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

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.

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

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 ensure his patients the best aesthetic and functional results.


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What is Nasendoscopy?

A nasendoscopy is a minimally invasive procedure that uses an endoscope (a long thin tube with a small camera) to examine the inside and the back of the nose. It allows your doctor or surgeon to take a closer look at your nasal and sinus passages.

Nasal endoscopy is usually done as part of a normal ear, nose, and throat examination. However, endoscopy of the nose is also often done before rhinoplasty to evaluate nasal obstructions.

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 did not show any nasal obstructions, Dr Kleid will insert a thin endoscope into your nose to search for the source of your breathing problem.

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 is considered the gold standard for diagnosing and evaluating a deviated septum and turbinate hypertrophy before a nose reshaping surgery.

Benefits of getting a Nasoendoscopy 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. According to studies, most people get a second nose job because of breathing difficulties or nasal obstruction that persist following their rhinoplasty.

Nasoendoscopy before a nose job 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 custom 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.

Although a simple and harmless procedure, a nasendoscopy before your rhinoplasty can have a significant effect on the results of your nose job. Dr Stephen Kleid performs an endoscopy of the nose before planning a rhinoplasty to make sure you get the best surgical outcomes from your nose job and ensure your satisfaction.


How painful is nasal endoscopy?

Nasoendoscopy is generally a painless procedure. However, you might feel a little pressure when the endoscope goes into your nose. A numbing spray can make you feel more comfortable, but you’ll be unable to eat until it wears off which usually takes around 30 mins.

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, to 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 less than 5 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 the local anaesthetic 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 for Rhinoplasty?

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,  Email or Book a free 15-minute Call with Dr Kleid’s team.

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 
    1300 264 811

What to Bring to Your Consultation

  • If you like, please bring a friend or relative to help discuss the information and your choices.
  • Take a lot of notes and thoroughly examine the documents your surgeon provides.

How to Book a Consultation

  • Dr Kleids Consultation fee is $600 which includes a nasendoscopy ($300).
  • A referral from your Doctor is helpful to claim any Medicare or Health Insurance rebate but is not necessary for a consult.
  • Please contact the Patient Care Team at Coco Ruby Plastic Surgery today to book your consultation.