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.
"I was referred to Dr. Bridges by another plastic surgeon in the Richmond area. He is double board certified as a facial plastic surgeon, and an ENT surgeon. If your problem is in anyway ENT related, avoid a strictly cosmetic facial plastic surgeon or ENT surgeon. Ideally, you want someone double board certified in both areas. I have had 2 prior nose surgeries (ENTs) to try to correct my deviated septum to alleviate breathing problems, allergy symptoms, chronic congestion, sinus pressure, and headaches. During the initial consult, I provided the history of my problem and details of the prior surgeries. I told him, with all that surgeons can do today, a surgeon should be able to FIX MY NOSE!!! I was close to begging him to do so. *sigh* He told me he believed he could improve my condition. I scheduled the surgery for 3 weeks later. I'll admit I was in rough shape after the surgery for about 36 hours due to the anesthesia. (I may have yelped during this time period, though I can't recall. *wink*). I'm writing this review 9 weeks post-surgery. This is the best improvement I've had out of the 3 surgeries. I still have a few months for all the swelling to subside but there is noticeable functional improvement. I'd guesstimate about 60-70%. The good news, Dr. Bridges was able to straighten my septum and somewhat widen a narrow nasal passage; the bad news, my septum doesn't fall down the center of my nose, thereby making one nasal passage twice the size as the other"- B.B. / Yelp / Jun 02, 2013
"Breathing Easier. To Correct Malformation of Cartilage - Midlothian, VA - Dr. Bridges ranks superlative in each of the above categories. I was referred to him by a local ENT doctor in Hampton Roads who said my deviated septum was as bad as he had seen and that it should be attended to by a specialist who had more experience in reconstructive nasal surgery. That was the best advice and referral ever given."- B. / RealSelf / Jul 02, 2012
"Revision Work After Cartledge Collapse After Deviated Septum 10 Yrs Ago - Richmond, VA - I couldn't breathe well at all out of my left side of my nose. I had what was frequent sinus infections, swollen on left side of my face and was with no energy and constant muscle tension and mucus. Miserable. I tried the turbinate revision with a local doctor Dr Lenkowski at Lewis Gale in Roanoke. Maybe slight relief. I was referred to Dr. Park at UVA in Charlottesville who told me "I scared him" he said I had 40% airflow on left and basically there was no guarantee with surgery and so he was not doing it. He said patients he works on are much worse. I clapped my hands together and left 2 mins later after a 5 hour drive total with my children in tow. Don't ever go there..... So, I prayed and thought I know, I know, there is the right doctor who will hear me and I know my body. I know I should be breathing better, this isn't right or normal. If I closed my finger over my right nostril, my good one, and breathe in I about pass out. Light headed and no real airflow. I even tried my husbands sleep Apena machine. Lol. I found a couple doctors that had impressive backgrounds and may could help me. I made 3 appointments. The first doctor was Dr Matthew. From the moment I spoke to Mary his care coordinator I was impressed and felt at ease. She was the only one that took time to hear what was going on with me. She asked me to send pictures too as she realized I lived a long ways away and with the kids was difficult. She called me back one day later after showing Dr Matthew my pictures and said yes he will be able to help you and come on in the next day. I was so thankful. I've never been treated with such care from a doctor. I don't like going to doctors actually and I try and hold out but this was killing me and I was tired of being on antibiotics every month. Dr Bridges said he needed to rebuild me nose like with an internal breathe right strip and used donor cartledge to repair the "tent". He spent 4.5 hours in surgery with me if that tells you anything. That's a long time of care and dedication. Not to mention the hospital he practices out of is like a Hilton/ the friendliest staff and no issues with anthestesia like I had a Lewis Gale for turbinate surgery. I was asleep before I got to OR. Perfect. Yes it was sore after and it's 2 weeks post op and finally I am starting to breathe well from left side. My right side healed much faster but that is because he didn't do as much work on that side. I'll tell you he also did lip filler the day of surgery and that's pros and cons, guess heal the same time but maybe if u want one done at another time u can. Lips are great! He is friendly, kind and compassionate. He is willing to try to make it better and that optimism is what I like! He is the best and I would say if you are having any trouble breathing go to him. Do not chance it with just an ENT who could mess up your nose. Dr Bridges is double board certified in ENT and plastic surgery so he knows structurally how the breathing can be impacted by plastic surgery needs. He will go to bat with you for insurance to cover it. United Health Care tried to get out of paying and Mary and Dr Bridges got it covered."- K. / RealSelf / Oct 18, 2015
"Although I had suffered from chronic nasal congestion and several back-to back sinus infections, I didn’t realize just how impaired my breathing was until Dr. Bridges corrected several deformities inside my nose, including a deviated septum, enlarged turbinates and a collapsed nasal value. What a joy it is to be able to take big, deep, glorious breaths again! I can now breathe freely and sleep through the night, even in spite of sinus drainage from allergies. And as an added bonus, I also have a heightened sense of taste. I was impressed with the pride that Dr. Bridges takes in his work; his willingness to take the time to explain the anatomy of the nose, what was wrong and how he would fix it; and how genuinely delighted he seemed to be able to make a huge difference in the quality of my life. I have nothing but the highest regard for Dr. Bridges and recommend him without reservation. - North Prince George, VA"- Anonymous / Office Visit / Aug 29, 2013
"Had suffered with sinusitis repeatedly. In Oct 2010 I was admitted to the hospital with a severe case at which time Dr. Matthew Bridges was called in . After usual scans and tests and infection was cleared, Dr. Bridges performed surgery. Now after 2 1/2 months since surgery I honestly feel better and I am able to breathe so much better. My sincere gratitude and appreciation to Dr. Bridges and Regina for bearing with me and helping me during a difficult time. Dr. Bridges and his staff were so helpful during recovery, patiently answering questions and always eager to assist. Both Dr. Bridges and his staff (especially Regina) had a great effect on my recovery. Thank you. - Richmond, VA"- Anonymous / Office Visit / Sep 30, 2010
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.