The Impact of Septoplasty on Nasal Shape: What to Expect
During the septoplasty operations, cartilage areas of curved cartilage in the nose are usually taken with minimal traumatic techniques. When it is done with closed technique, curved cartilage regions are removed by preserving the areas serving as supportive tissues of the nasal septum. There is no change seen from the outside of the nose in this nasally operated operation. The nose may appear to be slightly wider for 1 week depending on the silicone tapes or lavender buffers placed into the nose after surgery. When the open technique is performed on the Septoplasty (usually the patients who are at risk of being affected by the curvature of the caudal septum, or the nasal support, which is the lower part of the nasal septum), short-term swelling at the tip of the nose may be observed for a long period of time forward and slightly upward It is made for lifting purposes!). During deviation surgery, septum cartilage should be preserved whenever possible. Particularly in patients with septic cartilage removed from the nasal region, falling and sagging at the tip of the nose may occur. These patients typically have a good nose breathing operation; within a few weeks after surgery, the nasal tip may recur in a complaint of sagging and nasal obstruction. Normally closed technique septoplasty surgeries do not cause any nasal changes in appropriate patients and after a careful surgical procedure. I would like to write the following questions and answers separately when asked quite frequently about this topic.
Does the septoplasty surgery change the shape of the nose? (Does the shape of the nose change after the surgery?): Do not expect any serious shape changes in your nose after the closed deviation surgery. As a result, your nasal bone will not be broken or crushed, and there will be no intervention in the cartilaginous parts of the supratip and nasal compartments, which are the area behind the tip of the nose. However, the deviations of the cartilaginous curvatures that can be seen from the outside of the nose tip may change slightly after the nose angle and shape. During septoplasty, if the septum cartilage is removed too much, collapse and nasal sagging may occur.Septoplasty surgery is usually used to mean correction of the curve in the nose septum. The back part of the nose septum is also bone.
Is the nose shape correct after the operation of the Septoplasty ?: Actually, this is a very important question. Nasal septum is located in the nose. If there is a curvature, a collapse, or a bulge that you can see from the outside, it is most likely the septum skew among the causes of this condition is not the first reason. During the surgery, curved areas are removed by maintaining the cartilage area at least 1 cm wide at the top and front of the septum. That is to say, if the cartilage areas near the outer side are curved, they can not be removed because they do not affect the breath very much. If you are looking for an improvement in the shape of the nose or an aesthetic change in it, you should consider "nasal aesthetic" or "nose tip aesthetic" surgeries!
The caudal part, the lowermost part of the nasal septum, is one of the most important supporting tissues carrying the tip of the nose. If the curvatures in this area are taken by simple closed surgery and a plain cartilage graft is not replaced, softness at the tip of the nose, nasal sagging, nausea spreading, and nasal obstruction may be seen again, as shown in the photographs of the following patient who underwent surgery in another clinic. There are usually many patients who apply in this way. Do not worry about these pictures. As long as nasal cartilage is preserved, there is no change in shape after the closed technique septoplasty operation.
Septoplasty is a surgical procedure designed to correct a deviated septum, a condition where the cartilage and bone dividing the nostrils is off-center. While the primary goal of septoplasty is to improve nasal airflow and alleviate breathing difficulties, many patients wonder whether the surgery will have any effect on the shape of their nose.
In this comprehensive 1500-word article, we'll explore the relationship between septoplasty and nasal shape. We'll discuss the factors that may influence changes in nasal appearance after the procedure, what patients can expect, and how to communicate your aesthetic concerns with your surgeon.
Understanding Septoplasty
Before delving into the impact of septoplasty on nasal shape, let's first grasp the basics of the procedure itself.
The Septoplasty Procedure
Septoplasty is a surgical intervention performed to straighten a deviated septum, allowing for improved airflow through the nasal passages. It's a commonly performed outpatient procedure that can be conducted under general anesthesia or local anesthesia with sedation.
The surgery typically involves the following steps:
Anesthesia: The patient is prepared for surgery by administering the chosen type of anesthesia. General anesthesia ensures that the patient is fully asleep during the procedure, while local anesthesia with sedation keeps the patient relaxed and pain-free.
Incision: An incision is made inside the nose to access the deviated septum. This incision is generally created on the side opposite the deviation.
Correction: The surgeon carefully reshapes and repositions the deviated portions of the septum. This may involve the removal of excess cartilage or bone.
Recovery: Once the necessary corrections have been made, the incisions are sutured, and any additional procedures, such as turbinate reduction or sinus surgery, are performed if necessary.
Closing: The incisions are closed, and the nasal tissues are allowed to heal naturally.
Splints or Packing: In some cases, the surgeon may place dissolvable packing or splints inside the nose to support the healing process.
Recovery and Monitoring: The patient is closely monitored as they wake up from anesthesia, and post-operative instructions are provided for recovery at home.
After the surgery, patients can expect some common post-operative experiences, including nasal congestion, swelling, and mild discomfort. These effects are typically temporary and should improve as the healing process progresses.
The Relationship Between Septoplasty and Nasal Shape
Now, let's address the central question: does septoplasty alter the shape of the nose? The answer is typically no, septoplasty is primarily focused on correcting the internal structure of the nose—the septum—rather than the external appearance of the nose. The primary goal of septoplasty is to improve nasal function, such as breathing, and alleviate associated symptoms, like chronic congestion or sinus issues.
However, it's essential to consider that there are cases where septoplasty might lead to subtle changes in nasal appearance. These changes are usually related to the following factors:
Pre-existing Nasal Deviation: In some individuals, a deviated septum may be accompanied by external deviations or asymmetries in the nose's shape. Correcting the internal deviation can sometimes result in slight improvements in the external appearance.
Additional Procedures: During septoplasty, if the surgeon identifies other issues affecting nasal function, such as enlarged turbinates or nasal polyps, they may perform additional procedures to address these concerns. These procedures can influence nasal appearance.
Patient-Specific Variations: The extent of deviation, the surgical technique employed, and the individual's unique anatomy all play a role in the potential impact on nasal shape.
Open Rhinoplasty: In some cases, patients may opt for a combination of septoplasty and an open rhinoplasty procedure, in which case they can expect changes in the external appearance of the nose.
While these factors can contribute to changes in nasal appearance, it's crucial to emphasize that the primary objective of septoplasty is functional improvement rather than cosmetic alteration.
Communication with Your Surgeon
If you have specific concerns about changes in nasal shape or appearance, it's essential to discuss them with your surgeon during the pre-operative consultation. An experienced surgeon will consider your aesthetic concerns and help you make an informed decision about the surgical approach that best aligns with your goals.
Combining Septoplasty with Rhinoplasty
Some patients seek both functional and aesthetic improvements to their nose. In such cases, a combination of septoplasty and rhinoplasty may be recommended. Rhinoplasty is a cosmetic procedure focused on enhancing the external appearance of the nose.
Here are a few key points to consider when combining septoplasty with rhinoplasty:
Comprehensive Improvement: Combining both procedures allows for a comprehensive approach to address both functional and aesthetic concerns.
Single Recovery: Patients undergoing both procedures at once will experience a single recovery period, which can be convenient for those with limited time off work or other obligations.
Surgeon's Expertise: It's crucial to select a surgeon experienced in performing both septoplasty and rhinoplasty to ensure optimal results.
Post-Operative Care: Patients should follow their surgeon's post-operative care instructions carefully to promote proper healing and optimize outcomes.
Patient Expectations: Clear communication with your surgeon about your goals and expectations is vital to achieve the desired results.
Functional vs. Aesthetic Goals
In summary, septoplasty primarily focuses on improving the functional aspects of the nose by correcting a deviated septum. While it is not intended to be a cosmetic procedure, there can be instances where slight changes in nasal shape occur as a secondary effect.
If you have specific aesthetic concerns, it's important to communicate them with your surgeon during the consultation to determine the best approach for addressing both functional and cosmetic goals. Ultimately, septoplasty's primary objective is to enhance nasal function, and any aesthetic changes are secondary to this core goal.
While there is no visual change in the nose after closed technique septoplasty operations; It may occur after open technique septoplasty operations. In addition, as a complication, in patients who have undergone caudal septum resection and a new cartilage graft support has not been created in this area, downward curvature of the nose tip and nasal tip sagging may occur.
On this website, the link group where you can read previously published articles about septoplasty >> https://www.ent-istanbul.com/search?q=septoplasty
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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