Septoplasty – Surgery of the Septum in Melbourne and Sydney

  • Difficulty Breathing? Blocked Nose?
  • Want more open airways inside your nose?
  • Unsightly Nasal Septum?

Download the Rhinoplasty guide to learn more.


Considering rhinoplasty surgery? Learn more today.

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If you are considering Nose Surgery you can use the Face Touch Up Imaging Tool to create and send your edited photos.

If you are interested in Nose Surgery you can use the Face Touch Up Imaging Tool to create and send your edited photos.

An “out of proportion’ nose can impact your self-esteem and throw off the balance of your face. Rhinoplasty alters the bones and cartilages that make up the nose, the lining of the nasal passageways and even the skin covering. This surgery changes the profile, length and/or width of the nose. It can also change the shape of your nose tip.

Furthermore, surgeons perform the operation closed (with all incisions inside the nostrils) which is popular for Rhinoplasty Surgery. Whereas, open Rhinoplasty (with a small incision underneath the nose) is popular for revisional surgery.

What is Septoplasty?

Septoplasty is a surgical procedure to correct deviations of the septum by either removing or reshaping deviated portions of the nasal bone and cartilage. 

Whereas a rhinoplasty focuses on enhancing the aesthetic appearance of the nose, the goal of septoplasty is to improve functionality by eliminating nasal blockage. Nose Surgeons often combine a septoplasty together with rhinoplasty (called septorhinoplasty) to ensure the perfect function of the nose.

Dr Richard Sackelariou is a Specialist Plastic Surgeon and Nose Surgery Expert with clinics in Sydney and Melbourne.  He is a calm, caring and precise surgeon. If your nose is causing you health issues that affect your quality of life quality, explore your options for Nose Surgery with Dr Sackelariou.

medicare-cosmetic-surgery Dr Richard Sackelariou

Looking For a Top Nose Surgeon? – How To Find The Best One

Nose surgeries are considered to be one of the most complicated procedures in plastic and facial surgery therefore should be conducted by the best plastic surgeon. Septoplasty, together with rhinoplasty, are complex nose surgeries that require an experienced nose surgeon in order to produce not only the best results but also reduce the possibility of a revision. Your surgeon’s experience, education, and technique should be the deciding factors when choosing the right option. Please don’t choose a novice nose surgeon for the cheapest price.

Symptoms Of Nasal Blockage, Airway or Nose Septum Issues

Deviated septum causes nasal blockage due to the displacement of the wall between the nostrils. Some people are born with a deviated septum, but it can also be a result of either trauma or ageing.

The most common symptoms of a deviated septum include:

  • Trouble breathing
  • Complete or partial Anosmia – Inability to smell
  • Nosebleeds
  • Sinusitis
  • Headaches
  • Facial Pain
  • Snoring
  • Apnea
  • “Ringing” noises in the ear

Am I A Good Candidate for Septoplasty?

Septoplasty surgery is a good solution for achieving a better life quality affected by the negative effects of a deviated septum. If you are experiencing either breathing troubles, consistent snoring, chronic nosebleeds, or sleep apnea symptoms you may be a good candidate for septoplasty surgery.

However, smoking has negative effects on recovery. So if you are a smoker you will have to stop smoking at least 2 weeks before the procedure and even longer after the surgery. Cigarette smoke can cause a longer healing period, wound infections, as well as painful nasal irritation.

Although it is considered safe to undergo septoplasty surgery at the age of 17, exceptions can also be made for younger patients with severe nasal obstructions.

In consultation with your doctor, you should temporarily stop taking medications that prevent blood clotting.

nose-surgery-surgery 2-Specialist Plastic Surgeon Vic and Nsw-revision

Benefits of a Septoplasty

Septoplasty is a minimally-invasive surgical procedure. The Benefits Of Septoplasty Surgery include:

  • Improvements in both airflow and breathing
  • As well as an improved sense of smell and taste sense
  • Fewer headaches that are a result of sinus infections
  • Better sleep quality
  • and also better sinus cavity drainage
Rhinoplasty Before and After Photos Gallery Dr Richard Sackelariou

Nose Surgery Before and After Photos

These septoplasty before and after surgery photographs represent typical results of our patients. *Results depend on individual patient circumstances and can vary significantly.

Septoplasty Surgical Procedure

  • Preoperative Assessment
    • Review of your medical history records, allergies, prior surgeries, symptoms, etc.
  • Anaesthesia
    • This will depend on both your health condition and medical history, your doctor will recommend the best anaesthesia option for you.
    • The surgeon may choose to do the procedure either under local or general anaesthesia.
    • Sometimes, sedation can be used in addition to local anaesthesia.
    • Which anaesthesia will be used also depends on the complexity of your surgery.
  • Surgery
    • Nasal septum surgery involves strengthening the septum by either shortening, restoring, or placing the cartilage and bone in a central position.
    • The operation does not require any external incisions on the skin of the nose but requires a small incision on the side of the nasal septum inside the nose.
    • Sometimes it is also necessary to make a small incision between the nostrils.
    • The incision is usually closed with an absorbent suture.

The operation usually lasts between 30-60 minutes, however, the length of the procedure depends on the severity of the septum deformation.

Recovery after Septoplasty

After the septoplasty surgery, patients will have splints into the nostrils and will need to wear them for at least a few days after the procedure. Minor swelling and bruises are also likely to occur under the eyes.

To further reduce the chances of bleeding and swelling, your doctor may ask you to follow some precautions for a couple of weeks after the surgery, such as:

  • Raising your head while sleeping,
  • Avoiding both workouts and contact sports,
  • Refrain from blowing your nose,
  • Take care while pulling shirts over your head to get dressed

You can expect to return to your daily activities after just a couple of days, however, you will need to wait a few weeks (around 4 weeks) before you return to physical activities. The surgeon will also tell you to quit smoking for a few weeks before and after the operation. This is due to the fact that smoking not only prolongs recovery time but it can also cause post-op complications.

Pre-operative information

Complications and Risks of a Septoplasty

Septoplasty, like any surgery, carries the risk of bleeding and infection, as well as the risk of an allergic reaction to the anaesthetic.

These are not the only risks, other possible complications, include:

  • Presence of the deviated septum symptoms,
  • Bleeding,
  • Change in the nose appearance,
  • Perforation of the septum,
  • Reduced sense of smell,
  • Formation of blood pockets inside the nasal cavity,
  • As well as, Upper jaw numbness.

Septoplasty Patient Journey

  • Preoperative Assessment.
  • Review of medical history any health conditions, discussion about expectations and also taking pre-surgery before photos.
  • Surgery. The surgeon will apply anaesthesia and perform the surgery.
  • Post-op and Recovery. A few days after the operation patient attends a routine post-procedural checkup.
  • Following recovery instructions and tips.
nose-surgery-cost-melbourne-Specialist Plastic Surgeon Vic and Nsw-revision

Cost of Septoplasty Surgery

Every patient is different, therefore the prices vary, your surgeon will give you a price quote after your first consultation. This will include a Surgeon’s fee, an Anaesthetist fee, a Surgical Assistant fee, and also hospital fees. You MAY be eligible for a Medicare Item Number or subsidy from your Private Health Insurance, this is because nose surgery can be a functional surgery, and some functional surgeries are eligible for cover. Ask your surgeon or read the MBS Item Code Guidelines.

The Most Popular Item Numbers for Nose Surgery are;

  • 41671   Septoplasty or Septum surgery
  • 41672   Nasal septum reconstruction
  • 45635 Rhinoplasty partial for Bony vault correction – airway obstruction
  • 45641   Rhinoplasty for airway congestion
  • 45644   Rhinoplasty for an obstructed airway – using distant donor materials
  • Both Items 45641 + 41671 – Septo/Rhinoplasty

You may also be able to get your Super Fund to pay for your surgery.

FAQs about Septum Surgery

Blowing Nose After Septoplasty?

  • Blowing your nose after the Septoplasty Surgery can cause bleeding, so you should try to refrain from blowing your nose at least for the first two weeks.
  • We recommend you clean your nose with nasal saline irrigations instead.

Will Septoplasty Change The Appearance Of My Nose?

  • Septoplasty is a surgical procedure, in other words, it improves nose functionality, not appearance.
  • However, in the rare cases of heavy deviation of the septal cartilage, there might be minor changes to the shape of your nose.

Is it possible to do Septoplasty and Rhinoplasty at the same time?

  • If you want both procedures done then yes.
  • Actually, it is advisable to do them both at the same time rather than as two separate procedures.

How Long After Septoplasty Can I Start Exercising?

  • You should wait for at least 4 weeks before you start exercising.
  • However, if you play contact and ball sports you should wait even longer to minimize the risk of nose trauma.
  • In fact, before returning to any sport you should get the green light from your surgeon.

How Long Will I Be Hospitalized?

  • Although most patients are able to go home on the same day,  patients with heavier deviations may need to stay overnight as a precautionary measure.

Does Getting A Septoplasty Hurt?

  • It shouldn’t.
  • Most patients take over the counter painkillers for a couple of days after the surgery, and they find that is enough.
  • Septoplasty recovery is usually both quick and painless.

Further Reading – Medical References

For more information about Rhinoplasty surgery visit the Rhinoplasty Surgery page.


About Dr Richard Sackelariou Plastic Surgeon

Dr Richard Sackelariou MBBS FRACS(Plas) is a Specialist Plastic, Cosmetic and Reconstructive  Surgeon in Melbourne, Victoria and Sydney, Australia.

Dr Sackelariou is a highly sought-after Plastic Surgeon for precision procedures like nose reshaping, tummy tucks, breast surgery including transaxillary incision methods, implant removal/replacement and Breast Lift procedures.

He is particularly known for his signature surgeries – neck lift, facelift and eyelid rejuvenation procedures. He also performs expert cosmetic injections for facial rejuvenation.

Patients love his caring manner, his dedication to excellence and his extensive expertise in surgical planning for a natural-looking, harmonious result.

What’s Next

Book a Consultation with Dr Sackelariou in Melbourne or Sydney. A caring discussion with a Plastic Surgeon about all your options can really help. The best thing is to start with a phone enquiry and consider having a Consultation with Dr Sackelariou. Try the Free Nose Simulation Tool.


If you are considering cosmetic plastic surgery then Dr Richard Sackelariou is the specialist plastic surgeon for you.

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Dr Sackelariou can assist you in achieving your desired body image, helping restore you to a more youthful and confident self.

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