Septoplasty Surgery Sydney

Septoplasty is a surgical procedure to correct and straighten a deviated septum. The nasal septum is the wall between the nostrils that separates the two nasal passages, supporting the nose and directing airflow.

Septoplasty Surgery Sydney

Septoplasty is a surgical procedure to correct and straighten a deviated septum. The nasal septum is the wall between the nostrils that separates the two nasal passages, supporting the nose and directing airflow.

The septum is made of thin bone in the back and cartilage in the front. A deviated septum occurs when the cartilage or bone is not straight. A crooked septum can make breathing difficult, potentially leading to snoring and sleep apnea.

Rhinoplasty Patient being looked at by the surgeon

What concerns can Septoplasty help to address?

It’s important to remember that every individual is unique and so too are their needs and desired outcomes for cosmetic surgery. If you’re considering a procedure, it’s essential to have a comprehensive consultation with one of our experienced surgeons. They can help you understand whether you’re a suitable candidate and what you can realistically expect from the surgery. The information provided here is meant to help guide you, but it’s not a replacement for professional medical advice. Always organise a consultation for personalised advice.

If you are concerned about the way you look or are thinking about cosmetic surgery for confidence reasons, there are alternatives. Talking to a counsellor or psychologist may help you overcome your concerns about your appearance.

Correcting a Deviated Septum: A septoplasty can be an effective procedure to straighten a deviated nasal septum, which might be causing discomfort or breathing difficulties.
Alleviating Nasal Obstruction: This surgery can be considered to improve airflow through the nose by addressing issues like chronic nasal obstruction and congestion.
Addressing Sleep Disturbances: A septoplasty might help to alleviate conditions like sleep apnea or significant disruption to sleep patterns caused by breathing difficulties.
Resolving Headaches: For some individuals, chronic headaches associated with hindered nasal airflow can be improved through this procedure.
Correcting Nose Deformities: The procedure can help correct visible deformities like a crooked nose caused by a deviated septum.
Improving Nostril Blockage: Septoplasty can be used to address the blockage of one or both nostrils to improve airflow and comfort.
Managing Chronic Nosebleeds: Chronic nosebleeds associated with septal deviations can be reduced through this surgery.
Reducing Sinus Infections: By improving nasal airflow and drainage, septoplasty can help decrease the frequency and severity of sinus infections for some individuals.

What to expect


The septoplasty process begins with a detailed consultation with our accomplished surgeon, Dr Zacharia. In this meeting, he will discuss your objectives, medical history, and evaluate the structure of your nose. He will examine both the external and internal aspects of your nose, possibly using a nasal speculum or endoscope for a more comprehensive view of the septum. This consultation is the ideal time for you to voice any concerns or ask any questions you may have about the procedure.

Number and type of consultation

It is a requirement under the law, that a patient seeking cosmetic surgery must have at least two pre-operative consultations. The patient’s first consultation must be with the medical practitioner who will perform the surgery or another registered health practitioner who works with the medical practitioner who will perform the surgery (not a patient advisor or an agent). At least one of the two consultations must be in person with the medical practitioner who will perform the surgery. Other consultations can be in person or by video.

When consent can be given

A patient must not be requested to sign consent forms at their first consultation and cannot consent to cosmetic surgery until they have had an in-person consultation with the medical practitioner who will perform the surgery. The decision to have the surgery (provision of informed consent) must be made at a consultation with the medical practitioner who will perform the procedure (in person or by video).

Cooling-off Period

There must be a cooling-off period of at least seven days after the patient has had two consultations and given informed consent (signed consent forms), before the surgery can be booked or a deposit paid. 


Once a mutual agreement is reached on the surgical goals, you will be given specific preoperative instructions to prepare for your septoplasty. These instructions could include dietary guidelines, advice on alcohol and smoking, managing certain medications or supplements, and cleaning your nostrils.


The septoplasty operation usually takes between one to two hours and is typically performed under local or general anesthesia, depending on the patient’s comfort and the complexity of the surgery. The procedure involves making an incision inside the nostrils to access the septum – the structure separating the two nasal passages. The surgeon will then realign the septum to its proper position, potentially removing any excess cartilage or bone causing obstruction.


Following surgery, you’ll be monitored in a recovery room for a short period. Most patients are allowed to go home the same day, although sometimes an overnight hospital stay may be suggested. Nasal packing or splints may be placed inside your nose to support the newly aligned septum during the initial healing phase.

Swelling and nasal congestion are common after a septoplasty but will start to improve after a few days. Most patients are able to return to work or school after a week, depending on the nature of their work and individual recovery rate.

Regular follow-up appointments will be scheduled to monitor your healing and to ensure a smooth recovery process. It’s important to note that while you may notice improvements in breathing shortly after surgery, the final results of your septoplasty might not be fully apparent for up to a year, as it takes time for the nose to heal and adapt to its new structural alignment.

Surgery Time
1 hour
Hospital Time
Day stay
Time off work
1 week
Cast Removal
After 7 days
4 to 6 weeks
24 hours after general anaesthetic and not while taking prescribed pain relief. We also recommend checking with your CTA insurer as to the post surgery exclusion period.
After 7 days for national and 14 days for international
Full Recovery
12 to 18 months for final results

Considerations Before Cosmetic Surgery

While we aim to provide accurate information about the different surgical procedures available, it’s important to understand that the content provided here serves as a general guide only. The specifics of each surgery, including the procedure detailed above, can and will vary significantly from person to person, depending on their unique circumstances and physical characteristics.

Undergoing cosmetic surgery is a serious decision that requires ample thought, careful consideration, and meticulous planning. It should never be taken lightly or treated trivially, as it can have profound impacts on one’s lifestyle and wellbeing.

Recovery from cosmetic surgery, too, requires time, support, and proper aftercare. We strive to present realistic and transparent information about the recovery process, but individual experiences may vary. It is typical for recovery to involve certain services or requirements, such as the use of compression garments or receiving therapeutic massages. It also often necessitates significant lifestyle changes, which may include a period of absence from employment and temporary restrictions on certain activities.

In light of these considerations, we strongly encourage potential patients to engage in comprehensive discussions with their GP and our surgeons. The goal is to fully understand the implications, requirements, and likely outcomes of any chosen procedure, and to make informed decisions about their health and aesthetics.

For more information on preparing for cosmetic surgery visit

General risks and complications of surgery include:

Substantial Hemorrhage: This involves severe blood loss from the area that underwent surgery, which may necessitate additional medical interventions.
Susceptibility to Infection: Post-surgery, the risk of infection can rise, potentially requiring either antibiotic treatment or subsequent surgical interventions.
Allergic Responses: Patients may exhibit allergic reactions to medical materials such as sutures, dressings, or antiseptic solutions used during and after the procedure.
Hematoma Formation: This involves the development of a sizable clot of blood beneath the incision site, which may necessitate medical drainage.
Post-Surgical Discomfort: Patients may experience pain, bruising, and swelling in the area surrounding the surgical site.
Scar Development: There's a risk of developing keloids or hypertrophic scars, which are elevated, red, and thickened scars over the healed incisions. Though they can be bothersome and aesthetically displeasing, they don't pose a direct health threat.
Delayed Healing Process: Healing can be sluggish, especially in patients with pre-existing conditions like diabetes or those who smoke.
Anaesthesia Risks: Patients may experience short-term nausea following general anaesthesia, along with other potential risks associated with anaesthesia.

Septoplasty risks and complications include:

Post-Surgical Pain: Nose surgeries can lead to severe and persistent pain that requires pain management.
Altered Sensations: After the subsidence of bruising and swelling, the nose may exhibit numbness or a changed sense of touch.
Temporary Numbness in Teeth: Following the surgery, the upper front teeth may experience temporary numbness.
Unfulfilling Cosmetic Outcome: There's a chance that the visual outcome may not meet expectations, necessitating further corrective surgery.
Impaired Olfactory Function: The sense of smell may be negatively affected, with rare instances of permanent loss or distortion.
Long-term Swelling: The nose may remain noticeably swollen for several months post-operation.
Darkened Under-eye Skin: The skin beneath the eyes may darken, persisting for more than six months after the procedure.
Structural Instability: The support structure of the nose may weaken, leading to a flattened appearance of the nose. This could also result in complications with any implanted materials, possibly causing them to protrude into the nose or through the skin, and potential narrowing of major airways that may result in difficulty breathing.

How Much Does Septoplasty Cost?

Your personalised quote will be prepared following an in-depth evaluation by our expert surgeon. This includes a thorough assessment of your individual needs, detailed explanation of the procedure, and a tailored approach to best achieve the desired outcomes. The quote considers various elements including surgical supplies, hospital requirements, and the specifics of the surgery itself.

Potential rebates might be available if the procedure is deemed medically necessary by relevant health authorities. Conditions for this include providing evidence supporting the medical necessity of the surgery and a referral from a healthcare professional. Your private health insurance may also provide coverage, so it’s essential to discuss this with your provider.


The ideal candidate for surgery is someone who is in good physical and mental health. Smokers are encouraged to quit at least 2 weeks before the procedure and it is also recommended to not drink any alcohol before and after surgery. This promotes proper healing and aids in avoiding complications during the procedure. Any adult male or female can apply for nose surgery, however, with younger patients this surgery can only be performed if the skeleton of the face is over 90% developed. With younger girls, this is around 13-to-14 years of age, while boys will be considered at around 15-to-16 years of age.Dr Zacharia will explain what can be done to assist eligible candidates for this procedure. He will discuss the steps of the proposed surgery and the variables that may affect the procedure. Physical characteristics such as the size and shape of nasal bones and cartilage, as well as the thickness of skin may affect the technical considerations.
The cost of Septoplasty surgery varies to each individual, as well as the complexity of the procedure performed. The cost will be based on specific fees for the professional, anaesthetic, hospital, and if applicable, charges for an overnight stay.Any surgery performed for purely aesthetic reasons will not be covered by health insurance. In cases where the procedure is considered medically necessary, such as corrections of birth defects or damage due to trauma, the procedure may be covered. It is recommended that patients discuss what will be covered by their insurers prior to booking the procedure.Book a consultation, request a quote online, or contact the staff at Dr Zacharia’s rooms today on (02) 9192 1600
At the consultation, Dr Zacharia will discuss the procedure, risks and limitations, costs involved, patient expectations and goals, as well as the recovery process. He will also conduct a medical examination and help the patient prepare both physically and mentally for Septoplasty.Dr Zacharia will then provide a checklist surgery information packet that explains everything a patient should do and know before their Septoplasty surgery date.
In most nasal surgeries, general anaesthesia is used. However, in some cases, local anaesthesia with intravenous sedation may be used. Dr Zacharia and his anaesthetist will assist patients in making the decision regarding which type of anaesthesia is best for their individual procedure.
After surgery, the patient will need someone to transport them home. To avoid nose bleeding, it is important for the patient to keep their head elevated and to avoid any straining during bowel movements or exercise. Swelling of the face and nose is not uncommon, but ice packs can help reduce this swelling (a bag of frozen peas or corn will easily conform to the face, and may provide the most comfort.)Often Dr Zacharia will place nasal splits in position to hold the septum straight. With the splits in position, the nasal airway is usually open and the patient can breathe. Dr. Zacharia rarely uses nasal padding.
No surgery is risk free. As with all procedures, there are number of risks and complications. Understanding the risks is imperative and Dr Zacharia discusses these openly with prospective patients in the initial consultation.The chance that any of these complications may occur during the surgery or during recovery is usually very small.The following is a list the most common risks that may occur, such as bleeding, infection, scarring, Septal perforation (a hole in the septum) or an anaesthetic problem is present etc.During the initial consultation, Dr Zacharia will answer any questions and make sure the patient fully understands all possible complications involved with the surgery.
The recovery time after Septoplasty takes anywhere between three and ten days. Patients go home with an external splint or special tape. Patients may experience some swelling and bruising, while some discomfort can be alleviated with medication.
Anytime that the skin is cut, a scar is formed. Incision healing is dependent on several factors, including surgical technique, prevention of infection, reduction of tension, patient nutrition, as well as smoking (before or after surgery), etc.Septoplasty is performed using a closed technique. This means that all incisions are made on the inside of the nose. As a result, there is no external or visible scarring.
As with Primary Rhinoplasty, Septoplasty surgery can take up to one year to see final results.

Self-Assess Your Readiness For a Facelift

Thank you for taking the Dr Zacharia self-assessment form to better understand how mentally and physically you are for achieving the best facelift possible. Please answer all questions below, and provide photos for a pre op screening by Dr Zacharia.

Disclaimer: Please note that Dr Zacharia has the same rights as a patient. If you choose not to go ahead with Dr Zacharia based on his recommendations, he also has the right to turn away patients who he feels may be too high risk for surgery or show a lack of compliance for surgery protocols.

Surgery is a serious decision, and we are striving for the best outcomes for all. However, all surgery comes with a risk of complication or revision. Follow your pre and post op instructions for your safety and best possible outcome. However, the human body is not an exact science and Dr Zacharia and his team can only use their extensive experience to help guide you through any issue that could arise.

Please complete the following information, so we can send you your results and contact you for further discussion later.

Dr ZACHARIA’s opinion will be based on your anatomy. If the budget you have specified does not meet his recommendations, we will highlight the limitations of lesser invasive treatments based on your budget/ anatomy.

Please provide a front on and profile photo of your face. Also, a photo of you on your profile looking down. Ideally stand in front of a plain wall or door and have someone else take the photos for the best pre op consult advise.

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