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Septoplasty

What exactly is a Septoplasty?

1) What exactly is a Septoplasty?

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.


2) Am I a good candidate for Septoplasty?

Some of the indications that you may be a good candidate for Septoplasty are:

  • Deviated nasal septum
  • Nasal obstruction
  • Nasal congestion
  • Headaches and hinder airflow through the nose, which can disrupt your sleep patterns.
  • Sleep apnoea
  • Correct breathing issues
  • Crooked nose
  • Breathing problems due to a deviated septum
  • Blockage of one or both nostrils
  • Nosebleeds
  • Sinus infections
  • Facial pain
  • Noisy night time breathing

3) Do you qualify for Septoplasty surgery?

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.


4) How much does Septoplasty cost?

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


5) How do I prepare for Septoplasty surgery?

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.


6) What to Know About Anaesthesia.

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.


7) About the Procedure:

The surgical duration for Septoplasty is approximately one hour. Septoplasty is performed to correct a crooked (deviated) or dislocated septum, often as part of plastic surgery of the nose (Rhinoplasty). The nasal septum has three functions: to support the nose, to regulate airflow and to support the mucous membranes (mucosa) of the nose.

Septoplasty is done to correct the shape of the nose caused by a deformed septum or correct deregulated airflow caused by a deviated septum. Septoplasty is often necessary when the patient is having an operation to reduce the size of the nose (Reductive Rhinoplasty), because this operation usually reduces the amount of breathing space in the nose.

During surgery, an incision will be made inside the nose. The lining of the septum will be lifted up and out of the way. The bent bone or cartilage will be straightened by moving it or cutting off the bent piece. After the repair is done, the lining will be replaced over the top of the septum. Gauze may be placed in the nose to soak up any blood. A plastic splint may also be inserted to keep the septum in place while it heals.


8) What to expect after surgery?

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.


9) What are the risks and complications involved in Septoplasty surgery?

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.


10) How long is the recovery time after 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.


11) How long will I be off work/school?

Patients are generally able to return to work within three to seven days after their Septoplasty procedure.


12) Will I have visible scars after Septoplasty 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.

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.


13) When will I see the final results?

As with Primary Rhinoplasty, Septoplasty surgery can take up to one year to see final results.

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