Welcome to Dr. Nazmi Baycin’s septoplasty (deviated nasal septum correction) page. As a plastic surgeon in Dubai, UAE, here I will share my professional knowledge and personal experience about corrective nose surgery as well as the solution of breathing problems arising from deviated septum. You will also have an idea regarding the septoplasty prices in Dubai. If you search cosmetic nose surgery, please click on the rhinoplasty page.
Nasal septum is the cartilage wall which separates the both nasal passages located on the mid-line. Its cartilage structure in the anterior part continues as a bone when it goes down 4-5 cm deep.
Normally, nasal septum must be flat and vertically straight. When the septum is not straight, it is referred to as a septum deviation. 70% of the people have deviated septum.
While mild deviation does not manifest itself, severe deviation leads both impairment of nasal appearance and breathing difficulty.
Although most people have a deviated septum, most of them are unaware of this because they are not experiencing any distress. Furthermore, since they have had this problem for years, they suppose that it is normal even they take less breath.
Breathing difficulty is related to the degree of septal deviation. In case of severe deviation, nasal congestion leads to discomfort. Severe septum deviation leads to nasal obstruction as well as deforms the nose shape.
Deviation of the vertical axis of the nose, curvature or skew cast a dark shadow over the beauty of the face. The person who is unable to breath easily due to nasal obstruction probably has a crooked nose as well.
Deviated septum leads to narrow the nostril on one side, on the other hand, widen the other side.
During the breathing, airflow lessens on the narrowed side, in contrary, increases on the widened side. That causes airflow imbalance, therefore unilateral airway obstruction. As time goes on, nasal turbinate begins reactional growing on the widened side to establish a new balance (Nasal turbinate hypertrophy). Enlarged turbinate also leads to narrow the currently wide side, therefore, lessen the airflow in which nostril has more airflow before. Consequently, both nasal passage narrows and bilateral nasal airway obstruction occurs.
Deviated septum which initially may not cause any distress leads to nasal obstruction in the future as triggering the nasal turbinate hypertrophy. Turbinate hypertrophy also causes snoring during sleep.
My objective is to make you happy as relieving the breathing. So, getting rid of nasal congestion will improve your life quality.
Some patients seek a solution as they experienced a failed septoplasty surgery before. Under-correction of the deviated septum, therefore, persisting nasal obstruction is the most common complaint of the patients consulting me. Sometimes, their corrective surgery challenges even more than to do the primary surgery. Therefore your first surgery is crucial. The goal is to achieve the best outcome in a single shot.
Complaint of breathing difficulty and physical examination are the diagnostic criteria. Usually, these two criteria confirm the diagnosis. However, in case of surgeon needs further details regarding the type of septal deviation before the septoplasty surgery, X-Ray and CT are also helpful.
If there is a difficulty in breathing, deviated septum that causes a nasal obstruction should also be corrected concurrently during the rhinoplasty surgery.
Septorhinoplasty is the procedure which cosmetic nose surgery combined with functional correction of deviated septum. Especially in deviation cases that reflect on appearance, the nose never looks straight unless the septal deviation is corrected. For this reason, septoplasty is an integral part of the nasal surgery.
If your surgeon carries out cosmetic nose surgery alone in cases of deviated septum, neither nose looks beautiful nor your breathing relieves. The goal of the septoplasty combined with rhinoplasty is to achieve beautiful nose shape as well as to improve breathing. Successful nose surgery must provide the patient with both a beautiful nose and ease of breathing.
Nasal septum is the main support of the nasal roof. It keeps superficial cartilages on standing position. Therefore the septum is substantial element of the nasal skeleton for both cartilage and bones.
If a part of the nasal septum requires removal for correction of the deviation, maximum attention should be paid. The remaining septum is essential to support the other structures of the nose. This is a basic principle of the septoplasty surgery.
If your surgeon removes nasal septum recklessly more than the limit, poor outcomes such as nasal roof depression or nasal tip dropping are inevitable. Removing a part of the nasal septum is the most crucial maneuver of the septoplasty. Careless septum resection may result in catastrophe which needs secondary rhinoplasty for correction.
For this reason, I approach conservatively to the nasal septum during the septoplasty surgery. I always pay attention to preserve the nasal septum as much as possible.
During the septum resection, I remove less than half of the nasal septum and leave minimum 1 cm width bridge on the anterior and lower part without detaching its connections. 1 cm cartilage bridge is able to carry the nasal roof.
Some surgeons think that the more cartilage is removed, the more airway will expand so that breathing would be much better. However, excessively removing the cartilage is not an ingenuity. The important thing is not how much cartilage is removed, but how much cartilage is left intact. Over-resection of the nasal septum is one of the most common reasons for secondary rhinoplasty necessity.
I did not give this information to make you worry, but to make you aware. If nasal septum surgery is carried out as obeying the basic principles of septoplasty by a master plastic surgeon, you will not experience such poor results.
Correcting the nasal septum deviation takes about 1 hour and may last longer depending on the severity of septal deviation. Although some surgeons perform the nasal septal surgery under local anesthesia, I prefer general anesthesia for comprehensive and thorough correction.
Since the septal deviation type exhibits diversity, the correction methods also vary according to the type of deviation. If turbinate hypertrophy accompanied by septal deviation, turbinate reduction is also necessary.
You may leave the hospital on same day after septoplasty and resume your usual life.
After the septoplasty procedure completion, I will place a nasal pack into both nostrils to keep septum on the mid-line.
A little blood oozing may come from the nostrils in the first day, it is normal after deviated septum surgery. It stops the next day.
You should visit me 2 days after the septoplasty surgery to remove the nasal pack. Just after the nasal pack removal, you will experience ease of breathing. As the tissue swelling reduces day by day, the airway will enlarge, therefore breathing will be much better after 1-2 months.
The complication rates are the compilation of medical literature data. The rates may vary depending on the severity of the deviation and surgeon’s experience. That does not mean you will experience all those complications.
Nasal septum perforation is a rare complication of nasal septum surgery. It is a kind of window opening between the nostrils arising from septal mucosa defect. Small-sized septum perforations that do not lead any functional problem are ignorable and do not require a specific treatment. However, since large perforations disrupt the airflow dynamics, they require further surgical repair.
Nasal mucosa synechiae, that is adhesions of nasal lining may occur following the nasal septum surgery. Intranasal buffering, which is kept 2 days following the procedure, also prevents the nasal mucosa adhesions. Despite the intranasal buffering, if synechiae occur, simply cutting the mucosal bridge solves the issue.
Post-operative bleeding (not blood oozing, I mean active bleeding), may occur after nasal turbinate reduction if it is reduced as cutting with scissors. However, turbinate reduction with a laser or radiofrequency device without using scissors does not cause bleeding.
Over-resection of the nasal septum may lead to nasal shape disfigurement that needs secondary corrective surgery, as I mentioned above.
IMPORTANT ! Before getting the appointment, check your medical conditions yourself.
How much does nasal septum correction surgery cost in Dubai?
Deviated septum surgery costs in Dubai vary from clinic to clinic and depend on the severity of the nose deformity and presence of breathing problems. In my practice:
Septoplasty price: 20.000 AED ($5.500)
Functional septorhinoplasty price: 30.000 AED ($8.200).
The price includes surgeon fee, blood tests, hospitalization expenses, medicines and consumables used in the hospital. Additional overnight stay is subject to extra payment. The price may rise depending on the complexity of the procedure.
Get ready to look and feel best with septoplasty surgery… You deserve…