Septoplasty is the operation to straighten the central wall within the nose. This wall is a ‘jigsaw puzzle’ of 4 pieces of bone and one piece of cartilage. Displacement or buckling of these pieces is a very common consequence of injury. The result is nasal blockage and, sometimes, visible external deformity.


Dr Wallace recommends Septoplasty for the following reasons:


This surgery is associated with a low risk of complications. The specific risks of septoplasty of which you should be aware are:


General Anaesthesia is the routine for this operation. Awake surgery with local anaesthetic injections and sedatives is unusual. Anaesthetic sleep time is approximately 30 minutes followed by 45 minutes in the Recovery Room.


Dr. Wallace performs the septoplasty via an incision inside the nostrils. The septum is straightened and the incision closed with dissolving stitches. The septum is then supported with plastic splints that are stitched internally. They are not visible. Normally, no other dressings or packing within the nose is used and so some nasal breathing is possible.
Septoplasty surgery may involve an overnight hospital stay but can also be ‘day surgery’, going home a few hours after the procedure.


Dr Wallace visits at the hospital early the following morning. There should be no external swelling or bruising and little or no pain. An office appointment with Dr Wallace is scheduled for one week later and most patients take this week off work. The cost of this appointment and a review at 6 weeks is included in the surgical fee.
At your first post-op visit to the office, the splints will be removed and your breathing will be immediately much improved. It takes two weeks for your nose to fully heal but about 12 months for you to get used to the new patterns of nasal airflow.


The operation of septoplasty is often combined with other procedures. The most common combination is with Nasal Turbinate Cautery to deal with the effects of hayfever or rhinitis. Other commonly combined operations include Rhinoplasty for nasal re-shaping and Sinus Surgery for sinusitis treatment.


The vast majority of patients will be very glad that they put themselves through the minor discomfort of a Septoplasty. Within 4 to 6 weeks, breathing will be easier and sleep should be more refreshing. However, you must remember that the nose is there to slow down the inflow of air for airconditioning and we do most of our breathing through one nostril at a time. This ‘nasal cycle’ changes over approximately every 3 hours. It is more prominent than usual in the first year after surgery