Carolina Facial Plastic Surgery


Kulbersh-DeviatedSeptum-Ilustration-4-19-13Septoplasty (or septal reconstruction) is a corrective procedure that straightens the
nasal septum, the partition between the two nasal cavities. The septum is composed of cartilage and bone.  A deviated septum can occur at birth or due to injury or trauma to the area. When the septum is deviated to either side, your breathing can be limited. Depending on the angle of deviation, the individual can experience a range of difficulties breathing, which can eventually lead to fatigue, difficulty sleeping, snoring, and chronic sinus conditions.

Having completed a fellowship in facial plastics as well as a five-year residency in ENT, Dr. Kulbersh is a specialist in facial and nasal reconstructive surgery. At the office, Carolina Facial Plastics, Dr. Kulbersh can examine your nose, discuss your needs and develop a procedure that is tailored to your aesthetic and functional goals.

Diagnosing a Deviated Septum

A diagnosis can be easily done through a physical examination. Through a visual inspection of the nasal passageway, a septal deviation will be seen as a curvature or displacement of the septum. Typically, this is all that is needed for a diagnosis; however if there is a need for further diagnostic studies, such as a CT scan or a nasal scope, the patient is always informed.

The Procedure

Each septoplasty procedure will differ according to the nasal obstruction issues facing each patient. The goal will be to re-center the septum and strengthen the structure of the nose if required. Typically, a septoplasty is performed under general anesthesia.  All of the incisions are placed inside of the nose and part of the cartilage and bone is removed.  A portion of both the cartilage and bone must be left in the nose to support it and prevent a collapse many years later.  A septoplasty should not change the appearance of the nose. Soft silicone splints may be inserted inside each nostril to support the septum and will be removed 1 week later.

As an expert septoplasty surgeon in Charlotte, Dr. Kulbershs’s goal is to utilize the best techniques that are minimally invasive and cause the least amount of disruption to the nasal cavity, thus making recovery move along faster and with minimal bleeding, swelling and pain.

There are some deviations of the septum that require advanced techniques to correct.  This is commonly at the location in the front and bottom part of the nose.  Many times in this location, Dr. Kulbersh will use a flexible but strong absorbable plate, a PDS plate, to straighten the septum.  The plate stays in place long enough to allow the septum to heal in a straight position.

The Healing Process

The recovery from a septoplasty, typically, last one week.  The worst part after the septoplasty is that it is difficult to breath out of the nose.  This is uncomfortable as it makes the mouth dry.  There is very little if any pain involved and the nose may drip a little blood for 1-2 days.  Generally speaking after surgery:

  • Avoid strenuous activities, such as aerobics and jogging for 1-2 weeks.
  • Don’t blow your nose for 2-3 weeks.
  • Elevate your head when you’re sleeping for 3 days.
  • Irrigate your nose with a neti pot for a few weeks after surgery

Dr. Kulbersh’s ultimate goal is to repair your septum, create a solid nasal structure and provide you with a better airway for breathing — it will undoubtedly improve the function of your nose and quality of life.

Watch Dr. Kulbersh Discuss the Best Procedures for Nasal Breathing Improvement

Septoplasty FAQs

Q: What is a septal deviation?

A: A septal deviation is a septum which obstructs the airway and is tilted or curved to one side. This can greatly affect breathing and disturb an individuals quality of life.

Q: Why do people have deviated septums?

A: No one really knows. Some people speculate that birth trauma plays a role, or that trauma later in life can also lead to deviation. One study cites that of the adult population, 80% may have a deviated septum.

Q:  Will I be able to breathe better after surgery?

A: Once the deviation is repaired, the surgery improves the patient’s ability to breathe through their nose tremendously.

Q: How long will I have swelling and bruising after nasal surgery?

A: With current techniques used there can be minimal swelling and bruising after the surgery. If patients do have a small amount of bruising after surgery, it is usually for a period of 3-4 days.

Q: Will the structure of my nose be altered after surgery?

A: No. If septoplasty is the only procedure being performed, it will not alter the basic structure of the nose. If your nose surgery involves more complex issues, structural changes to the nose will be discussed during the consultation.

Read more about deviated septum questions.

Do You Suffer from a Deviated Septum?

If you are seeking a septoplasty expert, we encourage you to schedule a consultation at Carolina Facial Plastics by calling 704.323.5090. At your first appointment, septoplasty expert Dr. Kulbersh will be able to assess your breathing troubles and develop a unique nasal treatment plan that addresses your each and every concern. Ultimately, your septoplasty procedure will improve breathing and your overall quality of life.

For additional information, please contact my office in Charlotte to schedule your appointment.

Trained with the Top Rhinoplasty
Surgeon in Beverly Hills

Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

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