Sinus Surgery Sydney

Functional Endoscopic Sinus Surgery (FESS) is the most common surgical method used to treat sinus infections, in order to restore sinus ventilation and normal functionality.

Sinus Surgery Sydney

Functional Endoscopic Sinus Surgery, or FESS, is a surgical procedure designed to treat chronic sinusitis and other sinus-related diseases. The primary purpose of FESS is to restore normal sinus ventilation and function, which can be hampered by chronic inflammation, nasal polyps, or anatomic abnormalities.

The benefits of FESS include not just the relief from chronic sinusitis symptoms such as facial pain or pressure, nasal congestion, and loss of smell, but also a potential reduction in the frequency and severity of future sinus infections. Moreover, the procedure can improve the effectiveness of nasal medications because they can reach the affected areas more easily.

Rhinoplasty Patient being looked at by the surgeon

What concerns may Sinus Surgery 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.

Treating Chronic Sinusitis: FESS is commonly considered for individuals experiencing chronic sinusitis that has been unresponsive to medical treatment.
Improving Airflow: The procedure aims to clear blocked sinuses, which can help improve airflow through the nose.
Alleviating Facial Pain: Persistent facial pressure, pain, or headaches due to chronic sinusitis can be addressed with this surgery.
Reducing Post Nasal Drip: FESS can help to manage issues such as chronic post nasal drip, which is often caused by sinusitis.
Managing Nasal Congestion: Chronic nasal congestion, a common symptom of sinusitis, can often be improved through this procedure.
Treating Infected Nasal Secretions: This surgery can be useful for those struggling with persistent nasal secretions that are infected and causing discomfort.
Dealing with Nasal Polyps: FESS can be used for the removal of nasal polyps that obstruct the nasal passages and contribute to sinus issues.
Addressing Recurrent Sinusitis: This procedure can be beneficial for individuals who suffer from frequent bouts of sinusitis, to help reduce the frequency and severity of future episodes.

What to expect


The process of Functional Endoscopic Sinus Surgery (FESS) begins with an in-depth consultation with our experienced surgeon, Dr Zacharia. In this meeting, your symptoms, medical history, and nasal and sinus anatomy will be assessed. He may use endoscopic examination or imaging studies to evaluate the structure and condition of your sinuses. This consultation is an excellent opportunity for you to discuss any concerns or ask any questions you may have about the procedure.


Upon reaching a consensus on the surgical approach, you will receive detailed preoperative instructions to prepare for your FESS procedure. These instructions might include dietary guidelines, smoking and alcohol consumption advice, specific instructions regarding medications or supplements, and nasal hygiene procedures.


The FESS procedure typically takes one to three hours and is usually performed under general anesthesia. The procedure involves the use of an endoscope, a thin flexible tube with a light and camera, inserted through the nostrils to visualize the sinus passages. Specialized instruments are used to remove any obstructive tissues such as polyps, or to enlarge narrow sinus openings, thereby improving sinus drainage and function.


After the surgery, you’ll be monitored in a recovery room for a short period. In most cases, patients are able to go home the same day, though occasionally an overnight hospital stay may be recommended. Soft, absorbable packing may be inserted into the sinuses to support healing and prevent bleeding.

Some degree of nasal congestion and discharge is expected after FESS but will start to improve after a few days. Most patients are able to return to work or school within a week, depending on the recovery rate and the nature of their work.

Regular follow-up appointments will be scheduled to ensure a smooth recovery and to monitor your sinus function. The final results of your FESS might not be fully apparent for a few weeks to a few months, as the sinuses continue to heal and adapt to their improved function.

Surgery Time
1 to 1.5 hours
Hospital Time
Day stay with an option for overnight
Time off work
1 week
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 4 weeks for international
Full Recovery
6 to 12 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.

Sinus Surgery specific 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.
Long-term Swelling: The nose may remain noticeably swollen for several months post-operation.
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 Sinus Surgery 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.


Patients who are considered for Functional Endoscopic Sinus Surgery are usually those who gain no further benefit from medical therapy. Some patients have sinus surgery combined with other nasal procedures, such as septoplasty and turbinoplasty, to open the airway, as well as Rhinoplasty to alter the shape and improve the external appearance of the nose.The ideal candidate for Functional Endoscopic Sinus Surgery is someone who is in good physical and mental health. Smokers are encouraged to quit at least a couple of weeks before the procedure and it is also recommended to not drink before and after surgery. This promotes proper healing and aids in avoiding complications during the procedure.
The cost of Functional Endoscopic Sinus Surgery varies to each individual, as well as the complexity of the procedure performed. The cost will be based on specific fees for the physician, 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 Functional Endoscopic Sinus Surgery. Usually a CT Scan of the sinuses will need to be performed prior to surgery.Dr. Zacharia will then provide a checklist surgery information packet that explains everything a patient should do and know before their Functional Endoscopic Sinus 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.
Patients will have a post-operative appointment with Dr. Zacharia within one week after surgery, during which the sinuses will be inspected and any adherent secretions or dressings removed.Most patients will be discharged with antibiotics, a saline nasal wash and sometimes “Spraytish” to aid healing. Patients are encouraged to try to avoid blowing their nose for the first few days and then commence gentle blowing as required.
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.Functional Endoscopic Sinus Surgery is very safe and the chance that any of these complications may come along during surgery or recovery is usually very small. The following is a list the most common risks that may occur, such as failure to resolve infection, recurrence of the original sinus problem, bleeding, chronic nasal drainage, failure to resolve all original sinus problems, damage to the eyes or base of the skull, pain, reduction or loss of sense of smell or taste, or the need for additional surgery, 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.
It is normal to feel quite stuffy in the nose for two weeks post-operatively. Saline nasal washes are very important to help clear a stuffy nose and for best results should be used regularly following the surgery.All the necessary information will be explained by Dr. Zacharia, so that you the patient is able to recover as quickly as possible in the best condition.
While at least one week is recommended to all patients, it is expected that the patient can go home on the day of surgery. The plastic splint on the patient’s nose will be removed after seven days or more, leaving the patient free of this obvious stigma of surgery.
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.Since Functional Endoscopic Sinus Surgery does not involve cutting through the skin, it is performed entirely through the nostrils, therefore there won’t be visible scars.
Once you have completely healed, you should see the final results up to three months after the operative procedure.

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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