Matthew Bridges M.D. FACS

Facial Plastic Surgeon

804-655-0400 | Schedule Consultation

Septal Perforation Surgery - Richmond, VA*

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A septal perforation is a hole in the nasal septum. This causes airflow through the nasal cavity to criss-cross through the hole in the septum causing turbulence, which adds drag to the air as it flows through the nose, causing the sensation of obstruction. Nasal septal perforation repair is ultra specialized, requiring very advanced knowledge of rhinoplasty techniques as well as tissue advancement and grafting.  Placing sutures deep in the nose is extremely delicate and takes supreme concentration and patience. Midlothian, VA facial plastic surgeon Dr. Matthew Bridges M.D. FACS trained with a world-renowned expert in rhinoplasty and septal perforations.  He has extensive experience and a special interest in the repair of septal perforations.

Surgical Technique

Open Perforation Surgery

Open septal perforation surgery is an auto grafting technique that uses connective tissue from the nose or other parts of the body to close the hole. Although the open technique is highly successful at closing the perforation, it is a complex procedure, and does not restore physiologic function to the nasal membranes. The open technique is used most often with larger septal perforations.

Closed Perforation Surgery

Closed septal perforation surgery is an endoscopic technique that makes small incisions in the surrounding tissue from both nostrils to create a flap over the perforation. Sutures are used to close the perforation once the flap is placed over the hole. This technique does not affect the physiologic function of the nasal membranes, and is more common among small to medium-sized perforations. 

During/After Surgery

Septal perforation surgery is an outpatient procedure performed under general anesthesia. The technique used during the surgery varies for each patient, depending on the severity of the perforation. The surgeon may use tissue from the patient’s nose or other body parts to stitch the hole, or create a flap over the hole. After the procedure, the nose will drain, so patients are required to rinse their nose with saline solution several times a day. The nose will heal 2-3 weeks after the nasal pack is removed, but patients should avoid strenuous exercise, blowing their nose and bending forward for several weeks.

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Septal Perforation Surgery FAQ

Does It Work?

The success rate of septal perforation surgery depends on the severity of the perforation. About 90 percent of patients who undergo septal perforation surgery (both open and closed techniques) experience a successful procedure with minimal risks and side effects.

Open or Closed?

The technique used during the procedure depends on the size and severity of the perforation. Most patients with small or medium-sized perforations have closed septal perforation surgery, while patients with larger perforations have open surgery. During the initial consultation, the surgeon evaluates the perforation to determine which technique would be the most successful.

Covered by Insurance?

Some insurance companies may cover the cost of surgery because of its medical effect on patients suffering from a septal perforation. Patients are encouraged to speak with an insurance representative before surgery to find out what will be covered by their insurance policy.

When Can I Exercise?

Most patients can return to routine exercise several weeks after the nose pack has been removed. However, patients should be extremely careful to not hit or injure their nose during exercise. 

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.