Septo-Rhinoplasty surgery is a surgical procedure that involves the simultaneous correction of a deviated septum (Septoplasty) and the alteration of the external appearance of the nose (Rhinoplasty). This procedure is performed to address both functional and cosmetic concerns related to the nose.
It allows patients to improve their breathing and alleviate functional issues. This procedure is typically performed by an Otolaryngologists (Ear, Nose, and Throat surgeon) with extensive experience in both Septoplasty and Rhinoplasty surgery.
Download the 2023 Rhinoplasty Surgery Guide
This complete guide to nose surgery covers everything you need to know about this procedure, including:
- Your surgery explained
- How to assess if you are a suitable candidate.
- Planning for your surgery
- Answers to most frequently asked questions.
- Before and after gallery
- Learn more on Rhinoplasty
Who is a Suitable Candidate for Septo-Rhinoplasty Surgery?
Generally a suitable candidate for Septo-Rhinoplasty surgery is someone who has;
- Functional Issues: Patients should have a documented medical need for Septoplasty surgery due to a deviated septum that is causing significant nasal obstruction, difficulty breathing through one or both nostrils, chronic congestion, or snoring.
- Cosmetic Concerns: Patients should have specific cosmetic concerns about the external appearance of their nose, such as a dorsal hump, bulbous tip, asymmetry, or other features they wish to change.
- Realistic Expectations: Patients should have realistic expectations about the results of both the functional and cosmetic aspects of the surgery. The surgeon will discuss what can be achieved and what limitations may exist based on individual anatomy.
- Good Overall Health: Without significant medical conditions that could increase the risks associated with surgery.
- History of being a Non-Smoker: Smoking can interfere with the healing process and increase the risk of complications. Candidates are often advised to quit smoking several weeks before the procedure and to obtain from smoking for several weeks after the procedure.
The Outcomes of Septo-Rhinoplasty Surgery
Septo-Rhinoplasty Surgery has many possible outcomes for individuals who have both functional and cosmetic concerns related to their nose. Here are the possible outcomes of Septo-Rhinoplasty surgery:
Improved Nasal Function
Correcting a deviated septum (Septoplasty) can significantly improve nasal airflow, making it easier to breathe through the nose. This can lead to relief from chronic congestion, snoring, and difficulty breathing.
The Rhinoplasty component focuses on reshaping the external appearance of the nose. This can include refining the nasal bridge, tip, and overall symmetry.
Addressing Both Functional and Cosmetic Aspects
Combining Septoplasty and Rhinoplasty surgery ensures that both the functional and aesthetic aspects of the nose are addressed simultaneously.
Septo-Rhinoplasty surgery allows for a personalised approach to address each patient’s unique concerns and goals, ensuring that the results align with their expectations.
Single Recovery Period
While Septo-Rhinoplasty surgery is a complex procedure, it requires only one recovery period for both functional and cosmetic aspects, reducing overall downtime compared to undergoing separate surgeries.
Septo-Rhinoplasty – The Procedure
Although every surgery is tailored to the patient’s needs, the steps are generally as follows:
Septo-rhinoplasty is typically performed under general anesthesia, which means the patient will be unconscious and pain-free during the surgery.
Depending on the specific surgical plan and the extent of the Rhinoplasty component, the surgeon will make incisions. These incisions are typically made inside the nostrils (Closed Rhinoplasty) or across the columella (the strip of skin between the nostrils) and inside the nostrils (Open Rhinoplasty).
Septoplasty (Functional Component)
- The surgeon begins with the Septoplasty, the functional aspect of the procedure.
- The deviated portion of the septum is repositioned or removed to improve nasal airflow and address functional issues, such as difficulty breathing, snoring, and chronic congestion.
Rhinoplasty (Cosmetic Component)
- After completing septoplasty, the surgeon focuses on the cosmetic aspects of rhinoplasty.
- The surgeon may reshape the nasal bones and cartilage to address cosmetic concerns, such as a dorsal hump, bulbous tip, or asymmetry.
- Tissues may be added or removed to create the desired shape and proportions, and the skin is re-draped over the newly shaped framework.
- The surgeon considers the patient’s facial features and goals.
Suturing and Closing Incisions
Once the necessary changes have been made, the surgeon meticulously sutures the incisions to promote healing. If external incisions were made (open rhinoplasty), the sutures are typically very fine and well-hidden.
The patient is carefully monitored as they wake up from anesthesia.
It is important to consult with a qualified Otolaryngologist (ENT specialist) who specialises in Septo-Rhinoplasty surgery to discuss your specific needs, goals, and expectations. They can provide a comprehensive evaluation and create a treatment plan tailored to your individual case.
Risks and Complications
Some of the complications that can follow your septoplasty or rhinoplasty include;
- Wound infection
- Hematoma (swelling caused by blood buildup)
- Seroma (swelling caused by fluid buildup)
- Numbness around the nose and upper lip
- Changes in the sense of taste or/and smell
- Perforated septum (possible after septoplasty)
All surgery has risks – for detailed information about the risks and potential complications of Septo-Rhinoplasty Surgery please visit the risks of surgery page.
Recovery from Septo-Rhinoplasty surgery involves several important steps and considerations to ensure a smooth healing process. Here are the key recovery steps and what to expect following the procedure:
Pain and Discomfort
- You can expect some degree of discomfort, pain, and congestion in the days following the surgery.
- Your surgeon will prescribe pain medications or recommend over-the-counter pain relievers to help manage discomfort.
Nasal Packing and Splints
- Nasal packing or splints inside the nose are often used to stabilize the septum during initial healing. These are typically removed within a few days to a week after surgery.
Swelling and Bruising
- Swelling and bruising around the eyes and nose are common but are generally mild and temporary.
- Cold compresses can help reduce swelling.
Follow Postoperative Instructions
- Follow your surgeon’s postoperative instructions carefully. This may include using saline nasal sprays or irrigation to keep the nasal passages moist, avoiding strenuous activities, and refraining from blowing your nose forcefully.
Resuming Normal Activities
- Your surgeon will provide guidance on when it is safe to resume regular activities, including work and exercise.
- This varies from person to person but is typically within a few weeks.
- While you may notice some immediate improvement in nasal breathing, it may take several weeks to months for the results of septo rhinoplasty surgery to become apparent as swelling subsides and the nasal tissues heal.
- Attend all scheduled follow-up appointments with your surgeon to monitor your progress, ensure proper healing and address any concerns or complications that may arise.
Results and Symptom Relief
- Over time you should experience improved nasal function, reduced congestion, and relief from symptoms related to the deviated septum.
It is important to have realistic expectations about the recovery process and to be patient as your body heals. If you experience severe pain, heavy bleeding, signs of infection, or any unusual symptoms after Septo-Rhinoplasty surgery, contact your surgeon promptly for evaluation and guidance. The specific recovery timeline can vary from person to person, so it is essential to follow your surgeon’s advice for a full recovery.
How Much Does Septo-Rhinoplasty Surgery Cost
The cost of Septo-Rhinoplasty surgery can vary significantly depending on various factors, including the surgeon’s experience and reputation, the complexity of the procedure and which hospital it is performed in . Additionally, the cost may also include fees for anesthesia, facility use, preoperative tests, and post-operative care.
In some cases, health insurance may cover Septo-Rhinoplasty surgery if it is considered medically necessary to address breathing difficulties or other functional issues. Cosmetic aspects of the surgery are typically not covered. Check with your insurance provider to understand your coverage.
To get an accurate cost estimate for your specific case, it is recommended to schedule a consultation with a qualified and experienced surgeon. During the consultation, the surgeon will evaluate your individual needs, discuss your goals, and provide you with a personalised treatment plan along with a detailed cost breakdown.
FAQ’s about Septo-Rhinoplasty
Can I wear glasses after surgery?
Avoid wearing spectacles or sunglasses for at least six weeks, as they can leave little divots on the sidewall of the nose. Discuss the various options with your surgeon if you can’t use contact lenses.
Will I be able to sneeze?
Since you cannot stop the sneezing reflex sneezing through the mouth instead of the nose is advisable.
Can I smoke before or after surgery?
Preferably no smoking for at least 4 weeks before and after surgery.
Can I fly after the Septo-Rhinoplasty?
Flying is not a problem after nasal surgery, even the day after but pressure changes and air dryness can be uncomfortable.
How long will I stay at the hospital?
In most cases, patients stay overnight, but some can go home on the same day of surgery.
Further Reading – Medical Resources
- What is Septo-Rhinoplasty? | Pacific Neuroscience Institute
- Quality of life before and after septoplasty and rhinoplasty – PMC
- Septo-Rhinoplasty | healthdirect
Always Choose a qualified, experienced Surgeon in Septo-Rhinoplasty Surgery
Be sure to find out if your surgeon is FRACS (Fellow of the Royal Australasian College of Surgeons) qualified and has proven and relevant surgical experience.
Coco Ruby is an Australia-wide Specialist Plastic Surgeons Group, with the appropriate qualifications and members of recognised associations. Look for members of FRACS (Fellow of the Royal Australasian College of Surgeons), ASPS (Australian Society of Plastic Surgeons), ASAPS (Australian Society of Aesthetic Plastic Surgeons) or ISAPS (International Society of Aesthetic Plastic Surgeons) as some of the qualifications of your Surgeon.
Dr Stephen Kleid – Ear Nose and Throat Surgeon
MBBS – Bachelor of Medicine/Bachelor of Surgery and Bachelor of Medicine
FRACS – Fellow of the Royal Australasian College of Surgeons
Dr Stephen Kleid is an experienced Ear, Nose and Throat (ENT) Surgeon (Otolaryngologist) based in Melbourne with a passion for Rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
If you want to find out more about a procedure book a consultation.
Dr Stephen Kleid, an ENT (Ear Nose and Throat) surgeon based in Melbourne, brings years of experience to Septo-Rhinoplasty procedures. Each surgery is tailored to meet the specific needs of the patient, the outcome may not only change their appearance but also improve their breathing. He is a Member of the Australian Academy of Facial Plastic Surgeons (AAFPS), and the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS).
How to Book your Initial Consultation
- Email us below or Call on 1300 599 990 to arrange a consultation appointment with Dr Stephen Kleid OR
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- A Referral from your General Practitioner (GP) or from your Medical Specialist is required (as of 1st July 2023).
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Want more information before scheduling your Surgeon consultation?
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What to Bring to your Surgeon Consultation
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