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Septoplasty - procedure and recovery

Goficure - Blog Page - Septoplasty – procedure and recovery (Blog Post) Last Updated April 8, 2024

Overview

Septoplasty is a nasal surgery performed on people experiencing breathing problems, head pain, nasal congestion, and sinus problems due to a deviated septum.

A deviated septum occurs when the nasal wall or the septum is crooked or deviated. Septoplasty restores normal breathing function by unblocking airflow and provides relief to the debilitating symptoms.

A septoplasty procedure is safe and minimally invasive. It significantly improves nasal symptoms like breathing difficulties, nasal pressure, and snoring problems. It improves sleep quality, and your mental well-being, and enhances the quality of life.

How long does septoplasty surgery take?

A septoplasty procedure is a simple procedure that can be performed conveniently in an outpatient setting. Most procedures take 30 to 60 minutes. Some people may need a septorhinoplasty (nose job), a combination of septoplasty for deviated septum, and rhinoplasty (a cosmetic procedure to fix the shape of the nose).

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What are the steps of septoplasty?

Septoplasty procedure steps are as follows:

Step 1 – anesthesia

Septoplasty is an in-office procedure and is mostly done under local anesthesia. The doctor will inject a pain-numbing medication to numb the area. During septoplasty, the anesthetic is directly injected into the nasal tissues. You will be awake during the surgery but not feel any pain or discomfort. The doctor may also choose to inject intravenous (IV) sedation.

In more complicated cases, the doctor may prefer to perform the surgery under general anesthesia.

Step 2 – making the incision

The procedure is done inside the nose. The aim is to reposition and align the nasal septum into its correct place. A half-inch small incision is made in the side of the nose to lift the mucosa that covers and protects the septum.

Step 3 – separation of the mucosal lining

This is a crucial step. The mucosal lining is fragile and is gently lifted from the septum. Care is taken not to make a hole or tear in the mucosal lining.

Step 4 – correction of the deviated septum

The doctor may trim and remove some sections of the cartilage and bones to reposition and reshape the septum and other nasal structures. The mucosal lining is left behind.

Step 5 – closure of the mucosal lining

Once the deviated septum is straightened and repositioned, the mucosal lining is repositioned in its place and sutured back with dissolvable sutures.

Step 6 – placement of splints

Soft splints or padding are placed to prevent nose bleeds, keep the nasal tissues in place, and prevent scar tissue formation. The splints can be removed after a week.

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What is septoplasty surgery recovery time?

Initial recovery from septoplasty may take place within a week. The swelling may subside within three to four days. Normal activities can be resumed within 3-4 weeks. Full recovery may take three to six months or even a year.

How to recover from septoplasty surgery?

Complete recovery from septoplasty surgery may take some time.

Septoplasty recovery day by day post-surgery:

Day one to day two:

On the first day of your surgery, you will feel some discomfort, nasal swelling, and congestion.

You may experience some nose drainage for the first one to three days. This is normal.

Keep your head elevated even when you are sleeping. This helps to reduce the nasal bleeding or inflammation.

Stay away from strenuous activities and take full rest.

Do not blow your nose under any circumstances. This may dislodge the splints and impact the incision area.

Get your appointment fixed with your doctor about the removal of your dressing, splints, and paddings.

You should plan to take a week off from work.

Wear contact lenses instead of glasses to avoid injury or pressure on the nose.

Day two to the first week:

The symptoms of swelling, nasal drainage, and bruising will gradually improve within the first week of surgery.

You can slowly resume your normal activities but refrain from heavy-duty work.

Continue to refrain from blowing your nose as this may disrupt the healing process.

Keep attending follow-up appointments with the doctor.

Week two to six weeks:

As you start healing, you can gradually increase your activities and resume some light exercises. Under no circumstances should you indulge in contact sports or lift heavy loads.

Take precautions for nasal care. Continue nasal sprays and avoid blowing your nose.

Follow a well-balanced and nutritious diet that boosts your healing process.

Week seven to one year:

Complete healing of the nasal cartilage, bones, and tissues may take six months to a year. With passing days, you will experience improvement in nasal breathing and nasal functions.

By this time, you can resume all your normal activities and even follow your normal exercise routine.

As you see a significant improvement, keep visiting your doctor for a thorough checkup post-surgery.

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What are the long-term recovery tips after a septoplasty surgery?

After a septoplasty, follow these essential tips to continue the healing process and manage any residual discomfort or soreness:

  • Sleep on your back for the first one or two months
  • Keep your head elevated. Take one or two pillows to rest your head
  • If you are experiencing lingering discomfort, consult your doctor and take some over-the-counter (OTC) medications for relief
  • Apply saline nasal sprays or sinus irrigation to keep the inside of your nose moist. This prevents nose bleeding
  • Keep away from environmental pollutants or irritants like smoke, dust, or allergens
  • Keep yourself hydrated and follow a healthy diet for your overall health

Final words

Recovery after a septoplasty is fairly quick and you can see improvements in your breathing and other nasal conditions in a short time. Though septoplasty is a common and minor procedure, adequate rest and following the recovery instructions are needed to heal completely from the surgery. After the surgery, you can experience definitive improvement in your symptoms but full recovery of the nasal cartilage and tissues may take months and even a year. It is important to follow adequate precautions to prevent further damage to the nose which may need secondary surgery.

Dos
  • Sniff gently if you have an urge to blow the nose to avoid rupturing the tissues during recovery
  • Take short walks post-surgery to boost blood circulation
  • Eat a fiber-rich diet to avoid constipation. Straining during bowel movements can cause nose bleeding
Don'ts
  • Fly on planes during the recovery period post-septoplasty surgery
  • Eat spicy or hot foods as it can irritate the nose or exacerbate nose swelling
  • Blow nose as it can cause nasal bleeding and damage the healing nasal tissues

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