Are there any risks / side effects associated with Sinus Surgery?

All operations carry some element of risk in the form of possible side effects. These are the potential risks that you must know about before giving consent to Sinus Surgery, however many of these potential complications are very uncommon.

You should always discuss with your surgeon about the likelihood of problems in your case before you decide to go ahead with the operation.

Bleeding
Bleeding is a risk of any operation. It is very common for small amounts of bleeding to come from the nose in the days following the operation. Major bleeding is extremely uncommon and it is very rare for a transfusion to be required.

Eye Problems
The sinuses are very close to the wall of the eye socket. Sometimes minor bleeding can occur into the eye socket and this is usually noticed as some bruising around the eye. This usually gets better without any special treatment, although it is important that you do not blow your nose.

More serious bleeding into the eye socket sometimes can occur, however this is very rare. This can cause severe swelling of the eye and can even cause double vision or in very rare cases loss of sight. If such a serious eye complication did occur you would be seen by an eye specialist and may require further operations.

Spinal Fluid Leak
The sinuses are very close to the bone at the base of the brain. All sinus operations carry a small risk of damage to this thin bone with leakage of fluid from around the brain into the nose, or other related injuries. If this rare complication does happen you will have to stay in hospital longer and may require another operation to stop the leak. On very rare occasions infection has spread from the sinuses into the spinal fluid causing meningitis but this is extremely uncommon.

You can discuss this complication with your surgeon before the operation.
How often do complications happen?In general, complications are very rare. In a survey of all ENT surgeons who do this type of operation in England, minor eye complications happened in one in every five hundred operations and spinal fluid leaks happened in onecase in every thousand operations, so the risks are small.

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Are there any risks / side effects associated with Septoplasty?

Septal surgery is safe, but there are some possible risks and complications.

  • Sometimes your nose can bleed after this operation, and we may have to put packs into your nose to stop it. This can happen within the first 6–8 hours after surgery or up to 5–10 days after surgery.
  • Rarely you may need to return to the operating theatre with another general anaesthetic to stop the bleeding.
  • Infection in your nose is rare after this operation but if it happens it can be serious, so you should see a doctor if your nose is getting more and more blocked and sore.
  • Rarely the operation may leave you with a hole in your septum inside the nose going from one side of your nose to the other. This can cause a whistling noise when you breathe, crusting with blockage or nosebleeds. Most of the time it causes no problems at all and needs no treatment. Further surgery can be carried out if necessary to repair a hole in the septum.
  • Very rarely you may find that the shape of your nose has changed slightly, with a dip in the bridge of your nose. Most people do not notice any change, but if you are not happy with it, it can be fixed with surgery.
  • Very rarely, you can have some numbness of your teeth, which usually settles with time.

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What is the difference between a rhinoplasty and septoplasty?

Rhinoplasty aims to change the shape and the external appearance of the nose, while septoplasty surgery does not alter the external shape or appearance of the nose and is most commonly performed to improve the function of the nose.

Septoplasty and Rhinoplasty surgery are often combined in one surgery which is called a Septorhinoplasty.

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What to avoid after rhinoplasty surgery?

After rhinoplasty surgery it is best to avoid the following:

Exercise and strenuous activities:
You will be encouraged to take walks and stay active after your surgery however it is important to avoid strenuous activity for 3 weeks after surgery. This includes running, aerobic exercise, heavy lifting, cycling – anything that gets your heart rate up significantly. During the third week it is possible to gradual ease back into your training regime. Swimming should be avoided for 6 weeks after rhinoplasty and ideally contact sports should be avoided as far as possible.

Nose blowing:
It is natural to want to blow your nose after rhinoplasty surgery as it will feel congested. It is vital however not to do so especially for the first two weeks after surgery. You will be encouraged to use the nasal wash provided instead of blowing your nose to relieve the congestion and to help dissolve the soft packing that is used during surgery. Avoid crowed areas, people that are unwell with a cold or flu and wash your hands regularly to try and avoid getting sick during the first few weeks of recovery.

Getting the splint wet:
After surgery a splint is applied to the outside of the nose. This helps limit the amount of swelling and helps to keep everything in position. If the splint gets wet, it will come off too early which can in turn affect your final result.

Wearing glasses:
It is recommended that you do not wear glasses including sunglasses for six weeks after rhinoplasty. This is to limit pressure on the bridge of your nose which can interfere with the result of your operation. There are several solutions available including cheek pads that lift the glasses off your nose to ensure that there is no pressure placed over the bridge.

Sun exposure:
Avoid sun exposure for the first 6 months after rhinoplasty surgery. The skin can be quite sensitive and excessive sun exposure, can increase the risk of complications. Use a high index (50+) sunscreen and wide brim hat to keep your new nose cool.

Smoking and alcohol:
Smoking reduces blood flow interferes with wound healing. If you are a smoker, it is best to consider deferring surgery until you have been able to stop smoking. This will ensure that you have the best possible result. Drinking alcohol can interfere with other prescribed medications following the procedure and excessive amounts can impair you balance and may put your new nose at risk. It is best to avoid both for the first 3 weeks after surgery.

Touching your nose:
Following surgery, the nose can be quite itchy and there are often areas of scabbing and crusting along the incision sites, both inside the nose and on the outside between the nostrils where the sutures are. The natural tendency is to try and clear this away to alleviate the irritation.

The hands and fingers are, however, full of bacteria that live on your skin. It is quite possible to transfer these into the wound which can lead to a wound infection. Even though infection is relatively uncommon after rhinoplasty surgery it can affect the end results when it does occur and is best avoided.

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What is the difference between a nose job and rhinoplasty?

“Nose job” is a broad term that is commonly used in everyday language to refer to surgery on the nose. The two main surgeries often referred to as a “nose job” includes septoplasty, which focusses on straightening the internal partition between the nostrils, and rhinoplasty which aims to change the external appearance of the nose.

Septoplasty surgery does not alter the external shape or appearance of the nose and is most commonly performed to improve the function of the nose. Septoplasty and Rhinoplasty surgery are often combined in one surgery which is called a Septorhinoplasty.

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How long is the recovery time?

Most sinus surgery patients spend the first night after surgery in hospital and are able to go home early the following morning.

In certain instances, surgery can be considered as a day case procedure, depending on the extent of surgery and whether you have any other medical conditions. Up to two week’s rest right after returning home from surgery is recommended. A patient’s nose and the front of the face can be a bit tender for a few weeks.

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What should I look for in a rhinoplasty surgeon?

Rhinoplasty surgery is widely considered to be one of the most technically challenging procedures to perform. Selecting the right surgeon is therefore of the utmost importance. Some of the things to look out for include:

  • Qualifications: Rhinoplasty surgery should only be performed by fully qualified specialist surgeons. It is commonly performed by both Otolaryngologists (ENT surgeons) and Plastic surgeons. It is important to ensure that your chosen surgeon is a Fellow of the Royal Australasian College of Surgeons (FRACS) – this means that the surgeon is a fully qualified and certified specialist surgeon in Australia.
  • Experience: There is a significant learning curve associated with Rhinoplasty surgery and getting consistently good results after surgery takes a lot of experience. Don’t be afraid to ask your surgeon about their experience level.
  • Previous results: Most surgeons can extensively demonstrate their previous results with before and after photos of previous cases. This often includes photos at different stages of the healing process to demonstrate how the swelling gradually subside over the course of 12 months after surgery.
  • Communication Skills: Look for a surgeon who is easy to talk to and understands your concerns and expectations. It is important that they take time to explain the procedure as well as the possible risks in a manner that you can understand and that you feel comfortable with
  • Consider a second opinion: Seeking a second opinion often helps to put you mind at ease regarding the procedure. It can also help to make sure that you are happy and confident with your decision to have surgery and your choice of surgeon.

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How is sinus surgery performed?

Sinus surgery is performed to open narrow or damaged sinus passages and allow natural drainage and ventilation of the affected sinuses. It also allows for far more effective use of medical treatments (sinus washes and sprays) afterward.

The sinuses are connected to the nose internally. Sinus surgery is performed by using miniature, high definition, cameras and fine instruments that are passed through the nostrils to give Dr Chris Oosthuizen an inside view of the nose and sinuses. Dr Chris Oosthuizen then uses these instruments to remove inflamed and infected tissues and widen the natural openings of the sinuses, improving sinus health.

There are no incisions made on the outside of the face and this type of surgery does not result in any swelling or bruising of the face.

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How do I sleep after Rhinoplasty?

After rhinoplasty it is advisable to sleep with you head in an elevated position. This will help to minimse swelling during the recovery period. Ideally your head should be raised on 2-3 pillows for the first two weeks after surgery and avoid sleeping on your stomach during this time.

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How much does sinus surgery cost?

The cost of sinus surgery is different for each individual, depending on the complexity and extent of the surgery.

Costs will include specific fees for Dr Chris Oosthuizen, the anaesthetist and the hospital.

Sinus surgery is medically necessary surgery, and commonly covered in part by Medicare and private health insurance funds.

Form & Function Rhinoplasty and Sinus Surgery set our rates competitively to other specialist surgeons and we adhere to the guidance from the Australian Medical Association.

With us you will know exactly what you will pay, with no hidden costs or changes to consultation or surgery fees.

Please contact our office if you have an enquiry regarding fees.

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