraz Jahangirov