Septoplasty

Age, genetics, and trauma can change the appearance and function of the nose. Nasal surgery in the form of septoplasty can address problems with the nasal airway and breathing; treat a deviated septum (partition which divides the nose into two nostrils). Septoplasty surgery is commonly performed for functional issues (such as breathing problems), and is often combined with rhinoplasty (surgery to reshape the external nose). Regardless of your reason(s) for surgery, Dr. Fishman strives for a beautiful and natural nose which which breathes well and harmonizes beautifully with your facial features.

BENEFITS OF SEPTOPLASTY (NOSE SURGERY)

  • Septoplasty can improve nasal breathing problems.
  • Septoplasty can improve sinus drainage problems.
  • Dr. Fishman frequently performs septoplasty to obtain cartilage grafts for rhinoplasty (external nose surgery).

CANDIDATES FOR SEPTOPLASTY (NOSE SURGERY)

Dr. Fishman’s experience and artistic vision allow her to approach every individual’s nose with a unique understanding of anatomy, function, appearance, and the marriage between these so important in nose surgery. Every person is unique, and every nose is as well.
A good candidate for septoplasty surgery is concerned about the appearance and/ or function of his or her nose, and has realistic expectations of nose surgery. Good candidates for nasal surgery should be in great health, and be of 15-16 years of age or older, with near-complete physical growth and development.

NOSE and SEPTOPLASTY SURGERY: TREATMENT DETAILS

Dr. Fishman performs septoplasty via internal (inside the nose) incisions. After you are asleep and comfortable, Dr. Fishman uses the appropriate incisions to remove the reshape the cartilage and bony structures of the septum and treat septal deviations to improve breathing.

AFTER SURGERY

  1. Expect small plastic septal splints which are placed inside the nose, and are removed after 5-7 days.
  2. Know that most external nose swelling is resolved after the first 1-2 weeks, though the nose continues to heal for several months after surgery.
  3. Rest as much as possible the first day after surgery.
  4. Keep your head elevated on 2-3 pillows.
  5. Apply cold compresses to the eyes and cheeks.
  6. Manage post-surgery discomfort with oral medications.
  7. Expect to return to work or school in 5-7 days after surgery.
  8. Resume walking the day after surgery. Restrict strenuous exercise and heavy lifting for 3 weeks after surgery.
  9. Avoid out-of-town travel for 2 weeks after surgery.
  10. Avoid any pressure on the bridge of the nose (such as glasses or goggles) for 2 months after surgery.

Frequently Asked Questions:

WHAT ANESTHESIA DOES DR. FISHMAN PREFER FOR NOSE SURGERY?

Dr. Fishman will discuss her anesthesia preferences with you during your consult. Depending on the complexity of the case, your health, and the need for cartilage grafting, Dr. Fishman will select local anesthesia with sedation or general anesthesia.

SHOULD I HAVE NOSE SURGERY?

You may consider nose surgery if you have trouble breathing through the nose, have had nasal trauma, broken noses, or previous nose surgery, or want to improve the appearance of your nose. You may be a good candidate for nose surgery if you are in good health and have realistic, mature expectations of surgery.

HOW LONG DOES NOSE SURGERY TAKE?

This depends on the complexity of the case and the need for cartilage harvesting. Dr. Fishman usually finishes septoplasty in 45 minutes to an hour, and usually completes combination septoplasty and rhinoplasty nose surgeries in over 2-3 hours, with most complex cases requiring 4 hours.

DOES NOSE SURGERY RESULT IN SCARS?

All incisions leave scars, though with septoplasty surgery, incisions are hidden inside the nose and are difficult to see. While scars never disappear, they fade significantly over time.

HOW PAINFUL IS NOSE SURGERY?

Most patients complain of a sore or a bruised sensation after nose surgery, and frequently report congestion. These symptoms resolve over several days-weeks after surgery. Strong oral pain medication is frequently employed for the first 1-4 days after surgery.

CAN THE RESULTS OF AN UNSATISFACTORY NOSE SURGERY BE CORRECTED?

Dr. Fishman performs revision septoplasty and rhinoplasty both for her own patients and those having undergone nose surgery elsewhere. Dr. Fishman is a Facial Plastic and Reconstructive surgeon trained in Ear, Nose, and Throat–Head and Neck Surgery, and her experience allows her to take on some of the most challenging nose revision cases.

WILL INSURANCE PAY FOR SEPTOPLASTY SURGERY?

Insurance may cover the cost of your surgery if it is medically necessary. You must check with your insurance provider to determine your eligibility for coverage. Our practice offers financing options for procedures not covered by insurance.