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MESSAGES TO
Deviated Septum, Septoplasty & Rhinoplasty

Deviated Septum, Septoplasty & Rhinoplasty

A DxD Session with Dr Valerie Tay


Ended on Mon Dec 31 2018
Ended
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Top Answers


Hi Kale

I'm sorry to hear that you're unhappy with your results.  It's always such a leap of faith to undergo facial plastic surgery, and I can understand your concerns. 

Most revisions should take place at least 6-12 months after the initial surgery, to allow time for the swelling to resolve.  These include further nasal tip refinement or persistent deviation of the nose.

However, early revision can be done for slippage/migration of grafts or implants, as well as nasal bones that are asymmetrical. 

This is intended only as a brief summary, and should not take the place of a formal medical consultation.

For specific information regarding your revision surgery,  you should always consult a plastic surgeon or ENT surgeon trained in facial plastic surgery.

21 Nov 2018

Hi Xiang Yin

ENT surgeons will do a thorough examination of your nose, including a video nasoendoscopy (nose scope) to asses if you have a deviated septum.

Sometimes, it is obvious like the photo below.

But in many patients, the deviation can only be seen with the video nasoendoscopy that all ENT specialists have in their clinic.

12 Dec 2018

A septoplasty is done to address a deviated nasal septum, especially if you experience frequent nasal obstruction, that is not able to able to be controlled with medications.    

It can open up the space in the the nasal passages so that you can breathe better, sleep better, and overall have more energy in your daily life! 

12 Dec 2018

The nasal septum is the wall that divides the left and right side of the nose. 

The following photograph, which shows a severely deviated nasal septum, clearly illustrates how a deviated nasal septum causing poorer air flow on the side of the deviation

12 Dec 2018

Septoplasty alone to address a deviated nasal septum is not meant to change the shape and appearance of your nose, the aim is to improve the breathing and nasal obstruction.

 

 

A rhinoplasty can also be done at the same time (Septorhinoplasty) to change the external appearance and shape of the nose.

When the deviated septum is mainly "internal", it is not necessary to perform a rhinoplasty at the same time to correct the shape of the nose. 

However, in some cases, if the deviated septum and the external nose is deviated as well, then the combined Septorhinoplasty procedure would be medically necessary.

Septorhinoplasty can be functional or cosmetic, this will depend on the assessment by your surgeon at the time of consultation.

12 Dec 2018
I would roughly put it as btwn $7000- >$20,000

This depends on whether it's a first surgery or a repeat (revision) surgery, the complexity and time needed for the operation, the use of implants or graft harvest from other parts of your body, and of course the surgeon's experience and facility fees of the operating theatre.

The cheapest rhinoplasty will be the "simple" rhinoplasty which is that of inserting an implant into the nose, but that will usually not give the best results.  

28 Jan 2019

A septoplasty alone to address a deviated nasal septum is not meant to change the shape and appearance of your nose, the aim is to improve the breathing and nasal obstruction.

As such there will be no change in your appearance post-operatively, unless there has been excessive removal of the septum, which is very uncommon in the hands of most experienced ENT surgeons.  

The down time is about 2 weeks or so, where you will experience nasal congestion, blood stained mucus during the recovery period.  I generally advise patients to avoid vigorous exercise for about 2 weeks.

There generally isn't much pain but patients may experience headaches or tenderness over the tip of the nose.  Medications typically comprise painkillers, nasal saline wash, and depending on the surgeon, sometimes decongestants and antibiotics.

28 Jan 2019

Septoplasty alone to address a deviated nasal septum is not meant to change the shape and appearance of your nose, it is to improve the breathing and nasal obstruction.

A rhinoplasty can also be done at the same time (Septorhinoplasty) to change the shape of the nose.

Septorhinoplasty can be functional or cosmetic, this will depend on the assessment by your surgeon at the time of consultation.

12 Dec 2018

After the septoplasty or rhinoplasty, for about  2 weeks or so you will experience nasal congestion, blood stained mucus during the recovery period.  This will lead to temporary loss of your sense of smell due to the nasal obstruction. 

Thereafter, the risk of loss of the sense of smell after the surgery (that lasts <6 mths)  is uncommon, and has been reported to occur in  <1% of patients. 

28 Jan 2019

Septoplasty alone to address a deviated nasal septum is not meant to change the shape and appearance of your nose.

A rhinoplasty can also be done at the same time (Septorhinoplasty) to change the shape of the nose.

Septorhinoplasty can be functional or cosmetic, this will depend on the assessment by your surgeon at the time of consultation. 

12 Dec 2018

Septoplasty is necessary if you experience frequent nasal obstruction, that is not able to able to be controlled with medications.

It can also be part of the therapy for obstructive sleep apnoea (OSA).

If a deviated nasal septum is left untreated, the symptoms of nasal obstruction will persist.  If the problem is part of the spectrum of OSA, then long term complications of OSA such as high blood pressure, heart problems and increased risk of stroke may occur. 

12 Dec 2018

Top Questions


What are the main steps during a septoplasty, and how long does the whole procedure take?

I'm a 38 year old female. In the past year, I've noticed that my nose has shown signs of 'saddling'. What can I do about the appearance of my nose?

I had a septoplasty 5 years ago. Over the last 1 year, I noticed that my nose showed signs of saddling. What could cause this, and how can I fix it?