Did you know that up to 80% of people have a deviated septum, often without realizing it? A deviated septum can significantly impact your quality of life, leading to breathing difficulties, snoring, and recurrent sinus infections. Deviated septum surgery, or septoplasty, is a specialized procedure that can correct this common issue. In this article, Dr. Turner, a Specialist Plastic Surgeon in Sydney, outlines everything you need to know about septoplasty—from diagnosis to recovery—and how his expertise can help you achieve better nasal function and enhanced facial harmony.
What Is the Nasal Septum?
The nasal septum is the thin wall that separates the two nostrils. Made up of cartilage and bone, the septum supports the nose and regulates airflow through the nasal passages. Ideally, the septum should be straight and centred. However, for some individuals, the septum may become bent, curved (S-Shaped) or deviated, causing one nasal passage to be smaller than the other.
A deviated septum can result from various factors, including congenital conditions and trauma. Some individuals are born with a deviated septum because of developmental abnormalities. Additionally, injuries to the nose, such as those sustained in sports, accidents, or other incidents, can also cause the septum to become displaced.
Symptoms of a deviated septum can include:
- Difficulty breathing through one or both nostrils: This can make regular breathing challenging, especially during physical activities or when lying down.
- Frequent nasal congestion: Constant feelings of a “stuffy nose,” often worse on one side, even without having a cold or allergies.
- Nosebleeds: The dryness and irritation from disrupted airflow can lead to frequent nosebleeds.
- Snoring or sleep apnoea: Blocked airways can lead to loud snoring or more serious sleep disorders like sleep apnoea, which can disturb sleep quality.
- Sinus infections: Poor drainage in the nasal passages can cause a build-up of mucus, leading to frequent sinus infections or sinus pressure.
- Facial pain or headaches: The blockage or pressure from a deviated septum can sometimes contribute to facial pain or headaches.
- Post-nasal drip: Mucus from the sinuses may not drain properly, leading to a chronic post-nasal drip, which can cause throat irritation or coughing.
How Is a Bent Septum Diagnosed?
Diagnosing a deviated septum typically involves a physical examination by a Specialist Plastic Surgeon or Ear, Nose, and Throat (ENT) specialist like Dr Turner. During the exam, the doctor will assess the structure of the nose and the septum using a nasal speculum to inspect the inside of the nostrils.
Additional diagnostic tools may include:
- Nasal endoscopy: A thin, flexible tube with a camera on the end (endoscope) is inserted into the nose to get a detailed view of the nasal passages.
- CT scans: In certain cases, imaging tests may be needed to assess the extent of the deviation and rule out other conditions, such as sinusitis.
What Is a Septoplasty?
Septoplasty surgery is a surgical procedure performed to correct a deviated septum. Unlike cosmetic rhinoplasty, which focuses on improving the external appearance of the nose, a septoplasty is aimed at improving nasal function. It is very common in Dr Turner’s practice to combine a septoplasty with a cosmetic rhinoplasty—often referred to as functional rhinoplasty—to address both aesthetic and functional concerns.
What to Expect from Deviated Septum Surgery?
Functional rhinoplasty or septoplasty surgery is always performed under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist. Depending on the complexity of the procedure, it may take 2 to 3 hours, and patients can be discharged home the same day.
Depending on whether the septoplasty is being performed as an isolated procedure or as part of a functional rhinoplasty the incisions will vary. As an isolated septoplasty incision, Dr Turner will make incisions along the border of the septum inside the nose without any external incisions. If a functional rhinoplasty procedure is being performed, then the septum is approached open via the incisions for a formal open rhinoplasty surgery.
Next, Dr Turner will reshape the septum, this often requires removing parts of the bent, curved, buckled septal cartilage and bony spurs to create a straight septum. Frequently extra cartilage is harvested from the posterior septum as part of a functional rhinoplasty to use as spreader grafts, batten grafts, septal extension or columella grafts as part of a functional rhinoplasty – to improve nasal function and shape.
Once the nasal incisions are closed with dissolving sutures, Dr Turner will place a silicone splint in each nostril to help support the septum while it heals in its new position. These splints will be removed by Dr Turner after 5 to 7 days at your first postoperative visit.
Recovery After Septoplasty Surgery in Sydney
Recovery from a deviated septum surgery in Sydney typically takes around 1 to 2 weeks. During the first few days following the surgery, patients may experience swelling, bruising, and discomfort, though these symptoms generally subside over a week. Full healing of the nasal structures, as they settle into their new position, may take several months, with breathing function continuing to improve over the first year.
For a smooth recovery, it’s important to follow a few key guidelines: avoid strenuous activities for at least two weeks, keep your head elevated while sleeping to help reduce swelling, and adhere to Dr Turners post-operative care instructions. This often includes using saline sprays or prescribed decongestant medications to keep the nasal passages moist.
Why Choose Dr. Turner for Your Septoplasty?
Dr Turner is a Specialist Plastic Surgeon in Sydney, specializes in cosmetic surgery of the face, with experience in both functional and cosmetic rhinoplasty. His expertise ensures that patients receive personalized care tailored to their unique needs, whether they are seeking relief from a deviated septum or looking to enhance the appearance of their nose.
Next Steps
If you’re struggling with a deviated septum and considering surgery, here are your next steps:
- Schedule a Consultation: Contact us at 1300 437758 or visit drturner.com.au to book your appointment.
- Prepare for Surgery: Follow any preoperative guidelines provided, such as avoiding certain medications and arranging for post-surgery care.
- Plan for Recovery: Set aside time for rest and healing and arrange for assistance during your initial recovery phase if needed.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Consult with a qualified healthcare professional to determine the best treatment options for your individual needs.
