Examination and, where needed, imaging show which bones and cartilage have moved and whether the septum is involved.

Early fractures are reduced in clinic or under a short anaesthetic. Established deformities are corrected by septorhinoplasty, with grafts if cartilage has been lost.

Once healed, the nose is protected from further knocks: no contact sport for six weeks and a guard for longer if you play. Any lingering blockage is reassessed rather than assumed to be permanent.

Your first visit takes about 45 minutes: a conversation about what bothers you, an examination of the nose inside and out with a small endoscope, and standardised photographs. You leave with a clear explanation of what surgery can and cannot change, and time to decide.