A septoplasty is a surgical procedure to straighten a deviated septum. A deviated septum is a condition in which the nasal septum is shifted away from the midline into one side of the nasal cavity, which obstructs the patient's airflow and inhibits breathing. Dr. Matthew Bridges M.D. FACS, a Richmond area facial plastic surgeon, performs deviated septum repairs to relieve the patient's medical symptoms, improve the patient’s airflow, and correct any physical imperfections.
"Dr. Bridges helped fix my highly deviated septum from multiple nose injuries and at the same time helped sculpt my nose into something more appropriate for my features. I recommend him to everyone I know looking at getting nasal surgery done. I've had several friends who have seen him through my recommendation and have also had wonderful results that they are extremely happy with. He's a a fantastic doctor and I'd go as far to say an artist in his craft!"- P. / Healthgrades / Jun 22, 2020
"Gave Me the Nose That Was Meant for my Face. - I went to Dr Bridges for help with a severely deviated septum as well as in the hopes of altering my nose for aesthetic preferences. I sobbed when I took the bandages off, his work is absolutely stunning. He turned the thing I was most self-conscious about to my favorite part of my body. He gave me medication that made my recovery SO easy, I did not bruise at all despite him having to break my nose in order to fix previous breaks. I can breathe SO easy now and my profile looks like what it was always supposed to."- K. / RealSelf / Jun 22, 2020
"Dr. Bridges helped fix my highly deviated septum from multiple nose injuries and at the same time helped sculpt my nose into something more appropriate for my features. I recommend him to everyone I know looking at getting nasal surgery done. I've had several friends who have seen him through my recommendation and have also had wonderful results that they are extremely happy with. He's a a fantastic doctor and I'd go as far to say an artist in his craft!"- Anonymous / Healthgrades / Jun 23, 2020
"I recently had surgery to correct my extremely deviated septum and Dr. Bridges exceeded my expectations. He was able to completely straighten my nose, fix a bump on my bridge, and corrected the deviation 100%. Everyone that I have worked with has been absolutely wonderful and will recommend Dr. Bridges and Commonwealth ENT to everyone! "- H.S. / Healthgrades / Sep 19, 2022
"Matt Bridges is an excellent surgeon with the best bed-side manner. My daughter fractured her nose and wrecked her septum. He explained every bit of the process and made us so comfortable especially since she never had surgery! Her nose looks amazing and she is able to breathe, sleep and smell again. He is the absolute best there is!"- A.A. / Google / Oct 15, 2019
Septoplasty surgery is performed through an incision made inside the nostril. The tissue covering the septum is lifted and separated so that a clear view of the inside of the nose can be achieved and the bone and cartilage assessed. During the procedure, the deviated structures are removed or reshaped to correct the issue, while at the same time preserving the shape of the nose. The incision is closed with sutures. As part of the post-operative preparation, the surgeon usually places a splint or soft plastic sheets inside the nose to help reduce scar tissue and to help align the septum as it heals. Nose packing may be used in some cases to control bleeding.
Plan Your Procedure
Breathing Issues Only?
Most patients will choose to have Septoplasty to help alleviate symptoms of a deviated septum. However, many of these patients like the look of their nose and thus are worried that surgery will change this. Septoplasty generally does not alter the appearance of the nose. In some cases, septoplasty can help to straighten a crooked nose or improve nostril symmetry. It is important to go to an experienced nose surgeon so that any visible change are natural and subtle.
What Causes A Deviated septum?
A deviated septum can be caused by trauma, including birth trauma. Most patients with deviated septums do not recall specific trauma to their nose, however. Sometimes minor trauma to the nose in childhood can move the septum out of the midline, worsening as the nose grows in puberty. The majority (up to 80%) of the adult population has a deviated septum, but only a small percentage of those adults have symptoms severe enough for surgery.
Plastic Surgeon or ENT?
Most ENT surgeons are skilled to perform Septoplasty. However, Facial Plastic Surgeons are specially trained to preserve the look and shape of the nose, or change it according to patient desire. Some general plastic surgeons may send their patients to an ENT for the Septoplasty, while they focus on rhinoplasty. It’s important to note that if a rhinoplasty surgeon cannot perform Septoplasty, then patients should consider finding a new nose surgeon. The septum plays a critical role in rhinoplasty. Dr. Bridges is Double Board Certified in both ENT and Facial Plastic Surgery and thus understands the critical importance of both function and aesthetics in nasal surgery. Dr. Bridges believes that mastery of septoplasty is critical in performing successful rhinoplasty.