Phone - (02) 9982 3439

Septoplasty Pre-Operative Information

Dr Jason Roth (MED0001185485) — Specialist Otolaryngologist & Head and Neck Surgeon, specialist registration in Otorhinolaryngology, Head & Neck Surgery.

This page provides pre-operative and post-operative information for patients who have completed their consultations with Dr Roth and are preparing for septoplasty. It should be read alongside the written instructions provided at your pre-operative appointment. If anything here is unclear or conflicts with instructions you have been given directly, please contact the rooms.

Read the full septoplasty information page →


About Septoplasty

Septoplasty is surgical correction of a deviated or deformed nasal septum — the thin wall of cartilage and bone dividing the nasal cavity into two passages. The primary goal is to restore nasal airflow. The procedure is performed entirely through the nostrils in the vast majority of cases, leaving no external scars. It is performed under general anaesthesia as day surgery, although some patients may require an overnight stay.

Septoplasty is frequently combined with turbinoplasty (reduction of the inferior turbinates), sinus surgery (FESS), or rhinoplasty. Where both functional and cosmetic nasal goals are being addressed together, the combined procedure is called a septorhinoplasty. The specific combination planned for your surgery will have been discussed at your consultations.

Septoplasty may attract Medicare and private health insurance rebates where documented nasal airflow obstruction meets the applicable MBS item number criteria.


Before Surgery

Medications to Cease

Stop the following at least two weeks before surgery:

  • Aspirin and any aspirin-containing products
  • Ibuprofen (Nurofen, Advil) and all other anti-inflammatory medications
  • Naproxen (Naprosyn, Naprogesic)
  • Warfarin, clopidogrel, or other anticoagulants — discuss with Dr Roth and your GP before stopping
  • Vitamin E supplements
  • Fish oil
  • Garlic tablets
  • Ginkgo biloba and ginseng
  • St John’s Wort

Continue all regular prescribed medications unless specifically advised otherwise. A full list of medications to avoid is available on the Medications to Avoid page →

Smoking

Smoking — including cigarettes, vaping, and nicotine patches — impairs wound healing and increases the risk of post-operative bleeding and infection. Cessation for at least two weeks before surgery is required, and preferably longer.

Fasting

  • No solid food or milk for at least six hours before your scheduled surgery time
  • Clear fluids (water, black tea or coffee) are permitted up to two hours before — your specific instructions will be confirmed by the hospital the day before surgery

Practical Preparations

  • Arrange a responsible adult to drive you home from hospital and stay with you on the first night
  • Purchase prescribed medications in advance — prescriptions are issued at the pre-operative appointment
  • Purchase a large-volume saline nasal irrigation kit (NeilMed Sinus Rinse or Flo Sinus Rinse) before surgery — nasal irrigation begins the day after surgery and is one of the most important parts of recovery
  • Plan at least one full week away from work; two to three weeks off sport and heavy physical activity
  • Prepare light meals in advance

What to Expect in Recovery

Night of surgery
Discharge home the same day for most patients. The nose will feel completely blocked. Some blood-tinged nasal discharge is normal and expected. A light drip pad under the nose manages this. Rest with head elevated.

Days 1–3
Nasal congestion is at its worst. Bruising and swelling around the nose and eyes may be present, particularly if osteotomies (bone cuts) were part of the procedure. Begin nasal saline irrigation the day after surgery as instructed. Avoid blowing the nose.

Day 7 — first post-operative appointment
Nasal splints or spacers (if placed) are removed. The nose is gently cleaned with microsuction. Nasal breathing begins to improve as swelling settles. External sutures removed if present.

Weeks 2–4
Nasal breathing continues to improve. Most patients return to light work and normal social activities. Avoid strenuous exercise, heavy lifting, and nose-blowing.

Months 1–3
Nasal breathing approaches its final quality as internal swelling fully resolves. The improvement in breathing from a well-performed septoplasty is typically substantial and durable.


Important Post-Operative Instructions

  • Begin nasal saline irrigation the day after surgery — twice daily using a large-volume delivery bottle (NeilMed Sinus Rinse). This is one of the most important steps in a good recovery
  • Avoid nose blowing for 48 hours; after this, blow very gently
  • If you need to sneeze, open the mouth widely to reduce pressure through the nose
  • Avoid straining, heavy lifting, bending forward, and strenuous exercise for two weeks
  • Avoid hot showers, hot meals, and alcohol — these increase blood flow to the nose and risk of bleeding
  • Keep nasal splints moist if in place — do not allow them to dry out and crust
  • Complete the full course of antibiotics as prescribed
  • Use the prescribed nasal decongestant (Drixine) for no more than three days
  • Take paracetamol regularly for pain — avoid ibuprofen and all anti-inflammatory medications after surgery

When to Seek Urgent Assistance

Contact Dr Roth immediately or attend your nearest emergency department if you experience:

  • Brisk bleeding that does not settle after 20 minutes of firm direct pressure
  • Fever above 38.5°C
  • Increasing pain, redness, or swelling around the wound
  • Any discharge that appears purulent (cloudy or discoloured)

Dr Roth’s rooms: (02) 9982 3439 | Out of hours: attend the nearest emergency department.

Septoplasty — Full Information → | Sinus and Nasal Surgery Post-Operative Care → | Contact the Rooms →

Dr Jason Roth | MBBS, FRACS (ORL-HNS) | MED0001185485
Specialist Otolaryngologist & Head and Neck Surgeon
Specialist registration — Otorhinolaryngology, Head & Neck Surgery
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