Septoplasty

If you are experiencing difficulty breathing through your nose or have chronic sinus infections, septoplasty may be considered as a treatment option following a full clinical assessment. As a registered specialist ENT surgeon (MED 0001167352), Dr Shahidi may perform this procedure on its own or in combination with other techniques, where clinically appropriate, based on your individual needs and medical findings.

What is septoplasty?

Septoplasty is a procedure that aims to improve airflow through the nasal passages by correcting a deviated septum. The septum is the wall of cartilage that separates the nasal passage to regulate airflow and support the mucosa membranes inside the interior wall of the nose.

A deviated septum occurs when this central wall is displaced or bent to one side, which can lead to a variety of complications. These include breathing difficulties, frequent sinus infections and even snoring. Septoplasty aims to realign the septum to the centre of the nasal cavity, potentially alleviating these symptoms and improving nasal function.

How do I know if I need a septoplasty: understanding symptoms

Certain symptoms may suggest a deviated nasal septum, which could contribute to functional nasal issues. A clinical assessment is required to confirm any diagnosis and discuss whether surgical intervention such as septoplasty may be suitable. These include:

• Difficulty breathing through your nose — If you have trouble breathing through one or both sides of your nose, this could be due to a deviated septum that needs realignment.
• Chronic nasal congestion — If you experience persistent stuffiness or congestion that doesn’t improve with regular medical intervention, you may be a candidate for septoplasty.
• Recurrent sinus infections — A deviated septum commonly causes drainage issues that may lead to frequent sinus infections.

If you experience any of these symptoms, you may benefit from a consultation to explore potential causes and appropriate treatment options. Dr Shahidi, Otolaryngology, Head and Neck Surgery MED 0001167352, experienced in nasal surgery, provides individualised assessments based on medical history and clinical findings.

Assessing your eligibility for septoplasty

Before considering septoplasty, a comprehensive clinical assessment is required to determine if you are a suitable candidate for the procedure.

• Mental health and expectations — Septoplasty is a medical procedure intended to improve nasal function. It is not a cosmetic surgery aimed at altering appearance. In accordance with Australian regulations, a psychological assessment may be recommended to ensure the decision to undergo surgery is based on informed, realistic expectations.
• Physical health — Your general health and any pre-existing medical conditions will be considered to confirm that you can safely undergo the procedure. Conditions such as diabetes, bleeding disorders or heart disease may assess surgical risk and suitability.
• Medical history and symptoms — Dr Shahidi will perform a nasal examination that includes a nasal endoscopy to identify the problem. If sinusitis is suspected, Dr Shahidi may recommend a CT scan to help with the overall diagnosis. Nasal septoplasty may be performed with other surgical procedures, such as endoscopic sinus surgery, rhinoplasty or turbinectomy.

Unpacking the septoplasty procedure: what to expect

If septoplasty is recommended following your consultation, your procedure will be planned according to your clinical needs and overall health status. The following outlines general steps involved in the process:

• Pre-surgical preparations — You may be advised to stop taking certain medications, such as blood thinners, prior to the surgery. Fasting may be required on the day of the procedure, and you will receive detailed instructions on how to prepare for the surgery. It is important to follow these instructions to minimise potential risks.
• Surgical technique — Septoplasty is typically performed under general anaesthesia and may take between one to two hours. The procedure is carried out through the nostrils, so no external incisions are usually required. The surgeon lifts the nasal lining (mucosa), reshapes or repositions the cartilage and/or bone of the septum, and repositions the mucosa once adjustments are complete.
• Potential risks and complications — Just like any surgical procedure, septoplasty carries certain risks. These can include bleeding, infection, reactions to anaesthesia and, in rare cases, complications such as septal perforation (a hole in the septum) or changes in nasal shape. These risks will be discussed during your consultation. Following all pre- and post-operative instructions carefully can help support recovery and reduce the likelihood of complications.

Post-septoplasty recovery: best practices and aftercare

Following your procedure, you will be monitored by clinical staff as your anaesthesia wears off. While initial healing for septoplasty begins within one month, Dr Shahidi and his team will provide tailored post-operative instructions, which may include:

• Initial healing and follow-up — Initial healing typically begins within one week, but full recovery can take several months. You will have follow-up appointments to monitor your progress and to remove any splints or packing that were placed during surgery.
• Pain management and swelling — Discomfort can usually be managed with prescribed pain medications. Swelling and congestion are common in the first few days after surgery, and it’s important to avoid activities that could aggravate these symptoms, such as bending over or lifting heavy objects.
• Activity restrictions — Light activities may be resumed after the first week,
  avoid strenuous workouts for at least a month — this includes going to the gym, swimming, lifting weights or participating in contact sports. This helps prevent complications such as bleeding or displacement of the septum.
• Nasal hygiene and care — Keeping the nasal passages moist using a saline nasal spray is recommended. You should avoid blowing your nose for at least a month to allow the septum to heal properly. If your doctor recommends using a nasal spray to keep the passages moist to aid healing, follow this instruction and use the spray as directed.

A post-op advice sheet is given to patients, and pain is typically managed with prescribed or over-the-counter analgesics. A follow-up visit will be arranged within seven to 10 days post-surgery, with a final check-up after six months. Overall, the healing will continue for several months to a year.

Understanding downtime after septoplasty

Recovery following septoplasty requires a period of rest to support healing. In the first week, patients are typically advised to avoid strenuous activities such as exercise, bending, or heavy lifting. This is when most swelling and discomfort occurs.

Keeping your head elevated during rest may assist in managing swelling. Light activities may generally be resumed after the first week, but more vigorous physical activity is typically postponed for at least four weeks, or as advised by your surgeon.

Your individual recovery timeline may vary, and it is important to follow all post-operative instructions provided by your treating practitioner to support a safe and effective recovery.

Book a consultation with Dr Shahidi

If you are experiencing nasal symptoms such as persistent breathing difficulties, frequent nosebleeds, or chronic sinus congestion, a consultation with Dr Shahidi can help determine whether septoplasty may be an appropriate option based on your clinical findings.

Not all individuals with nasal concerns will require surgery. In cases where symptoms are mild or manageable through non-surgical means, alternative treatments may be discussed. Surgical recommendations are made following a comprehensive evaluation of your anatomy, health status, and medical history.

Dr Shahidi is a registered specialist Otolaryngologist (Ear, Nose and Throat surgeon) with formal training in septoplasty and other nasal procedures. During your consultation, he will provide an individualised assessment and explain the treatment options available.

To arrange an appointment or to learn more, please contact our clinic directly.

A second opinion from an appropriately qualified health practitioner is recommended before proceeding with any surgical or invasive procedure.