Cleft Rhinoplasty and Revision Rhinoplasty Surgery in the UK
Restoring Form, Function and Confidence
Cleft lip and palate repair has come a long way in the UK. Decades ago, children born with a cleft were treated across different hospitals by a wide range of surgeons, often without the specialist training we expect today. While many received excellent care, others now live with the lasting effects of early surgical limitations: nasal asymmetry, breathing issues, and scarring that impacts not only appearance but confidence too.
At Emendo Surgical Group, we understand that these are not just cosmetic concerns, they’re deeply personal. Modern cleft rhinoplasty, adult cleft rhinoplasty and cleft revision surgery offer a refined, highly personalised solution, combining advanced surgical planning with a deep understanding of facial harmony and function..
What Is Cleft Rhinoplasty?
Cleft rhinoplasty is a specialist procedure that addresses cleft nose differences caused by a cleft lip or palate, typically in patients who had surgery as children. The aim is to improve both appearance and nasal function, restoring balance, symmetry and clear airflow through the nose.
Each case is unique. Some patients may have a flattened nasal tip or collapsed nostril on one side. Others may experience breathing difficulties due to a deviated septum or internal nasal valve collapse. This is where septorhinoplasty, septoplasty, or revision rhinoplasty may also come into play, tailored procedures that refine and rebuild the nasal structure while correcting airflow issues. These surgical techniques are designed to optimise both form and function.
Why Some Adults Need Cleft Revision Surgery
While today’s cleft services are centralised and multidisciplinary, many adults had their repairs before these national standards were introduced. Even with good early results, changes in facial structure over time, combined with scar tissue and asymmetry, can lead to challenges later in life.
Common reasons for seeking cleft rhinoplasty or cleft revision include:
Persistent nasal asymmetry affecting facial balance
Ongoing difficulty breathing through one or both nostrils
Visible scarring or a collapsed nostril that worsens with age
Dissatisfaction with previous rhinoplasty outcomes
In some cases, patients experience nasal congestion, recurrent mouth breathing, or other issues that impact long-term quality of life.
At Emendo, we see patients who’ve waited years, sometimes decades, for the opportunity to address these concerns. Many have been told nothing more can be done. But with today’s surgical advancements, we’re rewriting what’s possible.
The Technology Behind Modern Cleft Rhinoplasty
Cleft rhinoplasty is no longer based on estimation or intuition. We now use 3D imaging, simulation software, and high-definition endoscopy to plan each procedure with exacting detail.
These technologies allow us to:
Map nasal asymmetry and airway restriction in 3D
Simulate outcomes and design bespoke surgical plans
Use virtual surgical planning (VSP) and 3D-printed models for precision graft placement
Visualise structures with clarity during surgery using endoscopes
Reconstruct nasal architecture using cartilage grafts shaped with millimetre accuracy
This level of precision is vital, especially in cases where scar tissue and previous surgeries have altered the anatomy. It ensures a safer, more effective procedure with outcomes that reflect both form and function, especially when dealing with altered nasal passages or nasal airways.
The Role of Septorhinoplasty, Septoplasty and Revision Rhinoplasty
While cleft rhinoplasty focuses on correcting cleft-related nasal issues, many patients benefit from combined procedures:
Septorhinoplasty corrects a deviated septum and restores airflow, often alongside structural changes, producing a better functioning airways and enhanced aesthetics.
Septoplasty is sometimes performed as a standalone procedure to relieve nasal obstruction caused by internal deviation.
Revision rhinoplasty refines the results of past surgery, addressing aesthetic or functional shortcomings.
Cleft lip revision may also be performed to improve lip shape, scarring, or movement.
These combined approaches ensure a harmonious result that enhances both the front and side profile of the face, while also improving breathing, nasal cavity function, and overall quality of life. Each treatment plan is tailored to the patient’s anatomy and medical history, allowing us to support long-term outcomes.
NHS Waiting Times: A Sensitive Conversation
The NHS offers high-quality care for cleft patients and remains a cornerstone of paediatric cleft treatment in the UK. However, when it comes to adult cleft rhinoplasty, especially for concerns that are partly aesthetic, patients may face long waiting times or may not qualify for treatment at all.
We say this with the utmost respect for the NHS: its cleft teams do incredible work. But for those experiencing long delays, limited availability, or the emotional toll of feeling “invisible” in the system, private cleft rhinoplasty in the UK offers an alternative route forward.
At Emendo Surgical Group, patients receive consultant-led care with direct access to advanced imaging, in-depth planning, and a supportive team who understand the complex journey behind cleft revision surgery.
A New Chapter in Confidence and Comfort
Cleft rhinoplasty isn’t about perfection. It’s about restoring facial balance, improving nasal function, and helping people feel more like themselves. For many of our patients, it’s the final step in a long journey, one that brings closure, confidence, and a renewed sense of identity.
At Emendo, we don’t see this as just another surgery. We see it as a deeply personal transformation, one that blends clinical excellence, cutting-edge technology, and compassionate care.
If you’re considering cleft rhinoplasty, cleft lip revision, septoplasty, or revision septorhinoplasty, we’re here to listen, to plan, and to help you achieve results that feel right, for your face, your function, and your future.
Reflections from Rhinoplasty Patients
Septorhinoplasty Patient Review
“I recently had a septorhinoplasty with Mr Chummun, and I can honestly say I could not have asked for a better experience… His depth of experience was evident, and I felt total confidence in his hands.. I wouldn’t hesitate to recommend Mr Chummun to anyone considering functional or cosmetic rhinoplasty.”
Rhinoplasty Patient Review
“Dr. Chummun is an absolute magician! I’ve had two previous surgery’s by others and sought someone to reshape and repair my nose after some poor experiences and external deformities. I immediately felt confident that Dr. Chummun could make my nose better and with that increase my confidence in appearance which has always been an issue for me. Dr. Chummun has changed my life and I am so grateful to have met him - couldn’t recommend enough!”
Septorhinoplasty Patient Review
“I'm now 12 days post op septorhinoplasty I've had my cast off today I have no bruising :-) my nose is everything and more than I could have asked for . Mr chummun you are a very kind patient skilled surgeon and I will be forever grateful to you. I have tears of joy in my eyes writing this.”
Why Choose Emendo Surgical Group for Cleft Rhinoplasty and Revision Surgery
At Emendo Surgical Group, our consultant plastic surgeons specialise in advanced rhinoplasty, cleft repair, and revision nasal surgery. Using the latest imaging and planning technology, we deliver highly precise, natural-looking results while maintaining a strong focus on safety and function.
Our approach combines years of reconstructive expertise with modern aesthetic insight, ensuring each patient receives a personalised plan tailored to their individual goals.
We provide ongoing care and guidance throughout recovery, helping patients regain confidence in both their appearance and breathing.
Book a Consultation with Mr Shaheel Chummun – Cleft and Revision Rhinoplasty Surgeon
Mr Shaheel Chummun is a Consultant Plastic, Reconstructive and Aesthetic Surgeon. He has extensive experience in nose jobs, cleft revision, septoplasty, and nasal reconstruction, and leads a highly specialist practice built on precision, innovation, and empathy.
His expertise in complex nasal surgery combines both form and function, using advanced techniques and 3D surgical planning to restore natural harmony and improve breathing outcomes.
Mr Chummun offers consultations and performs surgery at leading private hospitals and clinics across the South West of England and Wales, including:
Frequently Asked Questions
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Recovery varies depending on the type of rhinoplasty or nasal surgery performed. Here's a breakdown of what to expect for each:
Recovery after Cleft Rhinoplasty
Recovery from cleft rhinoplasty generally takes 2 to 3 weeks for initial healing, with final results becoming apparent over 6 to 12 months. Swelling and bruising are common in the first two weeks. Patients may need time off work or social activities during this early phase. Due to the structural changes and presence of scar tissue, healing may take slightly longer than with standard rhinoplasty. Nasal breathing typically improves within a few weeks if internal corrections are performed.
Recovery after Septorhinoplasty
Septorhinoplasty combines internal nasal correction (septoplasty) with external reshaping. Initial recovery lasts about 2 weeks, during which time splints may be used to support the nasal structure. Patients often notice improved breathing within a few days after splint removal. Full cosmetic results take 6 to 12 months to settle. Post-operative care includes nasal rinsing, avoiding strenuous activity, and attending follow-up assessments to monitor airflow and healing.
Recovery after Revision Rhinoplasty
Revision rhinoplasty can involve more extensive work than primary surgery, so the recovery may be longer. Most patients experience 2 to 3 weeks of downtime, with swelling taking several months to fully resolve. Scar tissue from previous surgeries can affect the healing process, and the final result may not be visible for up to 12 to 18 months. Patients are advised to follow a detailed aftercare plan and attend all follow-up appointments to ensure proper healing.
Recovery after Cleft Lip Revision
Cleft lip revision is usually less invasive than nasal reconstruction, and recovery is generally quicker. Swelling and tenderness last for 1 to 2 weeks, with sutures typically removed within the first 5 to 7 days if non-dissolvable stitches are used. Most patients resume normal activities within a week, although full scar maturation may take a few months. Emendo provides scar care guidance and reviews to ensure optimal aesthetic outcomes.
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A deviated septum can be corrected through septoplasty or septorhinoplasty, depending on whether aesthetic changes are also desired. Septoplasty focuses solely on straightening the septum to improve breathing. Septorhinoplasty combines this with reshaping the nose’s external structure, which may be necessary in cleft-related cases or after trauma. Both procedures can significantly impr
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The cost of rhinoplasty in the UK varies depending on the complexity of the surgery, whether it is a primary or revision procedure, and whether it includes functional corrections like septoplasty. Typically, rhinoplasty procedures start from £10,000, while cleft revision or complex reconstructive surgeries may cost more. At Emendo Surgical Group, patients receive a full consultation and personalised quote based on their individual needs and goals.
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You may be a good candidate for revision rhinoplasty if you’ve previously had nasal surgery but are unhappy with the results, still experience breathing difficulties, or have residual asymmetry. Ideal candidates are in good health, have realistic expectations, and have allowed at least 12 months for healing from their previous procedure.
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Rhinoplasty reshapes the external structure of the nose to enhance appearance.
Septoplasty corrects a deviated septum to improve breathing.
Septorhinoplasty combines both procedures, addressing both function and aesthetics in a single surgery.
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Rhinoplasty is performed under general anaesthesia, so you won’t feel any pain during the procedure. Mild discomfort, swelling, and congestion are normal for a few days afterward, but these can be managed with prescribed medication. Most patients describe the recovery as uncomfortable rather than painful.
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Yes. Cleft rhinoplasty can be combined with other procedures such as cleft lip revision, scar correction, or chin adjustments to achieve a balanced and natural result. Your surgeon will discuss all suitable options during your consultation based on your unique goals.
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The results of rhinoplasty and cleft revision surgery are typically permanent. However, natural ageing and lifestyle factors can subtly change the shape of the nose over time. With good care and stable health, most patients enjoy long-lasting improvements in both appearance and function.
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Incisions are placed discreetly, often inside the nostrils or along the natural creases of the nose, making scars barely visible once healed. For patients with previous cleft repairs, existing scars can often be revised and improved as part of the procedure.
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Yes, in some cases. If your snoring or breathing difficulties are related to nasal obstruction, such as a deviated septum or internal valve collapse, septoplasty or septorhinoplasty can help restore airflow and improve sleep quality.
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You don’t need a referral to book a consultation for cleft rhinoplasty or revision surgery at Emendo Surgical Group. Patients can contact the clinic directly to arrange an appointment and receive an expert assessment from a consultant surgeon.
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Most patients return to work within 7–10 days, depending on the type of surgery. Light exercise can usually resume after 3–4 weeks, while strenuous activity and contact sports should be avoided for at least 6 weeks. Your surgeon will provide specific recovery guidance tailored to your procedure.
