Nasal septum plastic surgery (septoplasty)

Curved nasal septum is not only an aesthetic defect but also the main cause of such symptoms as  breathing disorders, snoring, chronic sinusitis, nosebleeds, and hearing impairment. Operation on the elimination of the nasal septum deformity is the responsibility of plastic surgeons and is called septoplasty. It can be carried out along with the elimination of defects of the outer part of the nose, rhinoseptoplasty.

Deflection of the nasal septum is eliminated in different ways but the most common methid is laser septoplasty. The result of the effective correction of the defects by the skilled surgeons in the field of the nasal plastic surgery at GRACE Center is not only the elimination of an external defect but also the relief of the above symptoms.

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What is septoplasty?
Septoplasty is a surgical intervention that is performed to restore the anatomical shape of the nasal septum and to eliminate the nasal breathing disorders.

Duration of the operation: 40-120 minutes

Rehabilitation: 7-10 days:

Our approach to septoplasty

  • Choosing the new, most natural and harmonious shape of nose taking into account the physiological characteristics of the patient.
  • Increased attention to the safety of Patients.
  • Reduction of rehabilitation period 2-3 times in comparison with other clinics.

Indications for surgery

  • Blockage of the nasal passage.
  • Chronic edema of the nasal mucosa that causes allergic rhinitis.
  • Chronic inflammation of the nasal sinuses (sinusitis).
  • Frequent colds.
  • Frequent nasal bleeding.
  • Dryness and itching in the nasal cavity, pain in the facial area, headaches due to the curved septum.
  • Snoring during sleep.

Types od septoplasty
Endoscopic septoplasty is a conservative, low-traumatic surgical intervention that is performed by incision on the inner nasal mucosa.

The advantage of this type of incision is that there are no scars and signs of surgical intervention on the face after it. Methods on conduction of this septoplasty at GRACE are aimed at preserving the aesthetic result avoiding scarring and cicatrization as well as they ensure the most comfortable and short rehabilitation period.

In the classical case, upon endoscopic septoplasty, incisions are made on the small areas of the septum the correction of which will allow to return the septum at its proper place and restore its functioning. During the operation, the nasal mucosa exfoliates with the subsequent preservation of its integrity

Laser septoplasty is performed without stitches using a laser beam.

The advantages of the procedure are the absence of bleeding and low traumatism. In addition, the laser beam exhibits pronounced antiseptic properties that significantly reduce the risk of infection and complications after the intervention. Rehabilitation after laser septoplasty is quick and is not accompanied by serious pain. Also, there is no need of tight tampons (weak drains).

The deviation of the nasal septum and its causes
The nasal septum is an area of bone and cartilaginous tissue that divides the nasal cavity into two parts. In the case of curvature, its position shifts from the middle line to one side. There are physiological, traumatic, and compensatory causes of the nasal septum deviation.

Physiological features. They include the uneven growth of bone and cartilage tissue which occurs
simultaneously with the development of the whole body. In such cases, the nasal septum is shifted to the
side along with the formation of prominences (crests, thorns).

Traumatic factors. This reason is less common and is mostly observed in athletes. Sometimes the
septum deviation may appear after falls and injuries. If the septum is curved as a result of trauma or fracture, various complications may arise. Even in the case of minor injuries, especially those occurred in childhood, the development of bone-cartilaginous tissue of the nose is impaired that can cause the deviation of the nasal septum

Compensatory causes. This situation includes the presence of a foreign body and polyps in the nasal cavity as well as adenoids and other formations. Also, it includes vasomotor rhinitis manifested by swelling of the nasal mucosa.

 
Possible complications
After septoplasty, a patient will experience minor discomfort due to partial blocking of the airways;
swelling and irritation also occur. These symptoms will resolve in a few days. In rare cases, bleeding,
inflammation, change or loss of sense of smell are possible.

However, the ten-year experience of physicians at GRACE, the use of high-quality technologies and
medications and careful approach at GRACE to the safety minimise the incidence of the above-listed
risks.

Self-preparation for surgery

  • 14 days before surgery, you should stop taking hormones and aspirin-containing drugs. In case this cannot be done, it is necessary to tell the surgeon about the systematic administration of these medications. Simultaneously, you should quit smoking or minimise it up to 2 cigarettes a day.
  • 7 days before surgery, it is necessary to exclude spiced and fatty foods as well as stop drinking alcohol.
  • In the evening before surgery, you should not take any food as for safe anesthesia, the stomach must be empty before surgery.
  • In the morning on the day of surgery, when arriving at the clinic, you should have comfortable clothes, personal hygiene products, spare underwear and all necessary documents and test results with you.

Attention should be paid to adequate rest and balanced nutrition. In some cases, the intake of vitamins or, in case of serious operations, preparations containing iron are prescribed.
The course of complete rehabilitation

Day 2 Discharge from the inpatient unit, it is allowed to have a shower.
Week 2 Removal of the residual stitches. Returning life to normal
After 1 month It is allowed to visit the sauna, fitness centre.
After 1.5 month You can evaluate the result of an operation.

Specific aspects of the postoperative period

  • During first 2 days, a patient should stay in the inpatient unit a hospital and have rest. In the case of painful sensations, the doctor prescribes her painkillers.
  • During 7 days after surgery, the patient should wear a special bandage. During this period, it is recommended to sleep on the back with an elevated head (on a high pillow). Also it is forbidden to blow your nose
  • During one month, steam baths, sauna, solarium, and sunbathing are prohibited as well as doing active sports and swimming.
  • During 2 months, the skin of the nose area should be treated especially carefully, the mechanical cleansing of the face is contraindicated. In addition, doctors strongly recommend not to wear glasses.

During rehabilitation period, food rich in vitamins, microelements and all necessary substances should be included in a patient’s diet

Detailed consultation is the key to a successful operation
The duration of the primary consultation on septoplasty at GRACE lasts on average 40-50 minutes. This time is necessary to discuss with the patient her medical history, previous injuries, allergic reactions and nose surgery. The surgeon discusses with a patient in detail all the problems that she experiences due to the nasal septum and its aesthetic properties. Then the doctor takes notes of the patient’s desires.

To ask questions, please contact us by phone: +38 (044) 499-70-00

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