VIP International Plastic Surgery Center in KOREA - Septal Deviation

Nasal septal deviation and stuffy nose
The nasal septum The nasal septum is an inner structure that supports the columella.
When this structure is not straight and bent, it is called a nasal septal deviation.
What are some symptoms of the nasal septal deviation?

Generally, the nose is slightly asymmetrical, but when the deviation is grave,
the nasal shape is also twisted and causes systemic symptoms, such as stuffy nose,
decline in concentration, deficit of attention, failure of memory, etc.
Sinusitis also can occur, and it can be the reason for eustachitis and otitis media when catching a cold.

Why does the nasal septal deviation occur?

Generally, a trauma causes the damage of nasal septum and consequently deviation.
If not, a congenital inharmonious growth and development between
the inside of the nose and palate can cause nasal septal deviation.

What procedures are there to treat the nasal septal deviation?

In the past, it was generalized to detach the nasal mucous membrane enclosing
the nasal septum and resect the twisted part of the cartilage or bone.
It was able to relieve systematic symptoms like stuffy nose and headache
but could not improve the twisted part and even weaken the structure.

Therefore, recently, instead of a procedure that removes just the twisted nasal septum,
it is oriented to straightening the twisted part
in various ways, facilitating the ventilation with reduction of the lateral turbinate and revising certainly the shape of nose.

It is because the nasal septal deviation causes the twisted
shape of the nose simultaneously with stuffy nose.

Is it possible to revise the nasal septal deviation
during plastic surgery?

Of course, the problems of nose surgery and nasal septal deviation can be solved at once.
In the past, it was known that the nasal septal deviation was treated in otorhinolaryngology,
and the nose surgery in plastic surgery,
but the recent trend is to treat the external structure simultaneously with the internal structure
such as nasal septal deviation and turbinate thickening at once at the specialist plastic surgery clinic.

Such a comprehensive evaluation and procedure are advisable.
It was inconvenient in the past for two procedures (nose plastic surgery and stuffy nose) to be practiced separately.

Once the procedure of stuffy nose is conducted without consideration of the nose plastic surgery,
it is difficult to perform further nose plastic surgery
because the cartilage is lost due to resection of a twisted part of the nasal septum.

Therefore, if the nose is bent due to nasal septal deviation,
it is necessary to perform the nose plastic surgery procedure simultaneously
with the nasal septal deviation revision.

How is it treated in case of procedure of stuffy nose due
to the nasal septal deviation without revision of twisted nose?

Such case is when the procedures of nasal septal deviation and nose plastic surgery are separated.

It is of course much more complicated because most of the septal cartilage is already resected
in order to revise the deviation of nasal septum.

In order to revise the twisted nose, it is important to first revise the inside of the nose.
As the septal cartilage is already lost, it is necessary to detach again the interior mucous membrane.

As the cartilage to be used is insufficient due to the resection of septal cartilage,
it is necessary to extract the osseous septum, ear cartilage or chondrogladiolar, if serious.

As this process is inconvenient, it is necessary to practice simultaneously
the nasal septal cartilage surgery and nose plastic surgery.
Even after the surgery of nasal septal cartilage or stuffy nose,
the results are satisfactory with the rest of septal cartilage, ear cartilage or chondrogladiolar.

What is the relationship is there between the nasal septal deviation and
the deviation of nose after nose surgery?

Thorough examination shows that in most cases of re-surgery due to nose deviation,
the nasal tip or nasal bridge was augmented without the revision of the nasal septal deviation during the nose surgery.

The nasal septum plays a center role of strut maintaining nasal balance.
As there is a nasal septal deviation, the augmented nose will be also twisted.
Only specialists are able to know if the nose is twisted with the nasal septal deviation
because the soft tissue including the skin covering the nasal skeleton covers loosely before the surgery.

Therefore, it is necessary to examine whether the septum is upright or twisted and whether the nose is stuffy or not.
If the nasal septum is twisted, it is necessary to first revise the septum and
then augment the nose, which allows to obtain functional improvement and revise the shape of the nose.

Correction of septal deviation with cosmetic nose surgery
Before & After / Septal deviation