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Septoplasty

Septoplasty is the surgical modification of the structure of the nasal septum. The septum is a midline structure, composed of bone and cartilage, that divides the nose into a right and left compartment and plays a crucial role in nasal structure and function. It helps to define the tip of the nose, support the middle part of the nose, and also contains some sensory tissue which allows us to smell.

External nasal trauma – even when the nose is not broken – is the most common cause of septal injury and later deformity. Most people do not seek medical attention after minor nasal trauma, and the injured septum heals in a crooked manner and obstructs the nasal passages. In extreme cases, patients may develop a septal hematoma (collection of blood within the septum). This can cause lifelong issues with nasal structure and function, and if untreated may result in collapse of the middle part of the nose (saddle nose deformity). Any suspicion of septal hematoma requires urgent medical attention. For other patients, no obvious cause is found for their deviated septum (they were “born with it”).

Septoplasty may be performed along with or as a component of a functional rhinoplasty. This is a nasal surgery that is designed to correct a specific anatomic issue and improve the nasal airway (breathing). This procedure is generally performed “open” (using an external incision); please see the procedure page for open rhinoplasty. As a nose specialist, Dr. Ransom offers his patients a unique ability to address both the internal and external parts of the nose. Functional rhinoplasty, however, is not a cosmetic surgery.

Recovery from septoplasty is not difficult, though the nose may feel “stuffy” for a few days. Topical medications can be used, after the initial healing, to decrease this symptom. Dr. Ransom does not use any nasal packing, which allows the patient to breath normally more quickly after the surgery and significantly reduces postoperative discomfort.

Who is a candidate?
Patients with significant breathing problems, snoring, and nasal obstruction which are derived from a crooked or fractured nasal septum are candidates for septoplasty. Most patients have a history of nasal trauma, either recent or remote, and experience ongoing issues with breathing, snoring, or recurrent sinus infections. Dr. Ransom will assess your nasal structure and function during your consultation, and is happy to discuss the details of all types of nasal surgery.

Frequently Asked Questions

Q: What should I expect after my procedure?
A: No packing is used in the nose, which makes recovery much more comfortable. Occasionally, patients with poor septal structure or severe fractures will require Silastic splints. These are kept in the nose for about ten days, to help the septum heal straight, and do NOT affect breathing. Your nose may feel “stuffy” for a few days, but this resolves quickly. Pain is minimal. You will likely feel tired for a couple days and should limit your activities and concentrate on resting and recovery. Contact sports, racket and ball sports, heavy lifting, and straining must be avoided until Dr. Ransom gives you the “okay” – this is typically two or three weeks.

Q: How long is the recovery from a septoplasty?
A: For most patients, the initial recovery is quick – typically a few days to a week. Due to swelling inside the nose, many patients feel “stuffed up” for a few days. Occasional spotting is normal, but heavy bleeding should be reported to the doctor. Pain is minimal and Dr. Ransom does not use nasal packing, making recovery more comfortable for his patients. Functional improvements are typically seen after the internal swelling resolves, generally within a couple weeks of the procedure.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.