Septoplasty & Turbinate Reduction

Table of Contents

Septoplasty & Turbinate Reduction Introduction

Septoplasty and turbinate reduction are surgical procedures performed inside the nose to improve airflow and relieve nasal obstruction. These procedures are often done together when both a deviated septum and enlarged turbinates are contributing to nasal blockage.

  • Septoplasty corrects a deviated nasal septum (the cartilage and bone dividing the two nostrils).
  • Turbinate reduction reduces the size of the turbinates—structures inside the nose that help filter and humidify air, but can become enlarged and block airflow.

These surgeries aim to improve breathing, reduce nasal congestion, and relieve symptoms such as snoring and mouth breathing.

Reasons for surgery

You may be recommended for septoplasty and turbinate reduction if you experience:

  • Chronic nasal blockage or congestion
  • Difficulty breathing through the nose
  • Snoring or sleep disruption due to nasal obstruction
  • Difficulty tolerating CPAP in patients with Obstructive Sleep Apnoea
  • Headaches or facial pressure related to nasal blockage
  • Poor response to medications such as nasal sprays or antihistamines
  • Reliance on nasal decongestant sprays (rhinitis medicamentosa)

Benefits of the procedure

  • Improved nasal airflow and breathing
  • Some patients may experience better sleep quality
  • Reduced snoring and mouth breathing
  • Less reliance on nasal sprays or medications

Please note that this surgery does not change the appearance of the nose and is not a cosmetic procedure.

Risks & complications

As with any surgical procedure, there are risks, although serious complications are rare. Potential risks include:

  • Bleeding
  • Infection
  • Pain
  • Ongoing nasal congestion or blockage
  • Change in nasal sensation (numbness)
  • Septal perforation (hole in the septum)
  • Adhesions (scar tissue forming inside the nose)
  • Reaction to anaesthetic

Dr Phillips will discuss these risks with you and answer any questions before your procedure.

Alternative treatments

Depending on the exact nature of your nasal obstruction some patients may experience reduction in symptoms with topical nasal sprays which may help alter the size of the turbinates and improve airflow. Nasal valve dilators can also be used in patients who are unable to undergo a general anaesthetic. Dr Phillips can discuss alternative treatment options pertinent to each patient.

Pre-operative instructions

Medications

Tell Dr Phillips about any medications you are taking, especially blood thinners, aspirin, or herbal supplements, as these may need to be stopped before surgery.

Fasting

If you are having a general anaesthetic, do not eat or drink anything for at least 6 hours before the procedure. Follow the specific instructions from your anaesthetist or hospital.

Illness

If you develop a cold, cough, or fever before your surgery date, please inform the clinic, as your surgery may need to be rescheduled.

Procedure details

The surgery is usually performed under general anaesthetic and takes around 60–90 minutes.

  • Septoplasty: Dr Phillips will straighten the septum by removing or repositioning the bent portions. This is done through the nostrils with no external cuts or visible scars. The septum is secured with a dissolving suture.
  • Turbinate Reduction: The enlarged turbinates are reduced by trimming some of the soft tissue away using an instrument called a microdebrider whilst part of the bone obstructing the airway is removed to improve nasal airflow. Electrocautery is used to address any bleeding.

In most cases, no nasal packing is used. Sometimes, small soft silicone splints may be placed inside the nose to support healing and are removed within 1-2 weeks.

Post-operative care & recovery

Hospital Stay

This is usually a day procedure, and most patients go home the same day.

Pain

Mild to moderate discomfort or pressure in the nose is common and you will feel quite congested and tired, like having a cold or flu. In most cases this can be managed with regular pain relief such as paracetamol or ibuprofen.

Bleeding

A small amount of ooze or bleeding is normal for 3-4 days post op. Significant bleeding is uncommon. If bleeding is heavy or persistent, seek medical attention.

Swelling and Blockage

The nose may feel blocked for 1–2 weeks due to swelling or crusting. This is normal and will improve gradually.

Nasal Care

  • Use saline nasal irrigation (FLO or FESS) 4–6 times daily to keep the nose moist and assist healing.
  • Avoid blowing your nose for at least one week.
  • Gently wipe the nose if needed, and sneeze with your mouth open.

Diet

  • No diet restrictions however avoid eating or drinking very hot food or liquids in the first several days to minimise bleeding

Activity

  • Rest at home for the first few days. Light walking is fine.
  • Avoid strenuous activity, heavy lifting, and bending over for 1–2 weeks.
  • Most people can return to work or school within two weeks, depending on how they feel and their type of occupation.

What to watch for

Contact our clinic or seek urgent medical attention if you experience:

  • Heavy or ongoing bleeding
  • High fever (over 38.5°C)
  • Severe pain not relieved by medication
  • Swelling of the face or eyes
  • Foul-smelling discharge

Follow-up instructions

A follow-up appointment will be arranged with Dr Phillips about 1–2 weeks after surgery to check healing and remove any splints if used.

Frequently asked questions (FAQ)

  • Will this change how my nose looks?

    No. This is not a cosmetic procedure and does not change the external shape of your nose.

  • Can the problem come back?

    The benefits are usually long-lasting, especially when paired with good nasal care. However, some patients may need ongoing treatment for allergies or sinus issues.

  • When can I fly or travel?

    You should avoid flying for at least 2 weeks after surgery, or until cleared by Dr Phillips.

Book a consultation

If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.