Septoplasty is a reconstructive procedure designed to fix a deviated septum, which is a structural deformity that typically results in mild to severe breathing problems. In some cases, it is also performed to even out a crooked nasal appearance. A deviated septum occurs when the bone and cartilage wall that separates the nostrils becomes displaced or deformed, causing obstruction in the nasal passageway. When left untreated, patients can experience recurring issues such as nasal congestion or nosebleeds.
Patients who undergo septoplasty can expect relief from nasal problems and improved breathing, but in most cases, they can also expect some aesthetic improvement to the external appearance of the nose.
A deviated septum can be present at birth or acquired later in life due to injury or trauma to the nose. It varies in severity across individuals, which is why some will require surgery while others do not. For those with moderate to severe cases of this condition, septoplasty offers an effective and permanent solution.
Septal deviation can result in uncomfortable chronic side effects that are detrimental to a person’s health and lifestyle, which may include one or more of the following:
While septoplasty is considered more of a functional procedure rather than a cosmetic one, it can sometimes provide a modest aesthetic improvement due to the straightening of the nasal structure. It can also be performed in conjunction with cosmetic rhinoplasty (also called septorhinoplasty) to improve the appearance of the nose while simultaneously repairing the septal deformity.
As a double-board certified facial plastic surgeon who specializes in nasal surgery, Dr. Jacob Sedgh repairs your deviated septum while expertly restoring proper nasal functionality and providing noticeable improvement to the appearance of the nose.
Patients who undergo septoplasty can expect the following benefits:
An accurate diagnosis is crucial for the success of your surgery. Due to this, it is critical to choose a surgeon with a background in otolaryngology, who fully understands the intricate anatomy of the nose and the complexities involved in nasal airway surgery.
During your first preoperative meetings with Dr. Sedgh, he will interview you about your medical history, current respiratory problems, and related lifestyle habits. He will also perform a thorough evaluation of the internal structure of your nose to determine the appropriate surgical technique to employ. You can also expect the following:
If you can’t drop in for an in-person consultation, Dr. Sedgh can conduct your initial preoperative meeting via video conferencing. For overseas or out-of-town patients, his office can also help arrange transportation and accommodation, as well as concierge and aftercare services.
Like most nasal surgeries, a septoplasty is typically performed under local or general anesthesia. Dr. Sedgh will discuss your anesthetic options prior to the procedure, ideally during your preoperative meetings.
The incision approach will depend on the complexity of the surgery. The closed rhinoplasty approach, wherein all incisions are made inside the nostrils, can be used for simpler cases. However, in some cases, an open rhinoplasty approach is used for better visibility of the internal nasal structure.
To begin the procedure, Dr. Sedgh will carefully make a small incision on one side of the columella (hemitransfixion incision) to access the septum. The doctor will then correct the alignment by repositioning, trimming, or even replacing the bone and cartilage. He may also remove any excess bone or cartilage that may be blocking the nasal airways, while taking special care to preserve enough cartilaginous septum for optimum nasal tip support.
In some cases, spreader grafts can be installed in the event of middle vault narrowing and internal nasal valve collapse.
Soft internal splints or packing material may also be used to hold the septum in place. The mucus membrane, which will then be repositioned to cover the septum, may also be held in place with the help of dissolvable sutures.
A septoplasty can be performed with cosmetic rhinoplasty to promote a straighter, more attractive nasal appearance. By utilizing a highly individualized approach, Dr. Sedgh is able to consistently deliver natural-looking, structurally sound results.
The procedure typically takes one to one and a half hours, depending on the complexity of your condition.
Septoplasty is usually performed as an outpatient procedure. Immediately after the surgery, you may experience temporary nasal congestion, as well as some localized swelling, which should last around 7 to 10 days.
Dr. Sedgh will be prescribing over-the-counter medications to help alleviate any discomfort from the residual side effects of the surgery. He will also provide a specific aftercare plan to ensure optimum healing and recovery. This includes avoidance of strenuous physical activity and intense exercise for at least two weeks, and no contact sports for at least a month.
As part of his commitment to providing complete and exemplary patient care, Dr. Sedgh will personally monitor your recovery starting on the first day post-surgery up to a year after. Regularly scheduled follow-up appointments, whether in-office, over the phone, or via video conferencing, enable Dr. Sedgh to oversee your postoperative experience and ensure optimum health and wellbeing during the recovery period, as well as the integrity of your results.
“I don’t think it is an overstatement to say that Dr. Sedgh was a godsend to me for his willingness to do surgery on my nose when several notable surgeons refused to take on the task of correcting the damage that three previous surgeries had done. Dr. Sedgh clearly has an artistic eye as well as a very professional ability at nose surgery. He has earned my trust and respect.”
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