The nose is partitioned in the middle by the Nasal Septum, which is made out of cartilage. Sometimes, due to injury or simply because it has grown that way, the septum may be bent or deviated to one (or both) sides, causing blockage by reducing the area available for air to flow through. The operation of Septoplasty is used to correct this abnormality.

In essence, a Septoplasty straightens a bent / deviated nasal septum and corrects it, as far as possible, back to the midline. The procedure is done internally, through the nostrils, without the need for external incisions. Septoplasty may be combined with other nasal operations aimed at other aspects of nasal structure.

There are no black eyes after the surgery and the outward shape of the nose is unaltered, except at the base (ie the columella) where the shape of the nostrils may change once the twisted edge of the nasal septum has been corrected. Occasionally, the edge of the cartilage at the columella cannot be altered as it supplies crucial support for the nasal tip. This surgery is carried out under general anaesthesia and takes about 30-60 minutes, depending on how difficult the case is, (i.e. how badly bent the septum is).

Septoplasty is a common procedure and is not very painful.

After the Surgery

You may awake with some packing in your nose to stop any bleeding. If present, this should be left alone and will be removed by your nurse when appropriate. You will be nursed with the head of the bed slightly elevated and it is probable that you will have to breathe through your mouth.

You will be conscious but quite drowsy on your return to your room. Relatives are of course welcome. You may eat and drink anything you wish. You may be able to go home the same day, as long as there is a capable, responsible person at home to look after you. If the surgery was extensive, there is a slight risk you may have to stay in hospital overnight to ensure there is no trouble with bleeding.

Your nurse will arrange your discharge medications.

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A decision to undertake a Rhinoplasty is not one to be taken lightly. It is a complex procedure which should only be provided by those who specialize in this area, who are expert at it and who have a flair for it, with many years experience. Since a Rhinoplasty is carried out to improve life-quality, rather than save life – it is an operation that requires careful consideration.

Mr. Marais has over 20 years of Rhinoplasty experience and carries out over a hundred cases every year. Some of these are amongst the most complex reconstructive cases around, who have previous trauma, surgery, breathing problems, sinus infections, allergy etc. Many have been referred by other ENT and Plastic Surgeons for his expert management. He also deals with many pure cosmetic cases, since as a Rhinologist (a surgeon who deals purely with all forms of nasal conditions and abnormalities), he is ideally trained and equipped to deal with cosmetic concerns of the nose.

There are many different variations in Rhinoplasty surgery and after both an internal nasal and external nasal examination, Mr. Marais will be able to guide you through the process and help you understand the anatomic issues that need addressing and how to deal with these in a helpful, understanding way.

Types of Rhinoplasty

Broadly, Rhinoplasty is divided into two types: Internal and External. Each of these have specific indications, but essentially internal techniques are used for most simple cases, whilst more complex cases need to be done by the external technique.

  1. Internal technique:
    • Incisions are all internal
    • Limited internal access –meaning more complex anatomic abnormalities (eg nasal tip) are not easily or reliably dealt with.
    • Suitable for many straight-forward cosmetic cases
    • Healing time, bruising etc similar to External technique
  2. External technique:
    • Small (3-4mm) incision across columella (skin separating the nostrils)
    • Heals extremely well – often invisible by 4 weeks.
    • Provides surgeon with much greater access to problem areas of anatomy in the nose.
    • Provides ability to deal with all complex, major anatomic abnormalities of both the nasal pyramids and the septum

Using one of these two approaches a Rhinologist/Nasal plastic Surgeon can produce a number of very significant changes:

  1. Reduction Rhinoplasty: eg reduce a large nasal hump or irregularity.
  2. Augmentation Rhinoplasty: eg build up a saddle deformity (sunken area above tip)
  3. Septoplasty: eg: Correct a deviation in the nose’s central cartilage to improve breathing
  4. Scoliosis correction: eg: straighten a bent nose
  5. Tip Rhinoplasty eg: improve an asymmetric, bulbous or boxy nasal tip. Perhaps also to lift or lower the nasal tip position

Before and After Pictures

Case 1:

Before After

Case 2:

Front View Before Front View After

Lateral View Before Lateral View After

Case 3:

Front View Before Front View After

Lateral View Before Lateral View After

By making an appointment to see Mr. Marais, you will be providing yourself with an opportunity to understand everything that is involved in a relaxed, no-stress situation. He with carry out pre-op photography and the before-and-after prints are yours to keep.

Mr Marais will not charge you for your initial consultation, if you proceed with the Rhinoplasty, in order to try and reduce your costs.

Go to the “Directions” and “Contact” pages to see the most convenient hospital for you and the telephone number to book a free consultation for your Rhinoplasty.

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Contact us at 01895-821327 to learn more about Septoplasty & Rhinoplasty.

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