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A deviated septum is a common condition that can affect both nasal function and, in some cases, the external appearance of the nose. The septum is the thin wall of bone and cartilage that separates the two nasal passages. When it is displaced or off-centre, it can restrict airflow and lead to a range of symptoms.
For some individuals, a deviated septum may go unnoticed. For others, it can contribute to ongoing nasal obstruction, difficulty breathing, snoring or recurrent sinus issues. The severity of symptoms often depends on the degree of deviation and how it affects airflow within the nose.
At Paul Wilson Aesthetics, treatment for a deviated septum begins with a comprehensive assessment of both nasal function and structure, with each treatment plan tailored to the individual.
About
What is a Deviated Septum?
A deviated septum occurs when the nasal septum is displaced to one side, rather than sitting centrally between the nostrils. This can result in one nasal passage being narrower than the other, affecting airflow and nasal function.
In some cases, the deviation is mild and causes little to no symptoms. In others, it can significantly impact breathing, particularly during exercise or sleep. A deviated septum may also contribute to dryness, congestion or frequent sinus infections.
Causes
What Causes a Deviated Septum?
A deviated septum can develop due to a range of structural, developmental and external factors. In many cases, it is the result of natural anatomy, while in others, it may occur following trauma or changes over time. The underlying cause often influences both the severity of the deviation and the symptoms experienced.
Congenital (Present from Birth)
Many individuals are born with a deviated septum, which develops as part of their natural facial structure. During early growth, the cartilage and bone that form the nasal septum may not align perfectly, resulting in a deviation that can become more noticeable over time. In these cases, the condition is often longstanding, even if symptoms only appear later in life.
Nasal Injury or Trauma
Injury to the nose, such as from sports, accidents or impact, can displace the septum. It is one of the most common causes of a deviated septum. Trauma can shift the septum out of alignment or cause irregular healing, leading to obstruction within the nasal passages. Even relatively minor injuries, particularly if untreated, can result in structural changes that become more apparent over time.
Growth and Development
As the face matures, the nasal structures continue to develop. Uneven growth between the cartilage and bone can contribute to a septal deviation becoming more pronounced during adolescence or early adulthood. This may explain why some individuals only begin to notice symptoms later, despite having an underlying deviation for many years.
Age-Related Changes
Over time, the cartilage within the nose can weaken, shift or change shape. These subtle changes may shift the septum or exaggerate an existing deviation. In addition, age-related changes to surrounding tissues can make symptoms such as nasal blockage or airflow restriction more noticeable.
Treatment
When to Consider Professional Treatment for a Deviated Septum?
Treatment may be appropriate when a deviated septum begins to affect breathing, sleep quality or overall comfort. Common signs include persistent nasal blockage, difficulty breathing through one side of the nose, frequent sinus infections or disrupted sleep.
While mild cases may be managed conservatively, structural issues within the nose cannot be corrected with topical treatments alone. A professional assessment allows for a clear understanding of the underlying cause and whether surgical correction is appropriate.
Options
Deviated Septum Treatment at Paul Wilson Aesthetics
Treatment for a deviated septum is tailored to the individual, depending on the severity of the deviation and whether aesthetic concerns are also present. Mr Paul Wilson uses advanced surgical techniques to restore function while maintaining or improving nasal balance.
Septoplasty
Septoplasty is a surgical procedure that corrects the position of the septum and restores normal airflow through the nasal passages. During the procedure, the septum is carefully reshaped, straightened and repositioned to reduce obstruction.
This approach focuses solely on function and is typically recommended for patients with symptoms such as chronic nasal blockage, difficulty breathing through one nostril, snoring, or recurrent sinus infections. As septoplasty is performed internally, it does not usually alter the external appearance of the nose. Often trimming of the inferior turbinates is also required to improve the airflow.
Recovery is generally straightforward, with most patients noticing a gradual improvement in breathing as swelling subsides and the nasal passages stabilise.
Septorhinoplasty
Septorhinoplasty combines functional correction with aesthetic refinement, offering a more comprehensive approach for patients with both breathing concerns and visible nasal irregularities.
In addition to straightening the septum, this procedure allows for precise reshaping of the external structure, addressing concerns such as asymmetry, deviation of the nasal bridge or imbalance in facial proportions. By treating both the internal and external structure in a single procedure, septorhinoplasty provides a cohesive and long-lasting result.
This approach is particularly suitable for individuals who want to improve both their breathing and the appearance of their nose, with outcomes tailored to complement their overall facial features.
Choose Us
Why Choose Paul Wilson Aesthetics for Deviated Septum Treatment?
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you. Supported by a dedicated team, you can expect a seamless and attentive patient experience, where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
Frequently Asked Questions
What does a deviated septum look like?
A deviated septum is not always visible externally. In many cases, the deviation occurs internally and does not significantly affect the nose’s outward appearance. However, in more pronounced cases, it may cause the nose to appear slightly crooked, uneven or asymmetrical. For most people, symptoms such as difficulty breathing through one side of the nose are more noticeable than any visual change.
What causes a deviated septum?
A deviated septum can be present from birth due to natural anatomical development or occur later as a result of injury to the nose. Trauma, such as from sports or accidents, can shift the septum out of alignment. In some cases, the deviation may become more noticeable over time as the nasal structures change with growth or ageing.
How much does deviated septum surgery cost?
The cost of treatment can vary depending on the complexity of the procedure and whether septoplasty or septorhinoplasty is required. Factors such as surgical time, individual anatomy and whether functional and aesthetic concerns are addressed together can all influence the overall price. A personalised quote will be provided following consultation, with a clear breakdown of all associated costs.
Can I test for a deviated septum at home?
While a definitive diagnosis requires a clinical examination, certain signs may suggest a deviated septum. These include consistently blocked airflow on one side of the nose, difficulty breathing through one nostril or a noticeable difference in airflow when alternating sides. Some individuals also find temporary relief by manually adjusting the nose’s position; however, a specialist assessment is needed to confirm the diagnosis and determine the severity.
Do I always need surgery for a deviated septum?
Not necessarily. Mild cases may be managed with non-surgical treatments such as nasal sprays or lifestyle adjustments to reduce symptoms. Surgery is typically considered when symptoms are persistent, impact daily life or do not respond to conservative management. A consultation allows for a thorough assessment to determine whether surgical correction is the most appropriate option.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation where Mr Wilson will assess your concerns, discuss your goals and determine whether septoplasty or septorhinoplasty is the most appropriate option for you.
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Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: What’s the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃
Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results
The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
🦋From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose — high radix, dorsal hump, an over-projected tip and a hanging columella. ✂️ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? 👇
✅ Accredited BAAPS Plastic Surgeon
✅ Dual-qualified
✅ Preservation rhinoplasty specialist — less disruption, more natural outcomes
✅ Brand new, state-of-the-art CQC registered hospital
✅ Perfectly located in Bristol — easy reach from London & the South-West
Nature, meet refinement. 🏥✨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face — and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2–4 hours, with most patients returning to everyday life within 2–3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION ↗
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. 🦴✨
Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙
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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
🔗 Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
⭐Patient Testimony⭐ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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