Overview

Septoplasty is a surgical procedure performed to straighten or correct a deviated nasal septum — the wall of cartilage and bone that separates the two nasal passages.

A deviated septum can contribute to nasal obstruction, recurrent sinus infections, or sleep-related breathing difficulties.

Septoplasty aims to restore a clear nasal airway and improve sinus drainage while maintaining structural support of the nose.

When Septoplasty May Be Recommended

Septoplasty may be considered when a deviated septum causes persistent symptoms such as:

• Difficulty breathing through one or both nostrils.
• Frequent nosebleeds or nasal dryness.
• Recurrent sinus infections.
• Facial pressure or nasal pain.
• Disturbed sleep or snoring related to nasal blockage.

Before recommending surgery, a detailed evaluation is performed to determine the cause of obstruction.

This typically includes a nasal endoscopy, where a thin flexible camera is used to visualise the nasal cavity, septum and sinus openings.

The Septoplasty Procedure

Septoplasty is performed under general anaesthesia in an accredited hospital or day-surgery facility.

The procedure usually involves:

• Making a small incision inside the nostrils, leaving no external scar.
• Reshaping or repositioning the septal cartilage and bone to improve alignment.
• Supporting the nasal passages with splints or soft internal dressings to stabilise healing.

In some cases, turbinate reduction or endoscopic sinus surgery may be performed at the same time if turbinate enlargement or chronic sinus inflammation is present.

The operation typically takes around 90 minutes, depending on the complexity of the deviation and any additional procedures.

Recovery After Septoplasty

Recovery experiences vary based on the individual and the extent of surgery.

• Initial period (first 1–2 weeks): mild bleeding, nasal congestion and discharge are common. The nose may feel blocked until swelling subsides.
• Short-term recovery (2–6 weeks): swelling and bruising gradually resolve. Patients are advised to avoid blowing their nose and to rest with their head elevated.
• Long-term recovery (up to 12 months): internal healing continues. Most functional improvements are noticeable within the first few months.

Follow-up appointments are an essential part of recovery. The surgeon will clean the nasal passages, remove any splints, and monitor healing to prevent complications such as infection or septal perforation.

Post-Operative Care

Your surgeon will provide specific post-operative instructions, which may include:

• Avoiding strenuous activity, heavy lifting and air travel for several weeks.
• Using saline rinses to keep nasal passages clear.
• Avoiding smoking and alcohol, as these can impair healing.
• Sleeping with the head elevated to reduce swelling.
• Taking prescribed medications as directed.

Adherence to these instructions is vital for optimal healing and reducing the risk of complications.

Risks and Possible Complications

As with all surgical procedures, septoplasty carries risks, including:

• Bleeding or infection.
• Scarring inside the nose.
• Persistent nasal obstruction.
• Septal perforation (a small hole in the septum).
• Altered sense of smell.
• Adverse reaction to anaesthesia.

Your surgeon will discuss these risks and any specific considerations during your consultation to ensure informed consent.

Medical Requirements and Consultation Process

Before any nasal surgery is scheduled, patients must:

• Obtain a GP referral, as required by the Medical Board of Australia Guidelines for Cosmetic Surgery (2023).
• Attend at least two consultations, with at least one in person with the operating surgeon.
• Observe a minimum seven-day cooling-off period before confirming surgery.

During consultation, your surgeon will:

• Review your medical history and referral.
• Conduct nasal and sinus assessment (including nasendoscopy or imaging if required).
• Explain potential benefits, limitations, risks and recovery expectations.
• Provide written information to support your decision-making process.

About Dr Shahidi

Dr Shahram Shahidi

BSC(MED)(HON I) MB BS(SYD) FRACS FAAFPS

MED0001167352

Specialist Otolaryngologist (Ear, Nose and Throat) – Head and Neck Surgeon

Fellow, Australasian Academy of Facial Plastic Surgery

Dr Shahidi is an Australian-trained, FRACS-qualified ENT surgeon with more than 20 years of experience in nasal, sinus and septal surgery.

He provides comprehensive nasal assessment and management for patients with breathing or sinus-related concerns.

Disclaimer:

All surgical and invasive procedures carry risks. Individual results vary.

Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.