Seattle Septoplasty doctors

William Portuese, MD William Portuese, MD
Seattle Facial Plastic Surgeon
1101 Madison St Suite 1280, Seattle
45 answers
Richard P. Rand, MD, FACS Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
1135 116th Ave. NE Suite 630, Bellevue
14 answers
Sam Naficy, MD Sam Naficy, MD
Seattle Facial Plastic Surgeon
1110 112th Ave NE Suite 150, Bellevue
10 answers
Thomas A Lamperti, MD Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon
1101 Madison Street Suite 700, Seattle
6 answers
Anifat Balogun, MD Anifat Balogun, MD
Seattle Facial Plastic Surgeon
1551 NW 54th Street Ste 101, Seattle
4 answers

Recent Answers

Am I Eligible for Septoplasty? I Have 30% Deviated Septum.

I went to an ENT for a deviated septum, I was told my left side was deviated by 30 percent, I have breathing problems through my nose he prescribed me omnaris. I asked about septoplasty he said maybe later in time, my question would be is having 30 percent deviated septum a reason for my insurance bcbsil to approve the surgery??

A: Eligibility for septoplasty

Some people experience significant nasal obstruction with a 30% restriction of airflow while other patients do not have symptoms.  It really depends on each individual patient.  If the nasal obstruction from the deviated septum is significant and the patient is symptomatic, then it should be repaired.  It is important to try different nasal sprays, antihistamines, and decongestants to make sure that you have failed medical therapy prior to embarking on surgical therapy for airflow improvement.

William Portuese, MD
Seattle Facial Plastic Surgeon
Who Should Do the Operations on Patients Who Need Septoplasty Due to Breathing Difficulties?

Would I find equally qualified septoplasty ENTs as compared to plastic surgeons?

A: Surgeons who should perform septoplasty

The septoplasty is traditionally done by an ear, nose, and throat (ENT) doctor or a facial plastic surgeon who has had ENT training.  It is important to have the surgery done by a physician who understands the nasal physiology and dynamics of airflow and not somebody who only understands the cosmetic nasal surgery.  Look for a board certified otolaryngologist or facial plastic surgeon to best treat your deviated nasal septum.

William Portuese, MD
Seattle Facial Plastic Surgeon
Septoplasty and Endoscopic Sinus Surgery for a Nasal Polyp?

Is it possible to have a septoplasty and endoscopic sinus surgery for a nasal polyp at the same time? Are the side effects similar? How long is the combined surgery?

A: Septoplasty & endoscopic sinus surgery for nasal polyps

It is certainly possible and very common to have both septoplasty and endoscopic sinus surgery done at the same time.  A septoplasty is performed for functional breathing problems when a crooked or deviated septum is blocking airflow through the nose.  Sinus surgery is performed for nasal polyps, which can cause chronic sinusitis.  The symptoms of chronic sinusitis include ongoing facial headaches, pain, pressure, postnasal drip, drainage, congestion, and repetitive sinus infections.  Functional endoscopic sinus surgery opens up the affected sinuses, removes the polyps and is an excellent procedure to relieve chronic sinusitis.  A cosmetic rhinoplasty can also be done at the same time if the patient desires.  The combined surgery of septoplasty and endoscopic sinus surgery is between 30 and 60 minutes.  The postoperative recovery is the same.

William Portuese, MD
Seattle Facial Plastic Surgeon
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