Florian Bast MD FRCS

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Florian Bast MD FRCS Specialist in functional and aesthetic nasal surgery

Mr Florian Bast is a leading Rhinologist, ENT and Facial Plastic Surgeon in London, specialising in Rhinoplasty, Revision Rhinoplasty, and advanced ENT procedures. He performs Open and Closed Rhinoplasty, Septorhinoplasty, and Nasal Valve Repair with a focus on natural results and improved function. Based at top clinics in London, Mr Bast also offers Morpheus8, SkinBooster, Profhilo, and other non-surgical facial rejuvenation treatments. Known for his precision, safety, and aesthetic expertise, he is trusted by patients seeking Rhinoplasty in London, Revision Rhinoplasty London and across the UK.

08/10/2026

What does a Rhinoplasty specialist notice when they first look at your nose?⁠
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For Mr Florian Bast, years of specialising in nasal surgery mean that an initial assessment begins almost immediately.⁠
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Within the first few moments, he is already considering several important details: the profile and how the nose relates to the forehead and lips, the movement and position of the nasal tip, facial symmetry, signs of previous nasal surgery, and importantly, how comfortably you are breathing.⁠
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Because successful Rhinoplasty isn’t about assessing the nose in isolation.⁠
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It means understanding how the nose sits within the entire face, how its underlying structures are functioning, and how even subtle changes could influence facial harmony and nasal breathing.⁠
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This detailed approach is particularly important for patients considering Revision Rhinoplasty, where previous surgery may have altered the anatomy, cartilage support, or function of the nose.⁠
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And yes, after years of specialising in noses, Mr Bast really does look at everyone’s nose this way.⁠
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Considering Rhinoplasty, Revision Rhinoplasty or Septorhinoplasty?⁠
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Comment “NOSE” below and the team will be in touch to discuss booking a consultation.⁠
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What will your Rhinoplasty result look like in 10 or 20 years?⁠⁠It's an important consideration, because successful Rhin...
06/10/2026

What will your Rhinoplasty result look like in 10 or 20 years?⁠
⁠
It's an important consideration, because successful Rhinoplasty planning shouldn't focus solely on the short-term result.⁠
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The nose, like the rest of the face, continues to age throughout life. Skin and soft tissues change, and Rhinoplasty cannot stop this natural process for the nose as a whole, although good structural support may help the nasal tip maintain its position and shape over time.⁠
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What surgery can influence is the underlying structure of the nose.⁠
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When planning Rhinoplasty, careful consideration is given to preserving healthy cartilage and maintaining appropriate structural support. In some cases, areas may also need to be strengthened or reconstructed using cartilage grafts.⁠
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This is particularly relevant in Revision Rhinoplasty, where previous surgery may have altered or weakened the existing nasal framework.⁠
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Structural support also matters for function. The framework of the nose contributes to maintaining the nasal airway, which is why long-term planning should consider breathing as well as appearance.⁠
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As a Consultant ENT and Facial Plastic Surgeon, Mr Florian Bast approaches Rhinoplasty with both the immediate result and long-term structural stability in mind, carefully balancing preservation, reshaping and reconstruction according to each patient's individual anatomy.⁠
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The aim is to create a nose with the support to age naturally alongside you.⁠
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Learn more about Mr Florian Bast's approach to Rhinoplasty at florian-bast.com

Revision Rhinoplasty isn't always about appearance, restoring nasal function can be just as important.⁠⁠A recent patient...
02/10/2026

Revision Rhinoplasty isn't always about appearance, restoring nasal function can be just as important.⁠
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A recent patient came to Mr Florian Bast experiencing breathing difficulties following Rhinoplasty performed around 10 years previously.⁠
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With previous surgery having altered the nasal anatomy, their revision procedure required careful assessment and complex surgical planning.⁠
The patient has kindly shared that their surgery and recovery went very well and that they are extremely happy with their results. They also recommended Mr Bast for his expertise in Rhinoplasty and Septoplasty.⁠
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Previous nasal surgery can sometimes leave patients with structural concerns that affect airflow as well as appearance. In these cases, Revision Rhinoplasty may involve restoring or strengthening the nasal framework while addressing the underlying cause of breathing difficulties.⁠
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As a Consultant ENT and Facial Plastic Surgeon, Mr Bast brings together expertise in both nasal function and facial plastic surgery, allowing these concerns to be considered as part of the same surgical plan.⁠
Thank you to this patient for sharing their experience.⁠
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Experiencing breathing difficulties following previous nasal surgery? Learn more about Revision Rhinoplasty and arrange a consultation at florian-bast.com

30/09/2026

Your nose doesn’t look exactly the same when you smile and that’s something we consider when planning Rhinoplasty.⁠

The nose isn’t a completely static structure. When you smile, speak and make facial expressions, the muscles surrounding the nose and upper lip can influence the position and appearance of the nasal tip.⁠

For some people, this movement is barely noticeable. For others, the nasal tip may appear to move downwards when smiling, or the nostrils and surrounding structures may change subtly with expression.⁠

This is one reason why a Rhinoplasty assessment involves more than photographs and measurements.⁠

When assessing a patient, Mr Florian Bast considers how the nose looks at rest, how it relates to the surrounding facial features, and how it behaves during natural facial movement.⁠

Because the aim isn’t to create a nose that looks balanced in one carefully positioned photograph.⁠

It’s to plan a result that feels harmonious with the patient’s real, moving face.⁠

Considering Rhinoplasty? Discover more about Mr Florian Bast’s approach and arrange a consultation at florian-bast.com⁠

rhinology ent facialplasticsurgery rhinoplastylondon harleystreet patienteducation naturalresults

30/09/2026

Your nose doesn't look exactly the same when you smile — and that's something we consider when planning Rhinoplasty.
The nose isn't a completely static structure. When you smile, speak and make facial expressions, the muscles surrounding the nose and upper lip can influence the position and appearance of the nasal tip.
For some people, this movement is barely noticeable. For others, the nasal tip may appear to move downwards when smiling, or the nostrils and surrounding structures may change subtly with expression.
This is one reason why a Rhinoplasty assessment involves more than photographs and measurements.
When assessing a patient, Mr Florian Bast considers how the nose looks at rest, how it relates to the surrounding facial features, and how it behaves during natural facial movement.
Because the aim isn't to create a nose that looks balanced in one carefully positioned photograph.
It's to plan a result that feels harmonious with the patient's real, moving face.
Considering Rhinoplasty? Discover more about Mr Florian Bast's approach and arrange a consultation at florian-bast.com

“I had Septorhinoplasty to improve my breathing, so why does my nose feel more blocked?”This can understandably be conce...
28/09/2026

“I had Septorhinoplasty to improve my breathing, so why does my nose feel more blocked?”

This can understandably be concerning during the early stages of Septorhinoplasty Recovery, but nasal breathing immediately after surgery does not necessarily reflect the final functional result.

Septorhinoplasty involves making carefully planned changes to the structures within the nose. Following surgery, temporary internal swelling can narrow the nasal passages, while crusting, mucus and the normal healing process can contribute to a feeling of congestion. Depending on the procedure, internal splints may also temporarily affect airflow.

Although structural concerns such as a deviated septum or areas of narrowing may have been addressed during surgery, the surrounding tissues still need time to heal.

As swelling and congestion gradually settle, patients can begin to get a clearer understanding of their nasal breathing. The exact recovery experience varies depending on the individual and the extent of surgery performed.

As a Consultant ENT and Facial Plastic Surgeon, Mr Florian Bast considers both the internal function and external structure of the nose when planning Septorhinoplasty, while ensuring patients understand what to expect throughout their recovery.

Experiencing nasal breathing difficulties or considering Septorhinoplasty? Learn more about your options at florian-bast.com

What will your Rhinoplasty result look like in 10 or 20 years?⁠⁠It's an important consideration, because successful Rhin...
23/09/2026

What will your Rhinoplasty result look like in 10 or 20 years?⁠
⁠
It's an important consideration, because successful Rhinoplasty planning shouldn't focus solely on the short-term result.⁠
⁠
The nose, like the rest of the face, continues to age throughout life. Skin and soft tissues change, and Rhinoplasty cannot stop this natural process.⁠
⁠
What surgery can influence is the underlying structure of the nose.⁠
⁠
When planning Rhinoplasty, careful consideration is given to preserving healthy cartilage and maintaining appropriate structural support. In some cases, areas may also need to be strengthened or reconstructed using cartilage grafts.⁠
⁠
This is particularly relevant in Revision Rhinoplasty, where previous surgery may have altered or weakened the existing nasal framework.⁠
⁠
Structural support also matters for function. The framework of the nose contributes to maintaining the nasal airway, which is why long-term planning should consider breathing as well as appearance.⁠
⁠
As a Consultant ENT and Facial Plastic Surgeon, Mr Florian Bast approaches Rhinoplasty with both the immediate result and long-term structural stability in mind, carefully balancing preservation, reshaping and reconstruction according to each patient's individual anatomy.⁠
⁠
Rhinoplasty doesn't stop your nose from ageing. The aim is to create a nose with the support to age naturally alongside you.⁠
⁠
Learn more about Mr Florian Bast's approach to Rhinoplasty at florian-bast.com

Complex Revision Rhinoplasty requires careful planning, reconstruction and ongoing care.A recent patient shared their ex...
21/09/2026

Complex Revision Rhinoplasty requires careful planning, reconstruction and ongoing care.

A recent patient shared their experience following a particularly complex Revision Rhinoplasty with Mr Florian Bast, which involved the use of multiple cartilage grafts to address the individual structural requirements of their nose.

The patient described being very pleased with their results and highlighted Mr Bast's friendly approach, surgical expertise and the level of care they received following surgery.

They also kindly recognised Julia, Mr Bast's secretary, for her responsiveness and support throughout their experience, an important reminder that excellent patient care extends beyond the operating theatre.

For patients considering Revision Rhinoplasty, previous surgery can mean altered anatomy, scar tissue or reduced cartilage support. Each case therefore requires an individual approach, with reconstruction and grafting sometimes needed to restore structural stability while considering both nasal function and appearance.

Thank you to this patient for sharing their experience and for their kind words about the whole team.

Considering Revision Rhinoplasty? Learn more about Mr Florian Bast's approach to complex revision surgery and arrange a consultation at florian-bast.com

Grateful to my patient for consenting to share these pre- and post-operative images.This was a particularly complex Revi...
20/09/2026

Grateful to my patient for consenting to share these pre- and post-operative images.

This was a particularly complex Revision Reconstructive Septorhinoplasty following previous nasal reconstruction for structural collapse associated with granulomatosis with polyangiitis (GPA), formerly known as Wegener’s granulomatosis.

Previous reconstruction had included a rigid rib cartilage graft. During revision surgery, this graft was removed and the nasal framework was carefully re-established using structural cartilage grafting, combined with diced cartilage paste to help restore support and create a smoother, more balanced contour.

Cases involving inflammatory or autoimmune conditions require especially careful planning. The aim is not simply to change the external appearance of the nose, but to create a stable, well-supported nasal framework while considering function, healing and long-term structural stability.

Close coordination with the patient's rheumatology team is also an important part of treatment, helping to ensure that the underlying condition is appropriately managed alongside surgical care.

Complex Revision Rhinoplasty is highly individual, particularly when previous surgery and underlying medical conditions have altered the nasal framework. Each surgical plan therefore needs to be tailored to the patient's anatomy, history and functional requirements.
Thank you again to my patient for allowing me to share their journey.

Discover more about Revision Rhinoplasty and Reconstructive Rhinoplasty with Mr Florian Bast at florian-bast.com

18/09/2026

Can your nose look straight but still be deviated on the inside?⁠
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Yes. The external appearance of the nose doesn’t always tell us what’s happening within the nasal airway.⁠
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The nasal septum is the internal structure of cartilage and bone that divides the nose into two sides. If it is deviated, it can narrow one or both nasal passages even when the nose appears relatively straight from the outside.⁠
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For some patients, this may contribute to persistent nasal obstruction, difficulty breathing through one side, or symptoms that become more noticeable during sleep or exercise.⁠
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Equally, an externally crooked nose doesn’t automatically mean someone will have significant breathing difficulties.⁠
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This is why a detailed nasal assessment considers both form and function. As a Consultant ENT and Facial Plastic Surgeon, Mr Florian Bast assesses the external structure of the nose alongside the septum, nasal airway and other potential causes of obstruction.⁠
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Because when it comes to your nose, what you see on the outside is only part of the picture.⁠
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If you’re experiencing persistent nasal breathing difficulties, discover more about Rhinology, Septoplasty and Septorhinoplasty at florian-bast.com⁠
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rhinology ent functionalrhinoplasty rhinoplasty facialplasticsurgery patienteducation rhinoplastylondon

Address

9 Harley Street
London
W1G9QY

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 4pm

Telephone

+442071298685

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