As with most nasal surgeries, septoplasty surgery is often performed under 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 passages 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 mucous 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.