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Septoplasty Recovery - Time, Tips, How Long?

Quite sure I need a septoplasty surgery but worried about the recovery process. I saw on realself about rhinoplasty recovery, is it similar with septplasty? What do i need to consider about recovering: downtime, medications, pain, etc? thank you so very much for your expert opinions.

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Septoplasty Recovery

If all of the work is done internally, there is usually a splint inside of your nose that is removed in a week. Recovery is usually more streamlined as there is no external nasal splint.

Dallas Plastic Surgeon
5.0 out of 5 stars 22 reviews

Recovery following Septorhinoplasty

Patients go home with an external splint or special tape.  The splint is usually removed in 7-10 days. Internal soft silicone splints may be used after septoplasty and remain in place for 1-3 weeks.
Initial discomfort is easily controlled with oral medication and head elevation.
Majority of swelling and bruising subsides progressively over 2-4 weeks.
External sutures (if any) are removed in 4-6 days. Internal sutures dissolve spontaneously.
An early result is evident in 3 months.  Final results become evident in 12-14 months which is the time necessary for complete tissue softening.
Areas of sensitivity or numbness will slowly resolve; the tip of the nose will feel stiff or “woody” and this will improve over the first several months.  Other temporary conditions may include some airway or sinus blockage, nasal drainage, lumps and irregularities.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 62 reviews

Septoplasty- what to expect

Generally speaking a simple septoplasty is fast and relatively painless. Sometimes they can be complex and involve more extesive cartilage and  bone  work. Either way there you may have a minor ''packing" , a piece of cotton or gauze. This usually comes out in 24-48 hours. Should the septum require silicone plates for stability these are usually removed in a week by your surgeon.Initially you may still feel the air is not moving through your nose because swelling of the soft tissue. This will resolve itself in a couple of weeks. I encourage my patients to use Afrin to decrease swelling and Ocean spray to assist in mosturizing the inside of the nose. Cleaning of the openings of dried blood can be done with a Q-tip and hydrogen peroxide

.In any event, you need to be seen in  person  by a Board Certified Plastic Surgeon to assist you in making a decision as to what is best for you. I hope that this is helpful for you . Jon Sattler, MD Board Certified Plastic Surgeon, Glendora, California.



Jon Sattler, MD
Glendora Plastic Surgeon
3.0 out of 5 stars 16 reviews

Septoplasty recovery

I routinely recommend the following: If surgery occurs on a friday you will feel under the weather through the weekend.  By monday you will feel very comfortable with normal activities and answering texts, emails, and phone calls if you choose.  Ideally, take one full week off from work.  At the end of that week the splints (plastic pieces that hold the septal lining back together) are removed.  At this time, resume full work schedule and consider light activity only.  Strenous activity can begin again at 2 weeks.  You will have no bruising or external signs of surgery from just a septoplasty so the recovery is quicker than a rhinoplasty.  It is common to have numbness at the tip of the nose and even the front teeth for a short period of time measured in weeks.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
4.5 out of 5 stars 20 reviews

Septoplasty Details - What You Need to Know

The septum is the wall that divides your nose into 2 sides. When it is twisted it can narrow the nasal passage on one or both sides and cause nasal blockage. This sometimes can require surgical correction - a septoplasty.

A septoplasty is typically accomplished through the inside of the nose. A small incision is made on the front, inside one of your nostrils. This allows the surgeon to lift the lining of the septum off of the underlying bone and cartilage. These structural elements are then sculpted, repositioned, and/or some portions removed to straighten the septum. The lining is then draped back down onto the newly straightened septum, and dissolvable sutures are placed to secure this all back together. The incision is closed, also with dissolvable sutures. This is typically a short operation.

I do not use nasal packing in these cases, and recovery is typically uneventful. Pain is typically minor. We find that patients who have a deskjob usually can return to work in a few days. We ask patients to refrain from exercise for 2 weeks, to allow for proper healing, and then to gradually resume exercise under our direction. In a septoplasty as described, there is no bruising/black and blue, no change to the appearance of the nose, no external splint or cast.

Some patients have more complex deviated septums, where the septum is twisted in the front. In these cases you can see and feel the front edge of the septum protruding into the nostril (see the web reference link). These more complex deviated septums may require a small incision on the columella, the skin between the nostrils. This kind of septoplasty will change the appearance of the nostrils - they will become straighter and more symmetric.

Also, many patients request cosmetic changes at the same time as a septoplasty. In the web reference provided, two such patients are shown. One patient requested correction of his deviated septum and also a rhinoplasty, with removal of his nasal bump. The other patient requested correction of his deviated septum and also correction of his twisted nasal tip.

Daniel G. Becker, MD
Voorhees Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Septoplasty recovery process

You may have minor swelling and bruising and if you have internal splints, they are usually removed in a week. You would be given pain medication and the surgery is tolerated well.  

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 15 reviews

Septoplasty recovery

Septoplasty without rhinoplasty is a minimally invasive surgery of the internal nose.  Therefore there is less swelling and downtime.  Pain is rarely an issue, especially since I rarely use any packing.  There will be some congestion and that gradually improves.  3-5 days off work is not unusual though some people may take more time off due to their work demands.

When being evaluated for septoplasty it is important that you work with a surgeon who can fully assess your external nose and sinus passages as well.  This is because in fact the septum is very often not the only cause of nasal symptoms and it may be possible that other treatments or procedure are needed to achieve an optimum result.

Christopher Cote, MD
Denver Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Septoplasty Recovery

Thank you for your question. Septoplasty is a surgical procedure which generally entails modification of the cartilage of the nasal septum. It is undertaken to improve symptomatic nasal airway obstruction when deviation or crookedness of the septum is judged to contribute to those symptoms. Compared with recovery from rhinoplasty, recovery from septoplasty is generally easier and less uncomfortable. Most patients control post-procedure pain with prescription pain medications for a few days. Many surgeons prescribe a course of antibiotics for 5-7 days following the procedure. Patients typically resume most non-exertional activities the day following surgery, and are usually instructed to avoid exertion for a couple to a few weeks. Return to work is permissible within a few days, but many patients prefer to return to work after about a week. The most frequent complaint during the healing process is the post-procedure nasal obstruction which is related to early healing and swelling following nasal surgery. Always ask your surgeon for his or her specific advice and recommendations in your case. Good luck to you.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Recovery after septoplasty

The recovery for septoplasty is much less than for rhinoplasty.  You do not get nearly the swelling or numbness, and it recovers much faster.  You can still have numbness, however.  In general, almost all noses are numb right after a rhinoplasty. In most cases its the tip that is numb, but this numbness can extend down to the upper lip, and in rare cases some of the teeth. There are nerves that are cut and stretched during a rhinoplasty, and it takes a long time for those nerves to start working again. This is true of an open as well as closed rhinoplasty, although it tends to be more extensive in open rhinoplasty. This could also be more extensive if a septoplasty is performed at the same time. This, along with the swelling, gives you a stiff, plastic type feel, and can give you an odd smile. However, the nerves will start working and again, and your nose stiffness will go away with time. As the nerves grow back, you may feel some tingling, itchiness and on occasion pain. This takes in most cases months, but can take years in rare cases. Extremely rarely, the numbness is permanent, although I have never seen such as case.
Best Wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.