Getting a Nasendoscopy before your Rhinoplasty and why you need it?

Anatomic problems inside the nose can cause breathing difficulties and lead to poor nose function after rhinoplasty if they remain unresolved.

What is Nasendoscopy?

Nasal endoscopy (Nasendoscopy) is a minimally invasive procedure that examines your internal nasal structures using an endoscope. It’s often done before a nose job to help surgeons accurately assess the condition of the nose.

A nasendoscopy before rhinoplasty can help the surgeon identify and locate the sources of nasal obstruction such as a deviated septum, nasal valve collapse, turbinate hypertrophy, oversized adenoids, nasal polyps, and nose tumours. The surgeon will then be able to remove these obstructions and resolve breathing problems during a nose job.

Dr Stephen Kleid is a highly skilled and experienced ENT surgeon in Melbourne, Australia. He performs a thorough assessment of the nose using endoscopy to carefully plan nose surgeries and obtain aesthetic and functional results.


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Conditions that can obstruct nasal passageways

You can suffer from breathing problems if your inner nasal passageway is obstructed. Different conditions can block your nasal passage and make it harder for you to breathe through your nose, including:

  • A deviated septum
  • Nasal valve collapse
  • Turbinate hypertrophy
  • Oversized adenoids
  • Nasal polyps
  • Nose tumours

A nose endoscopy can help examine the type, location, and severity of any nasal blockage.

Dr Kleid will perform a Nasendoscopy at your Consultation

Why Is Nasoendoscopy Done Before Rhinoplasty?

Most nose jobs focus on improving the shape of the nose. Nevertheless, you can be left with unresolved breathing problems after your rhinoplasty if your nasal obstruction is not cleared up.

Dr Stephen Kleid often performs nasendoscopy before a nose reshaping surgery to evaluate the condition of the nose. It enables him to identify and diagnose anatomical abnormalities inside the nose that could be causing your breathing difficulties.

In case your nasal endoscopy shows that your inner nasal structures are obstructed, Dr Kleid plans your rhinoplasty so that it would relieve your nasal obstruction while enhancing your nose shape.

Who needs Nasoendoscopy before Rhinoplasty?

If you’re looking to get a rhinoplasty but you also have breathing difficulties, you’ll probably need a Nasendoscopy before your nose reshaping surgery.

Using an otoscope, Dr Kleid will first perform a physical examination to inspect the internal structures of your nose. He will check for any abnormal growths or swelling that may be obstructing your breathing.

In case your nose’s physical examination does not show any nasal obstructions, Dr Kleid will insert a thin endoscope into your nose to search for the source of your breathing problems.

You’ll probably need an endoscopy of the nose before your rhinoplasty in case the surgeon suspects that you have:

  • Obstructive turbinate hypertrophy
  • Enlarged adenoids
  • Septal deviation
  • Nasal tumours
  • Nose polyps
  • Sinusitis

In fact, a Nasendoscopy helps diagnose and evaluate a deviated septum and turbinate hypertrophy before a nose reshaping surgery.

Benefits of getting a Nasendoscopy before Rhinoplasty

The success of a nose job largely depends on the satisfaction of the patient with both the functional and aesthetic results of their nose job. Generally those, that get a second nose job do so due to breathing difficulties or nasal obstruction that persist following their rhinoplasty.

Nasendoscopy before Rhinoplasty can help your surgeon properly evaluate the condition of your nose and figure out if it needs further surgical intervention.

A nasal endoscopy can show specific details inside the nose such as the exact location of abnormal growths and the site of inflammation.

Moreover, in case you are getting a septoplasty to correct a deviated septum and improve your nose shape, an endoscopy can help Dr Kleid assesses the degree of septum deviation.

Getting a nose endoscopy before your rhinoplasty can offer the following benefits:

  • Correctly identify the source and location of nasal obstructions before a nose job
  • Resolve the cause of your breathing problems during rhinoplasty
  • Enhance the functions of the nose following rhinoplasty
  • Improve the surgical outcomes of a nose job
  • Increase patient satisfaction with the results of a rhinoplasty

The nose details revealed by a Nasendoscopy will help Dr Kleid perfectly plan your nose job and tailor it according to the unique condition of your nose.

How is Nasdoendoscopy done?

You do not need to do any special preparations before your nasal endoscopy – you can eat and drink and take your meds normally.

Dr Kleid performs nasal endoscopy as an in-office procedure and without anaesthesia – you’ll be awake and able to talk. If you prefer, Dr Kleid can spray a local anaesthetic into your nose to numb it and make you more comfortable around 10 mins before your procedure.

During your nose endoscopy procedure:

  • You’ll sit upright in an examination chair
  • Dr Kleid will slowly and carefully insert a Nasendoscopy into one of your nasal cavities
  • He will then move the endoscope to get a clear view of your sinuses and other structures in your nasal cavity
  • After that, he may repeat this in your other nasal cavity
  • Dr Kleid may remove a tissue sample during your endoscopy to check any unnatural growths

The entire procedure will take only a few minutes. You shouldn’t feel any pain during the endoscopy of your nasal cavities. Although you may feel a little discomfort, your eyes might water, and you might feel the need to cough.

What are the risks of Nasoendoscopy?

Nasal endoscopy procedures are considered safe especially when performed by a skilled surgeon such as Dr Stephen Kleid. Nevertheless, it might have some rare complications such as:

  • A nosebleed
  • An allergic reaction to the anaesthetic
  • Fainting

Dr Kleid will take your medical history and ask you some questions before your procedure to determine if you’re at risk of complications following your nasendoscopy. For example, taking certain medications, such as blood thinners, can increase your risk of bleeding.

Undergoing this simple procedure, before your rhinoplasty can have a significant effect on the results of your nose surgery.


How painful is nasal endoscopy?

Nasendoscopy is generally a painless procedure. However, you might feel a little pressure/discomfort when the endoscope goes into your nose. A numbing spray can make you feel more comfortable, however you’ll be unable to eat for approximately 30 mins after the procedure.

How do I prepare for a nasal endoscopy?

You don’t need to do any preparations before your nose endoscopy and you’ll be able to go home right after it.

You should inform your doctor of any medications you might be taking, such as blood thinners. This is so your surgeon can evaluate your risk of bleeding after your Nasendoscopy.

Are you awake for a nasal endoscopy?

You’ll sit in an exam chair and remain awake during the entire Nasendoscopy procedure. You’ll also be able to talk to your doctor and voice any discomfort you might be feeling.

How long does a nose endoscopy take?

A nasal endoscopy procedure usually lasts for about 5-10 minutes. During this time, your doctor will have access to the details of the inside of your nose.

Can I eat before my nasal endoscopy?

You can eat and drink normally before your Nasendoscopy. If a nasal spray is used to numb your nose during your procedure, you’ll have to wait until it wears off before you can eat again.

Does it hurt to have a camera down your nose?

When a nasendoscope is inserted into your nose, you will not feel any pain. However, you may feel a little pressure or some discomfort. Your eyes might start to water and you may feel like you wanna cough.


Rhinoplasty – StatPearls – NCBI Bookshelf

Nasal endoscopy: its role in office diagnosis

Nasal Endoscopy Versus Other Diagnostic Tools in Sinonasal Diseases – PMC   

Assessing the Clinical Value of Performing CT Scan before Rhinoplasty Surgery – PMC

Why Choose Dr Kleid ?

Dr Stephen Kleid,
Cosmetic Rhinoplasty

Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.

Dr Kleid’s Procedures

How can we help?

Dr Kleid’s Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the Hawthorn East clinic in Melbourne between 8 am – 6 pm on Weekdays.

Phone, Or Email us.

What Next?

Want more information about your Procedure?

  • For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
  • Talk to our Patient Care Team from 8 am to 6 pm Monday to Friday on 
    (03) 8849 1400

What to Bring to Your Consultation

  • We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
  • It is important to take thorough notes and carefully review all the documents provided to you.

How to Book a Consultation

  • Dr Kleid’s Consultation fee is $600 which includes a nasendoscopy ($300).
  • A referral from your GP or Specialist is necessary to see Dr Kleid for a consultation. (As of July 1st 2023)
  • Please contact the Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation.


The information presented in this article is provided solely for educational and informational purposes. It is not intended to substitute professional medical advice, diagnosis, or treatment. Always consult with your physician or qualified healthcare provider regarding any medical condition or concerns you may have. Do not disregard or delay seeking professional medical advice based on the information provided in this article. The author and publisher of this article do not warrant the accuracy, applicability, or completeness of the content, and any reliance on the information presented is at your own discretion and risk.