Septoplasty

If you’re experiencing difficulties breathing through your nose or suffering from chronic sinus infections, septoplasty may be recommended as a procedure to address your nasal concerns. As a qualified ENT surgeon, Dr Shahidi can perform this procedure in conjunction with other techniques and procedures to achieve outcomes tailored to your condition.

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, thereby alleviating these symptoms and improving nasal function.

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

Several signs and symptoms may indicate a deviated septum and the need for medical intervention. 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 are experiencing any of the above, make an appointment with Dr Shahidi for an evaluation to determine whether a deviated septum is causing your symptoms and if a septoplasty is an appropriate treatment option.

Assessing your eligibility for septoplasty

Before considering septoplasty, it’s essential to undergo a thorough evaluation by Dr Shahidi to determine if you are a suitable candidate for the procedure.

• Mental health and self-esteem — It’s important to understand that septoplasty is a medical procedure that aims to improve nasal function. It is not a cosmetic surgery designed to enhance appearance for the purpose of self-esteem. A psychological assessment may be recommended to check that the decision to undergo surgery is based on realistic expectations and not influenced by underlying mental health issues.
• 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 affect your eligibility.
• 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

Once you have undergone your initial consultation and your surgeon has recommended septoplasty, the procedure will be carefully planned to ensure the best possible outcome. Here’s what you can expect:

• 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.
• Surgical technique — The procedure is performed under general anaesthesia and typically takes approximately one to two hours. It is conducted entirely inside the nose, with incisions performed in one of the two nostrils, meaning no visible scar is typically expected. Dr Shahidi will create tiny incisions while lifting the mucosa, allowing them to reshape the septum. The surgeon may remove or reshape your cartilage and underlying structure before repositioning the mucosa back over the septum.
• 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. It is crucial that you discuss all potential risks with Dr Shahidi during your consultation and to follow all pre- and post-operative instructions carefully to minimise these risks.

Post-septoplasty recovery: best practices and aftercare

Following your procedure, your doctor’s medical team will closely monitor you as your anaesthesia wears off. While initial healing for septoplasty begins within one month, Dr Shahidi will provide you with comprehensive post-operative care 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 — While you can resume light activities one week post-op, 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 may generally be controlled with 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

Downtime following septoplasty is crucial for a smooth recovery. In the first week, you’ll need to rest and avoid strenuous activities, including exercise and heavy lifting. This initial period is when most of the swelling and discomfort occurs and keeping your head elevated can help reduce these symptoms. Light activities can typically be resumed after one week, but full recovery, including a return to more vigorous activities, usually takes about a month. It’s important to follow your surgeon’s guidelines during this time to ensure proper healing and the best results.

Book a consultation with Dr Shahidi today

If you’re having trouble breathing, dealing with heavy and uncontrollable nose bleeds or chronic sinusitis, a consultation with Dr Shahidi can help determine whether septoplasty is an appropriate procedure for a deviated septum. If your symptoms are mild or manageable with medication or if you have unrealistic expectations about the surgery’s outcomes, septoplasty may not be necessary or advisable. Always consult with a qualified ENT surgeon, like Dr Shahidi, to discuss your specific situation and determine the best course of action based on your individual needs.

Dr Shahidi is an Australian-trained and qualified ear, nose and throat surgeon with particular experience in septoplasty, rhinoplasties and other nasal and sinus treatments. He approaches each procedure with due consideration for your health and comfort. Contact our medical team today to schedule your initial consultation or to learn more about the procedure.