Gossypiboma is a foreign body granuloma due to a retained surgical sponge. We present a case series of two patients after rhinoplasty. Both patients were referred to our clinic with persistent nasal obstruction and cacosmia following rhinoplasty. In the former patient, the history suggested possibility of retained surgical material in the nasal septum due to the surgical history. In the latter patient, a foreign body was not suspected due to no sign of inflammation. Endoscopy showed nasal gauze with perforation in one patient and a septal bulge in another. A preoperative CT PNS scan showed no abnormality. Endoscopic removal of the surgical sponge was planned for the former patient, and septal body radiofrequency volume reduction for the latter. Under general anaesthesia, endoscopic removal of the foreign body was done in the first patient. In the second patient, during the radiofrequency treatment, the presence of a foreign body was noticed on the septal body and removed. Regular follow-up showed no complications with symptomatic relief. Conclusively, proper history, clinical and radiological examination, appropriate sponge usage and counting with surgical checklists are crucial.