Septoplasty or Repair of a Deviated Septum

A deviated septum is a condition that occurs when cartilage or bone causes an obstruction inside the nose and impairs breathing. The nasal septum is the wall dividing the nasal cavity into two halves. The ideal nasal septum is exactly in the middle, separating the left and right sides of the nose into equal passageways. The majority of all nasal septums are off-center, a condition that is generally not noticeable. A deviated septum occurs when the septum is severely shifted away from the middle, causing difficulty breathing through the nose. A septoplasty removes the portions of cartilage or bone that is causing the obstruction, and improves the patients ability to breathe. The incision is placed entirely inside the nose. Septoplasty can be performed alone or in conjunction with rhinoplasty to improve not only the function, but also the appearance of the nose. These procedures can also be combined with chin augmentation surgery in an effort to strengthen an otherwise “weak” profile. Septoplasty is not generally performed anyone younger than 15, because the cartilaginous septum grows until around that age. Above all, Dr. Aharonov strives for a natural and balanced effect that can dramatically enhance a patient's appearance.

A deviated septum can cause chronic sinusitis, or sinus infections, nasal congestion, blockage of one or both nostrils, frequent nose bleeds, facial pain, headaches, or post- nasal drip or snoring. A deviated septum can be something that you are born with, or it can be the result of nasal trauma, such as after a broken nose.

Dr. Aharonov is a leading Rhinoplasty Specialist, who is also a Board Certified Otolaryngologist. He has the knowledge, skill and experience to diagnose and correct various conditions causing difficult breathing.

Who Needs a Septoplasty or Repair of a Deviated Septum?

Dr. Aharonov may recommend surgery if your deviated septum is causing difficulty breathing, troublesome nosebleeds or recurrent sinus infections. During your consultation, Dr. Aharonov will inquire if you have ever had severe trauma to your nose such as a broken nose, or if you have had previous nasal surgery. Next, he will examine the general appearance of your nose, including the position of your nasal septum. He will inspect the inside surface of each nostril by using a bright light and a nasal speculum, which is a small instrument that gently spreads open your nostrils.

Septoplasty Surgery or Repair of a Deviated Septum

Septoplasty is a surgical procedure performed entirely through the nostrils. Therefore there is no bruising or outward signs of surgery, except perhaps some very mild swelling around the nose. The surgery may be combined with a Rhinoplasty, in which case the external appearance of the nose is altered and swelling or bruising of the face is evident. Septoplasty may also be combined with sinus surgery, if that is what you need.

The time required for the operation averages about 30 minutes, depending on the extent of the deviation. It is done on an outpatient basis in our surgery center. After the surgery, nasal packing is inserted to prevent excessive postoperative bleeding. During the surgery, badly deviated portions of the septum may be removed entirely, or they may be readjusted within the nose. If a deviated nasal septum is the sole cause for your chronic sinusitis, relief from this severe disorder will be achieved.

What Causes a Chronically Stuffy or Congested Nose?

Millions of Americans suffer the discomfort of persistent nasal stuffiness. The blockage may be related to structural abnormalities inside the nose or to swelling caused by allergies or viruses. There are numerous causes of nasal obstruction. A deviated  septum can be the result of abnormal growth or traumatic injury. This can partially or completely close one or both nasal passages.  Overgrowth of the turbinates is another cause of persistent nasal stuffiness. The turbinates are the tissues that line the inside of the nasal passages. Sometimes the turbinates need surgical treatment to make them smaller and open up the nasal passages. Treatments include injection, freezing, and partial removal. Allergies can also cause internal nasal swelling and congestion, and allergy evaluation and therapy may be necessary.

Aging is another common cause of nasal obstruction. This occurs when cartilage in the nose and its tip are weakened by aging.  This weakness causes the nose to droop due to gravity, causing the sides of the nose to collapse inward, obstructing air flow. Mouth breathing or noisy and restricted breathing are common, especially during inhalation. In these cases, external adhesive nasal strips may improve breathing.

What Treatment Is Needed for a Broken Nose?

Bruises around the eyes or a slightly crooked nose following injury usually indicates a fractured nose. If the bones are pushed over or out to one side, immediate medical attention is best. Once soft tissue swelling distorts the shape of the nose, waiting 48-72 hours for a doctor's appointment may actually help the doctor in evaluating your injury as the swelling recedes. You should apply ice while waiting to see the doctor. What's most important is whether the nasal bones have been displaced, rather than just fractured or broken.

For markedly displaced bones, Dr. Aharonov will often attempt to return the nasal bones to a straighter position under anesthesia. This is usually done within seven to ten days after injury, so that the bones don't heal in a displaced position. Many fractures are irregular and the nasal bones often won't pop back into place, therefore the procedure is successful only half the time. Displacement due to traumatic injury often results in compromised breathing. Corrective nasal surgery, typically septorhinoplasty or a combination of a septoplasty and a rhinoplasty, may then be chosen. This procedure is typically done on an outpatient basis, and patients usually plan to avoid appearing in public for about a week due to swelling and bruising.

Chin Implant or Chin Augmentation Surgery

A “weak” or receding chin can exaggerate the size of a normal nose and make an already prominent nose seem even larger. Cosmetically, the chin appears most balanced when it projects as far as the lower lip. It can make the neck to appear “fleshy” and cause the corners of the mouth to turn downward in an “unhappy” frown. An under developed chin can have an unbalancing effect on the facial features, giving the appearance of a flabby neck and profile, and exaggerate the nose.

A chin implant or chin augmentation aims to restore balance and harmony to the structure of the face. It can enhance the definition of the jaw line, and achieve balance with the nose and other prominent features.

Dr. Aharonov enhances an underdeveloped chin by placing an implant under the pad of the chin through a hidden incision. The implants are solid, but flexible and come in a variety of shapes and sizes to suit the particular needs of the patient. Combining chin enhancement with cosmetic nose surgery (rhinoplasty) can offer a solution to improving one’s profile and achieving the proper proportion of these facial structures.  For individuals with a naturally short neck, a chin implant can provide the illusion of a longer, slimmer neck, and eliminate the appearance of a double chin. Chin or Neck (submental) liposuction can further enhance the benefit of cosmetic Chin Implant  surgery. Whether alone, or in conjunction with a rhinoplasty (nose job) or neck surgery, chin augmentation can dramatically improve a patient’s appearance and self confidence.