Septoplasty in Orange County, California

As a double board certified facial plastic surgeon and head and neck surgeon, Dr. Furze has a deep understanding of nose anatomy. He straightens deviated septums to improve functionality and the nose’s appearance. His OC septoplasty procedures aim to fix nasal and sinus anatomical abnormalities, addressing breathing issues and sinus health.

When a deviated nasal septum is negatively affecting an individual’s health, Dr. Furze may suggest a septoplasty, to correct deviated septum to open up your nostril passages so that you are able to breath from both nostrils. During the surgery, the nasal septum is straightened and repositioned so that it lies in a more central position. The procedure can be combined with rhinoplasty to address aesthetic aspects of the nose.

Most patients with chronic nasal symptoms likely suffer from a problem with their nasal or sinus anatomy, such as a deviated septum, nasal allergies or both. Dr. Furze specializes in fixing nasal and sinus anatomical abnormalities, improving breathing issues and sinus health.

If a nasal or sinus anatomical problem is suspected Dr. Furze will potentially order additional testing which typically includes an in-office nasal and sinus endoscopic evaluation and a CT scan of the nose and sinuses. Based on the results of these exams, surgical recommendations will be made if necessary.

If a patient suffers from allergy symptoms, Dr. Furze will likely refer the patient to a medical allergy and immunology physician for evaluation and treatment.

In many cases, patients suffer from both anatomical and allergy issues and therefore require the cooperation between Dr. Furze, as the nasal/sinus surgeon, and one of his allergy colleagues to treat the symptoms more comprehensively.


Anatomy of the Nasal Septum

The nasal septum is a wall of bone and cartilage that separates the left and right airways of the nose. It begins at the opening of the nostrils and ends between the eyebrows at the nasal bridge. The nasal septum is covered by the mucosa, a thin membrane tissue, which lines the entire nasal cavity.

Underside view Female Patient before and after Septoplasty
Underside view Male Patient before and after Septoplasty

Symptoms of a Deviated Septum

Nasal deviation is not typically a problem and some degree of deviation is present in nearly every individual. In cases where the cartilage has become so deformed that it blocks an air passage, breathing problems may develop. In most cases, only one nostril is affected by a deviated septum, as the deviation tends to bend the septum more in one direction.

The symptoms of a deviated septum can range in severity and include:

  • Difficulty breathing through the nose
  • Nosebleeds
  • Facial pain
  • Nasal congestion
  • Sleeping problems – mostly snoring or sleep apnea
  • Headache
  • Postnasal drip
  • Recurrent sinus infections

The symptoms of a deviated septum can easily be mistaken for a number of other nasal problems, including chronic sinusitis, nasal polyps, and enlarged turbinates. As such, a deviated septum cannot be diagnosed based on symptoms alone. A physical and visual examination is required to make the final diagnosis.

While some medications can help temporarily relieve symptoms that were caused by a deviated septum, the benefits of a septoplasty surgery are permanent. After surgery, many of Dr. Furze’s patients report that they are able to “breathe freely” for the first time in many years.

Ideal Candidates for Septoplasty

An ideal candidate for septoplasty should have first tried other medical solutions to improve nasal breathing – surgery should not be considered until all other options have been exhausted. Patients should also be in good overall health so their bodies can recover well after surgery. In general, septoplasty is not performed on patients younger than 18, as the septal cartilage has not reached a hardened state that would respond well to surgery. Dr. Furze often operates on patients from other parts of California as well as other states who come to his Orange County practice to have septoplasty performed by a surgeon who also takes into account the aesthetic results of the surgery.

Your Septoplasty Surgery

Septoplasty can be performed under general or local anesthesia. Once the chosen anesthesia has been administered, Dr. Furze makes an incision in the mucosal lining of the septum to access the cartilage and bone underneath. He then works to straighten and reposition the nasal septum. This may be done by cutting and removing parts of the nasal septum before reinserting them in their new position. A goal of surgery is to leave a sufficient amount of cartilage and bone intact so that structural integrity is maintained. After surgery, the septum may be temporarily stabilized with splints or internal sutures.

Septoplasty Recovery Process

Recovery from septoplasty is easier than many other kinds of nasal surgery. Provided there are no unexpected complications, there should be little swelling or bruising present around the nose or eyes. It is normal to experience nasal stuffiness and nasal drainage after surgery. Pain and fatigue are also normal side effects of surgery. Oral pain medications will be prescribed by Dr. Furze and can be used to control discomfort during your recovery.

After surgery, Dr. Furze may ask you to take certain precautions to aid the recovery process. These include:

  • Keeping your head elevated, especially when sleeping, for the first couple of weeks following your septoplasty.
  • Avoiding strenuous activities, such as exercise and housework, during your recovery period to prevent bleeding.
  • Refraining from blowing your nose for at least till after your one week postoperative appointment.
  • Taking pain medications and applying cold compresses as directed by Dr. Furze.
  • Eat right and stay hydrated.
  • Do not smoke or be around smoke for a couple of months.
  • Refrain from water sports for a week or two and keep your nose out of harm’s way.

In most cases, the majority of symptoms should dissipate about one week after surgery, at which point most patients return to work. The results of your septoplasty should be evident between 3 and 6 months following surgery, although cartilage and tissue may move or reshape slightly throughout the first year. If the surgery has been successful, you should experience improved breathing in the first 6 months and continued improvements throughout the first year.

Risks Associated with Septoplasty

Septoplasty is considered to be a very safe surgery, but as with any surgical procedure certain risks are involved. The risks associated with septoplasty are similar to those of most nasal surgeries, which include:

  • Infection
  • Excessive bleeding
  • Swelling and bruising
  • Postoperative pain
  • Failure to resolve breathing problems or worsening breathing problems
  • Change in the shape of the nose
  • Septal hematoma
  • Temporary numbness in the upper gums or teeth
  • Decreased sense of smell

Septoplasty FAQ’s

Q Can septoplasty be combined with rhinoplasty?

Yes, septoplasty can be easily combined with rhinoplasty. When the two surgeries are combined, the procedure may be referred to as “septorhinoplasty.” Septorhinoplasty provides patients with the opportunity improve the appearance of their nose while correcting a deviated septum, without the need to undergo two separate surgeries and recoveries.

Q Will my insurance company cover the cost of my septoplasty?

In Orange County, most insurance companies cover the full cost of septoplasty, provided the surgery is needed for valid medical reasons. If you choose to undergo septorhinoplasty, it is unlikely that your insurance company will cover the costs associated with correcting your aesthetic concerns. In these cases, the insurance company typically covers the costs of the septoplasty and the patient is responsible for any remaining costs.

Q How effective is septoplasty at alleviating nasal symptoms?

Septoplasty is very effective at improving the overall quality of life by removing nasal obstructions that cause nasal symptoms; however, if a deviated septum was not actually the cause of nasal symptoms, then the symptoms will not be completely alleviated through septoplasty. For this reason, it is important that you get an accurate and complete diagnosis before electing to undergo septoplasty.

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What Our Patients are Saying

“I am a rhinoplasty surgery patient and it took me 9 years to finally choose a surgeon to trust with my nose”

Dr. Alexis is a pleasant young doctor who is knowledgeable and willing to take the time to answer your questions and cover all your concerns so that you feel good when you leave his office. I definitely recommend him if ever need his services.

Dr. Furze is easy to communicate with, and is meeting all my post op needs. Of course this is after a successful surgery that I fully understood and was scheduled on my terms as immediate as was needed.

Written by Dr. Furze
Last updated: Wed 13 March, 2019
Newport Beach - Get Directions - Alexis D. Furze M.D