Septorhinoplasty
Septorhinoplasty is a surgical procedure that combines two important aspects of nasal surgery: septoplasty and rhinoplasty. This complex procedure can help to improve both the function and aesthetics of the nose. Whether you’re considering septorhinoplasty for medical reasons or to enhance your facial appearance, this comprehensive guide will provide you with all the information you need to make an informed decision about the surgery.
Understanding Septorhinoplasty
Septorhinoplasty is a surgical procedure that addresses both the internal structure (septum) and external appearance (nose shape) of the nose. This procedure is commonly performed by otolaryngologists (ear, nose, and throat specialists) and plastic surgeons. It is a versatile surgery that can address various nasal issues, ranging from medical concerns like breathing difficulties to cosmetic concerns like the shape and size of the nose.
Length of surgery
2-3 Hours
Anaesthetic
General anaesthetic
Hospital stay
Usually home the same day
Time off work
1 to 2 weeks
Time off exercise
6 weeks
Time to fully settle
18 months
Post-op care
May require steroid nasal spray and saline nasal douche
The benefits of Septorhinoplasty
Septorhinoplasty may be benefical for a number of reasons, these include:
Functional Issues: Septorhinoplasty can correct structural problems within the nose, such as a deviated septum, that obstruct airflow and cause breathing difficulties.
Cosmetic Concerns: Many individuals opt for septorhinoplasty to improve the appearance of their nose. Common cosmetic goals include refining the nasal tip, reducing or augmenting the size of the nose, or correcting asymmetry.
Trauma: In cases of nasal trauma or injury, septorhinoplasty can help restore the nose’s form and function.
Congenital Deformities: Some individuals are born with congenital nasal deformities. We can correct these issues through septorhinoplasty.
Combined Procedures: Often, we will combine septorhinoplasty with other facial procedures to achieve a harmonious facial appearance.
Septorhinoplasty Surgery
Before undergoing septorhinoplasty, you will go through a comprehensive preoperative process, which includes:
Consultation:
You will meet with your surgeon to discuss your goals, medical history, and assess your suitability for the procedure. Your surgeon will also explain the risks, benefits, and expectations.
Physical Examination:
We will conduct a thorough examination of your nose and facial structure. This may include photographs, measurements, and nasal endoscopy to evaluate the internal nasal structure.
Medical Evaluation:
Your surgeon will review your medical history and may request additional tests, such as blood work and imaging, to ensure you are in good health for surgery.
Discussion of Expectations:
It’s essential to communicate your expectations and desired outcomes with your surgeon. Realistic expectations are crucial for satisfaction with the results.
Preoperative Instructions:
You will receive detailed instructions on preparing for surgery. This may include discontinuing certain medications, quitting smoking, and fasting before the procedure.
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The Septorhinoplasty Procedure
Septorhinoplasty is typically performed in a hospital or surgical center under general anesthesia or local anesthesia with sedation. The procedure can split into key steps:
Please click the toggle to learn about the Septorhinoplasty process.
The procedure
Incisions: Depending on the complexity of the surgery, we will make incisions on either inside the nostrils (closed approach) or across the columella (the narrow strip of tissue between the nostrils, open approach).
Septoplasty: The first step is septoplasty, where we will straighten the deviated septum, and remove any obstructions to improve airflow.
Rhinoplasty: The second step involves reshaping the external structure of the nose. This may involve reducing or augmenting the size, refining the tip, correcting asymmetry, or addressing other cosmetic concerns.
Sutures and Splints: After we make the desired changes, we will close the incisions with sutures, and nasal splints or we will pack the inside the nostrils to support the new nasal structure during the initial healing phase.
The duration of the surgery varies depending on the complexity of the procedure but typically ranges from one to three hours.
Recovery and Aftercare
The recovery period following septorhinoplasty is crucial for achieving the best results. Here are some key points to keep in mind:
Initial Recovery: You will likely experience some swelling, bruising, and discomfort in the days following surgery. Pain medication and cold compresses can help manage these symptoms.
Rest and Elevation: It’s essential to rest with your head elevated to reduce swelling. Avoid strenuous activities and keep physical exertion to a minimum during the early stages of recovery.
Follow-Up Appointments: You will have several follow-up appointments with your surgeon to monitor your progress and remove any splints or sutures.
Diet and Medication: Follow your surgeon’s instructions regarding your diet, medication, and any restrictions on activities like smoking.
Resuming Normal Activities: Most patients can return to work or school within one to two weeks, although will may ask you to avoid strenuous activities for several weeks to allow for complete healing.
Swelling and Final Results: It may take several months for the final results of septorhinoplasty to become apparent as residual swelling subsides. Patience is key during this phase.
Risks and Complications
As with any surgical procedure, septorhinoplasty carries some risks and potential complications. It’s important to be aware of these, although they are relatively rare. Risks and complications may include:
- Infection
- Bleeding
- Scarring
- Anesthesia-related complications
- Altered sensation in the nose or surrounding areas
- Unsatisfactory aesthetic results
- Revision surgery may be necessary in some cases
Expected Results
The results of septorhinoplasty can be highly rewarding, both functionally and aesthetically. Here’s what you can expect:
Improved Breathing: If you underwent septorhinoplasty for functional reasons, you should experience a significant improvement in your ability to breathe through your nose.
Enhanced Appearance: If you had cosmetic concerns, you will notice improvements in the shape and appearance of your nose. It may take some time for the full aesthetic benefits to become apparent due to post-surgical swelling.
Boosted Confidence: Many patients report increased self-confidence and satisfaction with their appearance after septorhinoplasty.
Natural-Looking Results: Skilled surgeons aim to achieve results that look natural and harmonious with your overall facial features.
Dr Amir Sadri – Specialist Nose Surgeon
Septorhinoplasty is a versatile surgical procedure that addresses both functional and aesthetic concerns related to the nose. It offers patients the opportunity to improve their breathing and enhance their facial appearance simultaneously. If you’re considering septorhinoplasty, Please book a consultation. While the recovery process may require patience, the potential benefits and increased quality of life can make it a transformative experience for many individuals.
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