Septoplasty is the generic term used for any type of surgery that can reshape your nasal septum, which is the midline thin wall that separates your left and right nasal cavities. The procedure can improve your breathing, so you do not have to rely on breathing through your mouth.
At Del Rey MD septoplasty is one of the procedures we offer that can give relief and respite from nasal discomfort. If you are having issues with breathing through your nose, and have a deviated septum, you can see very positive results from undergoing septoplasty.
Our expert team of ear, nose and throat specialists at our Del Rey MD locations in Marina Del Rey, Long Beach, Bakersfield, Los Angeles, and surrounding Southern California, are highly skilled in assessing whether your condition can benefit from having septoplasty surgery. After an in-depth consultation, one of our physicians can assess the best treatment plan to ease your symptoms.
Why You May Need Septoplasty
You may need to have septoplasty because your septum is bending to the left or the right in one direction. The condition can impede airflow through your nose. Breathing can become difficult, and you have to rely on breathing through your mouth, which causes dryness and can interrupt sleeping at night.
On occasion, patients undergo septoplasty due to a sinus surgery or a tumor removal. In addition, you may need septoplasty if you have tried non-surgical treatments for obstructive sleep apnea or a snoring problem and they have been unsuccessful.
At Del Rey MD, in 99% of cases, we can perform septoplasty in-office.
We rarely recommend the procedure for cosmetic purposes; however, if this is appropriate for an individual case we can accommodate. Most septoplasty patients may return to work after three to four days.
What Does Septoplasty Surgery Involve?
Typically patients come in and see one of our surgeons so we can assess if they are a good candidate for the procedure. A member of our ENT team at our Del Rey MD locations in Marina Del Rey, Long Beach, Bakersfield, Los Angeles, and surrounding Southern California can carry out a CT scan in-office, which will detect a deviated septum.
Depending on the problem at hand, a septoplasty can be performed endoscopically, with small incisions inside the nose, or if necessary, as an open procedure.
A septoplasty takes place entirely inside the nose. The surgeon cuts a wall on one side of the nose to lift or remove the mucosa, which is a thin membrane protecting the septum. Then it is possible to reshape the septum’s bone and cartilage. When the septum has been reshaped, the mucosa is placed back over the septum. The procedure takes between 30 and 90 minutes.
Our teams at our Del Rey MD locations in Marina Del Rey, Long Beach, Bakersfield, Los Angeles, and surrounding Southern California, have a vast amount of experience, so patients experience the least amount of pain and enjoy the quickest recovery time. We also use minimal packing to make healing time faster and easier for the patient.
What Are the Positive Outcomes of Having Septoplasty?
Patients who have septoplasty can often experience relief in a few days from the symptoms of a deviated septum. Our patients at Del Rey MD who have undergone septoplasty, experience a positive change in their quality of life. The issues of sleepless nights and dry mouth because of mouth breathing are alleviated.
At Del Rey MD, we believe our patients get a superior quality of care because we perform the highest number of nasal obstruction procedures, including septoplasty in the state of California. We are the experts.
What Does Septoplasty Help With?
A deviated septum can lead to various other health conditions that affect your quality of life. Septoplasty can help with the following issues:
- Chronic nasal congestion: If one or both nasal passages are blocked by a deviated septum, it can cause persistent congestion.Â
- Frequent Sinus Infections: A misaligned septum interferes with normal sinus drainage, which can trigger repeated sinus infections or chronic sinusitis.
- Sleep Apnea and Snoring: By obstructing nasal airflow, a deviated septum may worsen snoring and obstructive sleep apnea.
- Recurrent Nosebleeds: If the inside of the nose becomes dry and irritated from a severely deviated septum, you might get frequent nosebleeds.
- Chronic Sinus Pressure or Headaches: Nasal obstruction often causes constant sinus pressure or headaches, especially if you have chronic sinusitis.
- Mouth Breathing: When the nasal airway is blocked, it forces you to breathe through your mouth, causing dry mouth, a sore throat, and disrupted sleep.
Managing Post-Surgical Swelling and Discomfort
After septoplasty, you'll probably have mild swelling and discomfort, especially in the first few days. To manage these symptoms and help you recover faster:
- Keep Your Head Elevated: Use extra pillows to sleep with your head raised, which reduces swelling and promotes drainage.
- Use Cold Compresses: Apply cold compresses to your cheeks to reduce swelling, but don't put direct pressure on the nose.
- Follow Medication Guidelines: Take pain relievers as directed, but avoid NSAIDs like aspirin, which can increase bleeding risk.
- Avoid Strenuous Activities: For the first two weeks, limit your physical exertion, which will make the swelling worse.
- Limit Irritant Exposure: Minimize exposure to dust and smoke, which can aggravate healing nasal passages.
Why Choose Del Rey MD?
Dr. Farhad Sigari is our board-certified otolaryngologist (ear, nose, and throat doctor) at Del Rey MD. Dr. Sigari has a background in biomedical engineering, endoscopic surgery, and ENT care, which helps him to provide the most advanced techniques available. He also has specialized training from the University of Chicago and experience in treating complex cases – including work in underserved communities.
Our team includes highly skilled physician assistants and nurse practitioners, all of whom bring unique expertise to our practice. From diagnosis to recovery, you can trust that Del Rey MD will provide you with the highest quality ENT care.
Common Questions Associated with Septoplasty Surgery
When do you need septoplasty surgery for a deviated septum?
At Del Rey MD, we recommend septoplasty if you have had medical therapy or treatments and you are still having issues with a stuffy nose caused by a deviated septum. Everyone has a slightly deviated septum, but this does not mean you have to undergo surgery.
Will having a septoplasty change the shape of your face?
No, septoplasty alone will not change the shape of your face.
Are There Alternatives to Septoplasty?
Septoplasty straightens the septum. So too, does balloon sinus dilation, a non-surgical option that can be useful in addressing some of the same symptoms. However, whereas results from septoplasty may be permanent, slight deviation can rebound after balloon sinus dilation. During your initial consultation, we will carefully evaluate your symptoms and the structure of your nose, and provide information about your options.
Are the Results from Septoplasty Permanent?
Barring injury, such as a broken nose, the results from septoplasty should be permanent. However, the care you take of your nose and body in the days and weeks after surgery will play a role in your final results. Following our pre and post-operative directions is essential for the most favorable outcomes.
How Long Does it Take to Recover from Septoplasty?
Initial recovery from septoplasty takes two to three days. While you return home immediately after your procedure, swelling, bruising, and the residual effects of pain medications and anesthesia will necessitate a few days of rest. Most people can resume working in non-demanding occupations within three to five days.
Bruising, swelling, and drainage can last for several weeks. During this time, you will need to avoid strenuous exercises along with activities like yoga, which bring the head below the heart. During your follow-up visits, we will help you determine when it is safe to resume normal activities.
Full recovery from septoplasty may take up to three months. Be patient during this time. The procedure is permanent, making the short recovery period nominal in the grand scheme.
What are the Risks of Septoplasty?
General surgical risks include bleeding, infection, and poor reactions to anesthesia. Patients with certain health conditions or who are over the age of 40 may need to have x-rays and blood work done to ensure they are healthy enough for surgery.
Risks specific to septoplasty include:
- Physical changes in nose shape
- Decreased sense of smell
- Loss of sensation in the upper teeth and gums
- A continuation of symptoms
Things like lost sense of smell and diminished sensation should self-resolve. During your follow-up visits, we will carefully evaluate your recovery rate and check for potential complications to ensure your continued comfort.
Will I Need to Sleep Sitting Up After Septoplasty?
Keeping your head elevated while you sleep helps prevent congestion, improve drainage, and reduce swelling. You may need to sleep on your back with your head propped on a few pillows for three to four weeks for optimal results.
Can you eat after you have had septoplasty?
You will be able to eat right away after having your procedure with no restrictions.
Is septoplasty covered by insurance?
Del Rey MD is in network with most major insurance carriers, so the majority of our patients will have the benefit of their health incurance covering the procedure. In addition, we do not have to charge a facility fee, and there is no necessity to see a primary care doctor for a referral. One of our team can work with you on a plan.
How often is septoplasty combined with a cosmetic procedure?
Many patients who want to make cosmetic improvements to their nose decide to combine septoplasty with rhinoplasty in what is sometimes referred to as a "septorhinoplasty." This combination allows for both functional and aesthetic improvements to the nose. However, there are plenty of patients who want to improve their breathing without modifying their appearance. For these patients, seeing an expert surgeon concerned strictly with the functional aspects of the nose is the appropriate choice.
What are the different types of septoplasty?
There are mainly two types of septoplasty procedures:
- Endoscopic Septoplasty: This procedure involves the use of a thin, flexible tube with a light and camera (endoscope) to guide the surgery, allowing for a more precise and less invasive approach.
- Traditional Septoplasty: This approach requires more direct access to the septum through incisions within the nose or at the base of the nostril. It is typically used for more severe deviations or when additional corrections are necessary.
What tips do your doctors offer for a smooth septoplasty recovery?
- Keep your head elevated: Especially when sleeping, to reduce swelling.
- Stay hydrated: Keeping well-hydrated helps keep the mucous membranes moist.
- Avoid smoking: Smoking can hinder the healing process.
- Follow dietary recommendations: Avoid hot liquids immediately after surgery and opt for soft, easy-to-eat foods.
- Attend all follow-up appointments: These are crucial for monitoring your progress and addressing any issues.
Can septoplasty cure snoring?
Septoplasty can reduce snoring caused by a deviated septum by improving airflow through the nasal passages. However, it's not a cure for snoring caused by other conditions, such as sleep apnea. A thorough examination by our doctors can determine if septoplasty might be effective for your snoring.
Is septoplasty covered by health insurance?
Septoplasty is usually covered by health insurance if it is deemed medically necessary to correct functional issues such as breathing difficulties or chronic sinusitis. Coverage can vary, so it’s important to check with your insurance provider about the specifics of your plan.
What should I do to prepare for septoplasty?
Preparation for septoplasty typically includes avoiding medications that can increase bleeding, such as aspirin and non-steroidal anti-inflammatory drugs, for about two weeks before the surgery. You should also stop smoking several weeks before and after the surgery to enhance healing. Your surgeon may ask you to undergo preoperative tests or a physical examination to ensure you are fit for surgery. It’s also a good idea to arrange for someone to drive you home post-surgery and help around the house as you recover.
Can septoplasty affect my sense of smell?
Temporary changes in smell are possible after septoplasty due to swelling and changes within the nasal passages. These changes are usually temporary and resolve as the swelling subsides. The risk of permanent smell changes is low.
What results should I expect from septoplasty?
The primary goal of septoplasty is to improve airflow through the nose and correct symptoms associated with a deviated septum such as nasal congestion and difficulty breathing. Most patients experience significant improvements in these areas. Cosmetic changes to the nose are not the aim of septoplasty; such changes would require a combination procedure known as septorhinoplasty.
Who is a good candidate for septoplasty?
Not everyone with a deviated septum needs surgery, but septoplasty may be the best option for some. You may be a good candidate if you:
- Have significant breathing difficulties due to nasal obstruction
- Experience chronic sinus issues like infections or congestion
- Have tried non-surgical treatments without success
- Are in good overall health
- Don’t smoke
- Have realistic expectations about the outcome
Schedule an Appointment with Del Rey MD
If you have a recurring or persistent ear, nose, throat, or allergy problem, we can likely treat your condition. Our expert team of ear, nose, and throat specialists are happy to discuss your options at one of our Del Rey MD locations to see which treatment is appropriate for you. Call 310-776-9060 for Marina Del Rey, 562-287-8880 for Long Beach, and 661-695-8627 for Bakersfield to book an appointment.