Nose correction or reconstruction

What is nose correction surgery?

Nose correction or reconstruction surgery ‘nose job’, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and enhancing the appearance of the nose.

This could be due to nasal trauma, a birth defect, breathing issues or a failed primary nose job.

Patient eligibility criteria:

Nose correction surgery or a nose job is not routinely funded by the NHS for purposes of appearance only. This would be considered only a cosmetic procedure. The patient’s local NHS commissioning organisation will only fund the treatment if the patient has medical problems caused by obstruction of the nasal airway which is defined as a medical problem that continually impairs sleep and/or breathing, or corrective nasal surgery is required because of a complex condition from birth, for example, cleft lip and palate.

The clinician in charge of the care of the patient’s specific condition, usually a hospital doctor, can assist the application, if there is exceptional clinical need for the treatment to be funded. The patient’s clinician must evidence clinical exceptionality and must be supported by the patient’s local NHS commissioning organisation. See separate leaflet for more information on Individual Funding Requests (IFRs).

Advice and further guidance:

Nose reshaping is usually carried out under general anaesthetic. The surgeon may do any of the following:

  • Make the nose smaller (nose reduction), by removing some of the cartilage and bone
  • Make the nose larger (nose augmentation), by taking cartilage from the ears and bone from the hips, elbow or skull, and using this to build up the nose (known as a graft)
  • Change the nose’s shape (including the nostrils), by breaking the nose bone and rear ranging the cartilage
  • Change the angle between the nose and top lip.
  • For more information search ‘nose reshaping’ at
  • Choosing Wisely UK is part of a global initiative aimed at improving conversations between patients and their doctors and nurses.

Treatment policy for patients covered by NHS Birmingham and Solihull CCG

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