Deviated Septum Surgery

  • 101
    • Nasal Septum Anatomy
    • Treatment Types: Complete Guide
    • What is Deviated Septum Surgery?
    • Benefits of Surgery
    • Causes of a Deviated Septum
      • Deviated Septum from Drugs
    • Pain – How to Manage
    • Risks: Potential Complications
    • Symptoms: 7 Signs
    • Self-Test: How to Test Yourself
    • When to Do It
    • What Doctor to See
    • Surgeon: 4 Steps to Find the Best One
    • Surgery Videos
  • Effectiveness
    • Success Rates
  • Cost
    • Average Cost
    • Insurance
  • Types
    • Major Procedures – Overview
    • Rhinoplasty Surgery
    • Septoplasty Surgery
      • Pros & Cons
      • Complications
      • Recovery
    • Septoplasty & Rhinoplasty
    • Septoplasty & Turbinate Reduction
    • Balloon Sinuplasty Surgery
    • Laser Surgery
    • Turbinate Reduction
  • Recovery
    • Success Rates
    • Timeline
    • How Long Recovery Takes + Tips to Recover
    • Pain: Guide to Managing It
  • Home Treatments
    • Without Surgery: Complete Guide
    • 11 Home Remedies
    • 9 Non-Surgery Options
    • Ayurveda
    • Buteyko Breathing
    • Diet
    • Essential Oils
    • Homeopathy
    • Medication
    • Nasal Devices
    • Neti Pot
    • Nasal Dilators
    • Supplements
    • Yoga
  • Related
    • Side Effects
      • Breathing Problems
      • Headaches
      • Ear Problems
    • Sinuses
    • Sleep Apnea
    • Snoring

Septoplasty and Rhinoplasty Surgery: Answers to Common Questions

December 3, 2020 by Marc Leave a Comment

Septoplasty and Rhinoplasty Surgery

Having septoplasty and rhinoplasty done at the same time is a common surgical procedure for people with a deviated septum. In this article we answer frequently asked questions related to having septoplasty and rhinoplasty surgery:


Table Of Contents
What’s the Difference Between Rhinoplasty and Septoplasty?
Septoplasty and Rhinoplasty Together – How Is It Done?
Should I Get Rhinoplasty if I Get Septoplasty?
Septoplasty and Rhinoplasty Recovery
Septoplasty and rhinoplasty recovery – What to expect

Septoplasty and rhinoplasty - Recovery time
Septoplasty and rhinoplasty - Recovery tips
Frequently Asked Questions – Septoplasty and Rhinoplasty Surgery
Septoplasty and rhinoplasty cost in the USA
Is septoplasty and rhinoplasty covered by insurance?

What’s the Difference Between Rhinoplasty and Septoplasty?

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Rhinoplasty (or nose job) is a surgical procedure to reshape the nose. It involves change in the complete appearance of the nose. Besides aesthetic benefits, rhinoplasty also improves breathing problems by correcting the deformity present in the nose. It is the most commonly-performed surgery in the US with over 200,000 procedures performed every year.1Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.

Meanwhile, the septoplasty surgery is performed to straighten the deviated nasal septum. The correction of the deviated septum clears the nasal blockage and eases breathing. In this procedure, crooked areas on the septum are identified and cut, resulting in the straightening of the septum. Septoplasty improves the function of the nose.2Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. American journal of otolaryngology. 2010 May 1;31(3):189-92.

Septoplasty and Rhinoplasty Together – How Is It Done?

Septorhinoplasty Illustration

The surgery involving septoplasty and rhinoplasty together is known as Septorhinoplasty. In this procedure, a cut is made either on the inner skin of the nose or on the outer surface of the tissue present between the two nostrils. The skin covering the underlying cartilage and bone is then lifted. The bone and cartilage (forming the external appearance of the nose) are either removed, reshaped, or rebuilt using a graft.

Deviations on the septum are also identified and removed to straighten the septum. After the correction, skin is again stitched back on the nose. Splints or nasal packing may be placed within the nose to give support.3Geriatric Rhinitis - ENT Health

Should I Get Rhinoplasty if I Get Septoplasty?

Yes, combined surgeries are recommended in patients requiring cosmetic correction and experiencing impaired breathing due to nasal obstruction.

It results in an improvement in the aesthetics and function of the nose along with high patient satisfaction with the outcome. Performing such surgeries together saves time, money, and lessens the patients’ recovery period.4Biggs TC, Fraser LR, Ward MJ, Sunkaraneni VS, Harries PG, Salib RJ. Patient reported outcome measures in septorhinoplasty surgery. The Annals of The Royal College of Surgeons of England. 2015 Jan;97(1):63-5.

Septoplasty and Rhinoplasty Recovery

In this section we cover what you can expect when recovering from septoplasty and rhinoplasty surgery, along with recovery tips:

Septoplasty and rhinoplasty recovery – What to expect

You can expect the following conditions for initial few weeks after the surgery:5Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.6Bernardo MT, Alves S, Lima NB, Helena D, Condé A. Septoplasty with or without postoperative nasal packing? Prospective study. Braz J Otorhinolaryngol. 2013 Aug;79(4):471-4. English, Portuguese.

  • Nasal packs or splints may be placed inside the nose post-surgery to arrest the bleeding and support the nose. Nasal fullness or congestion may be experienced due to presence of nasal packing.
  • Headaches, watering of eyes (epiphora), dryness of mouth, discomfort while swallowing, and sleep disturbances are common with nasal packing.
  • Mild bleeding may be observed in the first few days.
  • Pain and tenderness may be present in the operated site for 48 hours.
  • Bruising and swelling in the nose and cheeks may be present.
  • Change in the sense of smell may be experienced.

Septoplasty and rhinoplasty - Recovery time

Initial swelling and bruising after the surgery will reduce in 7-10 days. Recovery is slightly slow. The patient will be able to appreciate the final results of the surgery after 1 year.7Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.

Septoplasty and rhinoplasty - Recovery tips

Below are some of the recovery tips after the surgery:8Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.9Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Use medications (painkillers and antibiotics, if any) as prescribed by the doctor.
  • Use an herbal supplement (e.g., Arnica montana) to reduce the post-surgery swelling and discoloration.
  • Apply cold packs on cheeks for 20 minutes intermittently for 2-3 days post-surgery to reduce the swelling.
  • Keep your head elevated at 30 degrees using 2-3 pillows while lying on the bed.
  • Use saline irrigation for several weeks post-surgery to keep the nose moist.
  • Clean the nostril and surrounding areas with antibiotic ointment or hydrogen peroxide using a cotton swab or Q-tips.
  • Keep your mouth open while sneezing.
  • Avoid using decongestants as they cause vasoconstriction (constriction in blood supply) and increase the risk of poor healing.
  • Avoid blowing of the nose or any vigorous exercise for 1-week post-surgery.
  • Avoid smoking, drinking, and going to crowded places.
  • Visit the doctor regularly for follow up.

Frequently Asked Questions – Septoplasty and Rhinoplasty Surgery

Here are answers to the most commonly asked questions related to septoplasty and rhinoplasty surgery:

Septoplasty and rhinoplasty cost in the USA

The average cost of a Rhinoplasty with Septoplasty is ~$10,000.10How Much Does a Rhinoplasty with Septoplasty Cost?

Is septoplasty and rhinoplasty covered by insurance?

Yes. Surgeries performed in cases where the patient faces difficulty in breathing are covered by insurance. Surgeries performed for cosmetic enhancement are not covered by insurance. The insurer may require a detailed assessment to verify the cause of the breathing impairment.11Septoplasty.pdf

Sources:

  1. 1
    Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.
  2. 2
    Gandomi B, Bayat A, Kazemei T. Outcomes of septoplasty in young adults: the Nasal Obstruction Septoplasty Effectiveness study. American journal of otolaryngology. 2010 May 1;31(3):189-92.
  3. 3
    Geriatric Rhinitis - ENT Health
  4. 4
    Biggs TC, Fraser LR, Ward MJ, Sunkaraneni VS, Harries PG, Salib RJ. Patient reported outcome measures in septorhinoplasty surgery. The Annals of The Royal College of Surgeons of England. 2015 Jan;97(1):63-5.
  5. 5
    Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.
  6. 6
    Bernardo MT, Alves S, Lima NB, Helena D, Condé A. Septoplasty with or without postoperative nasal packing? Prospective study. Braz J Otorhinolaryngol. 2013 Aug;79(4):471-4. English, Portuguese.
  7. 7
    Simpson JC. Postoperative Care of The Patient After Nasal Surgery
  8. 8
    How Much Does a Rhinoplasty with Septoplasty Cost?
  9. 9
    Septoplasty.pdf

Deviated Septum Surgery: Success Rates & Things to Consider

What Doctor to See for a Deviated Septum? Who to See & What to Expect

Deviated Septum Symptoms: Do You Know These 7 Signs?

Deviated Septum Surgery Risks: Potential Complications for Patients to Consider

Deviated Septum Treatment: Types of Surgery, Natural Home Remedies & More…

Deviated Septum Side Effects: Can a Deviated Septum Cause…?

Filed Under: Rhinoplasty

Rhinoplasty and Deviated Septum Surgery: A Plain English Guide

February 1, 2020 by Marc Leave a Comment

A Rhinoplasty is a surgery that changes the external shape of the nose. Many people who opt for this cosmetic surgery are unhappy with the way their nose looks to them. A skilled Rhinoplastic surgeon can manipulate bone, cartilage, and skin to give you the exact shape nose that you want.

Sometimes rhinoplasties are done to repair damage to the nose caused by an injury or to improve a breathing defect. A rhinoplasty may be done inside the nose or with an incision made between the nostrils. The surgeon will pull back the skin to readjust the bone and cartilage underneath.

source

A Septoplasty is a surgical procedure done to repair a deviated septum. A deviated septum is when the bone dividing the cartilage of the center of the nose is twisted and blocks the normal airflow in the nose. Many people don't have completely straight septums but not all conditions require serious medical attention.

Combined with other symptoms such as allergies, congestion, or turbinate hypertrophy, breathing can be difficult and cause sleep apnea as well as other conditions. A deviated septum can be caused by a childbirth injury as the baby passes through the birth canal or any trauma that could have occurred to the nose during childhood or adolescence. As the person gets older the nose continues to grow in that twisted manner.

Also known as a Septorhinoplasty, rhinoplasty and septoplasty procedures are often combined and should be done by one surgeon. These two procedures done together allow the surgeon to improve both the form and function of the nose in one shot. The combined procedures are more invasive than a septoplasty done on its own and are done with general anesthesia in a surgery center or hospital. The procedure takes between 1-2 hours and patients can expect to need ample recovery time.

source

The average cost of rhinoplasty surgery can vary depending on which state or facility it is done in but is about $5,350. That does not include additional costs for anesthesia, hospital stay, prescribed recovery medication, and a surgeon's fee. Some insurances may choose not to cover a rhinoplasty procedure because it is a cosmetic surgery and may not be medically necessary.

Therefore if you are combining the two surgical procedures, you may be required to pay for that part upfront. The average cost of deviated septum surgery in the US according to Costaide is $8, 131. The lower-end being $5,152 and the higher-end $12,633.

However, costs can vary from state to state and hospital to hospital. Most insurance companies will cover the cost of a septoplasty if they deem it absolutely medically necessary and as long as the surgeon and anesthesiologist are in-network with your insurance provider.

In some cases, the patient may have more complexities which may drastically affect the cost of the procedure. For example, if the patient has to undergo more procedures, needs a more experienced surgeon, and needs to prolong his stay in the hospital.

Although the procedure is relatively quick, the recovery time for a septorhinoplasty can be expected to take from six months to a year. After the procedure, patients will generally need to wear a splint or cast on their nose while it heals. Around a week after surgery, the cast is removed and patients can go back to work.

There is usually swelling that will develop under the eye area but will gradually subside over a month. The nose will continue to heal for a year after the surgery is done and regular check-ups will be required during that time.

The best way to speed up the recovery process after a septorhinoplasty is to stay in bed for a few days after the procedure. While you are resting make sure to keep your head elevated, its probably best to sleep with an extra pillow for the first two weeks after surgery. After surgery, you may feel a bit congested but avoid the urge to sniffle as much as possible and don't blow your nose.

The best way to keep your nose clean is to use a moistened cotton swab and warm water or hydrogen peroxide to gently clean your nose when necessary. Make sure not to engage in any strenuous activity until at least 2 weeks post-surgery. Strenuous lifting could lead to hemorrhage and will not only prolong the recovery period but cause additional damage as well. If you wear glasses, you may need to switch to contacts and refrain wearing them for 6-8 weeks after surgery.

There are some risks involved in both procedures such as excessive bleeding, clotted blood that needs to be drained, and numbness in the nose or lip area. It is uncommon but, in some cases of a septoplasty, the symptoms of nasal obstruction continue or return even after the procedure and additional surgery may be required. In most cases, a septoplasty will not change the nose (other than the position of the septum) or the shape of the nose.

To decrease the chances of bleeding and swelling after the procedure, get plenty of rest and make sure to keep your head elevated when you're sleeping. Wear clothing that is loose in the front to avoid causing harm when putting on and taking off your clothes. With a rhinoplasty, there are some additional risks such as scarring, discoloration that doesn't go away, pain that persists, and the possibility of an uneven nose.


One way to reduce the risk factors is to research surgeons before you select someone to operate on you. There are many different types of surgeons who can perform septorhinoplasties. Look for a surgeon who specializes in this procedure for your best bet at optimal results. You also want a surgeon who is recommended to you by other doctors as a sure sign of his skill and professionalism.

Make sure you research the facility where you will have the procedure done and speak to the surgeon in advance and make sure he can explain to you what the procedure entails and you are comfortable with how he responds to your questions and concerns.

Sources:

Rhinoplasty - Mayo Clinic

Tips for a Fast Rhinoplasty Recovery

Rhinoplasty Cost | American Society of Plastic Surgeons

Can Rhinoplasty Correct A Deviated Septum?


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Septoplasty and Rhinoplasty Surgery: Answers to Common Questions

Balloon Sinuplasty Surgery for a Deviated Septum: Plain English Guide for Patients

The Ultimate Guide to Septorhinoplasty

Deviated Septum Surgery Videos: Best Videos Showing the Procedure, Before & After, Recovery, and More

Filed Under: Rhinoplasty

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