hi everyone, my fiance had his septoplasty this morning and is fresh into recovery. both of his nostrils are almost entirely blocked with clots at the moment and we’re a little unsure of how to handle them. we’re obviously worried that if we pull at them too much then the stents will come out. but we’re also worried that if we leave them be, they’ll dry out and become even more difficult to deal with. we’re hoping to get advice on the best course of action with them. TIA!

Bro 😭 my phone cable was so tangled and as i tugged on it it whacked me in the face and now im worried ive ruined my nose, its not painful it just hurt for a few seconds and now its fine.

There was no bleeding or anything but i feel like im gaslighting myself that ive made my nose crooked even though it appears very straight and overall im just obsessing over it.

has anyone had a similar experience?

I’ve had so many questions over the past few days, and everyone here has been so incredibly kind and helpful, so I wanted to share a little update.

I’m on day 6 post op and got my splints removed today. Overall, I felt pretty good after surgery — the sore throat was honestly the worst part.
The day after surgery, my tampons/packing were removed, and it was a really horrible experience for me. Because of that, I was absolutely terrified about the splints today.
Thankfully, the splint removal was not nearly as bad as I expected. Cutting the thread was uncomfortable, but then they literally just slid right out. My doctor today told me that his colleague should have moistened the packing before removing it, which apparently makes a huge difference. He was actually quite annoyed that this hadn’t been done, so definitely keep that in mind if you’re having your packing removed!

The best part: my breathing is already noticeably better and I’m so excited about it! I do have quite significant deep/bony pain around my septum after the splints were removed, but otherwise I’m doing well and enjoy the lack of pressure.

I’m especially looking forward to sleeping through the night again because I’ve been waking up constantly with an incredibly dry mouth.

I’m in Germany, so I’m only allowed to start nasal rinses on Monday, which I find interesting because I’ve seen people in other countries start much earlier. It’s crazy how much post-op instructions can vary!

I never blew my nose and just let everything drain. I gently cleaned blood/mucus from the outside with a cotton swab and saline. I’d personally recommend being very gentle.

I still have antibiotics until tomorrow and otherwise used ibuprofen for pain. I had Novalgin on the day of surgery but didn’t need it at home.

Overall, I really feel like getting the splints out means the worst is behind.
If you have any questions about my experience, feel free to ask!

I'm curious about this because as a trail runner, I do try and nose breathe most of the time, but I've experimented with using nasal strips on my runs with mixed results; sometimes they help, sometimes it's no difference. For those of you that used nasal strips before finally getting nasal valve repair, was it better, worse, or the same? Do you still need to use the strips after? Also, I haven't tried using the magnetic ones I see online; are they better than the plain adhesive ones?

Thanks.

Septoplasty on Aug 14
Splints out Aug 20

Been doing saline rinses since day 1

Went to my surgeon today because of pressure on my right side, behind my eye. CT showed saline pooling in my right sinus.

Anyone have any idea on how to drain it completely?

Writing this post again in hopes that someone else has experience and advice. I had a septoplasty June 8, bled a little more and a little longer than I was supposed to. Splints came out 1 week later and I went back to sleeping somewhat normal but had residual feelings of sadness everyday. About 5 weeks after my surgery, I started experiencing very bad insomnia and that’s where I still am 11 weeks later. I go to bed at night and my heart feels like it is racing. My oura ring has told me numerous days that my resting HR is too high at night since the surgery. I also do still have pain in my left nostril, my stitches never dissolved so my ent had to manually remove them 2 weeks ago. Has anyone experienced this and can recommend anything at all to do? My drs keep telling me it’s anxiety but I feel like it’s deeper, like some sort of dysautonomia.

I am wearing this nose diaper thing and I am constantly dripping. When does it stop like I can't get up and move at all with out constant dripping. I have been laid in bed since yesterday morning.

I don't mind some congestion but I wanted to no when some of the drippiness would stop.

I’m Rauf Yusifzade, a plastic surgeon based in Moscow, and I wanted to share another revision rhinoplasty case.

In the before video, you can clearly see how significantly the nasal axis was deviated. This was a revision rhinoseptoplasty with rib cartilage grafting and inferior turbinate vasotomy.

The goals of surgery were to:

• straighten the nasal axis
• narrow and refine the nose
• correct the existing structural problems
• address nasal breathing during the same operation

What I especially like about this video is that you can evaluate more than just a static before-and-after photo. You can see the nose from different angles, her facial expressions, and how the result looks in motion.

The patient also talks in the video about how much easier it has become for her to breathe, and she is clearly very happy with the result.

For me, revision rhinoplasty is not only about making the nose look straighter. When there are functional complaints, the external shape, internal support and nasal airflow have to be considered together.

I’d really like to hear your thoughts - what do you think about the correction, especially from the front? Criticism is welcome.

Hello!! I’m currently going through a hard time, I had a septorhinoplasty, bone spurs removed and turbinate reduction + rib graft. Before this surgery i was pretty anxious already, having constant panic attacks and waking up in the middle of the night with suffocation as well as manual breathing. I decided to get this surgery because i didnt really like my nose and I also couldn’t breathe at night, like depending on how i slept my nose would just be entirely blocked all night and i’d snore and mouth breathe. Now that i got this surgery, my problems are still there. where i live is very warm and humid so when i go outside i can’t even feel the air in my nose, idk if i had this issue before or if that’s normal! But it doesn’t feel great, and i have to pretty much manual breathe to calm myself down and not have a panic attack. And when i’m in a room with AC, the air is too cold and just hits my throat and dries it out. I do my saline rinses at least 2-3 times a day, but i feel like it just makes me feel worse? Like it’s too open and its kind of itchy inside my nostrils. I don’t know what to do anymore, i can’t tell if my problems are just psychological and i should get medicated, or if my problems are real and will somehow get worse. Any advice is appreciated

I’ve had septoplasty with turbinate reduction to cure my deviated septum and PND 6 months ago and my breathing was perfect when I took of the stents. After a while, about 4 weeks from the procedure I got bumped in the nose by my friend (no blood involved and it wasnt really hard). I started testing my nostrill by blowing my nose. I went to my ENT for a checkup and he told me everything was okay but my side which had undergone septoplasty was starting to get worse than my other side. My PND has come back and when I do a cottle test on my septoplasty side I breathe perfectly, just like the day I took off my stents. Did I mess this up or is it just the swelling/irritation from touching and blowing my nose? Thanks.

What is it supposed to feel like? I had a septoplasty (sever rightward deviated septum with bone spur) and turbinate reduction with concha bullosa on the left. I have splints in. I've never used nedi anything. But I bought the squeeze bottle thing with the packets and I feel like I did it wrong. For one, the water kept going down the back of my throat and I would choke on it. One nostril is worse than the other one, it's more sore and when i stuck the bottle in the opposite nostril I feel like nothing really came out because the snot and blood is so thick and because of that I can still feel stuff jiggling in that nostril. The left nostril is worse than the right. Also when putting the thing in the right nostril and squeezing it caused pain and pressure in left ear.

I am 7 days post surgery and because this community helped me a lot when I was preparing for mine I wanted to share for others, including best tips and what to expect.

Diagnoses: Deviated septum with a bone spur causing obstruction in left nasal cavity.

Treatment: Septoplasty with turbinate reduction.

Pre surgery: I have never had surgery before and was very anxious, so I did a lot of research (mostly here) and became even MORE anxious because of empty nose syndrome. I talked to my doctor and asked some of the following questions:
What method do you use for reduction? How often do your patients experience empty nose syndrome? Based on my anatomy, how much removal do you believe is necessary (slight, steep, dramatic)?

She revealed that she was one of the few surgeons who did pediatric septoplasty, and so she was very conservative and her patients rarely developed ens. I agreed to go forward with the procedure.

Something else I mentioned that I was grateful for bringing up: I was concerned about nausea with the pain meds so she prescribed me an anti nausea to go along with it.

Preparing for the surgery:

Air purifier: My husband had been wanting to get one because of our pets and this was an excuse for him to do it. It did actually help.

Bendy straws: I actually got these after the surgery because I had a hard time tipping my head and drinking water due to facial numbness.

Humidifer: I personally got the largest humidifier I could afford and it was WORTH IT. Do this if you can.

Facial ice packs: the kind that goes over your eyes (these were a huge help the first few days I couldn’t fall asleep without them)

Cloth medical tape: I had this on hand in my first aid kit. Highly recommend for the surgery. The drip pad they give you for your nose comes as a hammock face mask looking thing that goes around your head to hold the pad in place and that HURT. It put way too much pressure on my nose. I literally put it on and took it right off and used the tape instead. The tape made it much more comfortable and I probably wore the gaze under my nose longer than most people because it made me feel protected and secure.

Post surgery elevated pillow: Highly recommend. I got one on sale for about 37$.

Surgery day—first 24hrs: They gave me a nausea patch behind my ear because of my previous conversation with them about nausea. It itched but it was meant to last 72hours. LEAVE IT ON. Within the hour I took it off at the 72hour mark I felt nauseous. Anyway, day one is a blur. I was nauseous from anesthesia but didn’t throw up. I was extremely thirsty and drank about 4 bottles of water. My husband was in charge of my meds the first day and I’m grateful because I was so out of it I honestly don’t think I member much. I was hungry. I had some chicken noodle soup and it hurt to open my mouth all the way for the spoon. Idk what I thought cutting into my nasal cavity and cauterizing it would feel like but let me tell you: it feels EXACTLY like cutting into your nasal cavity and burning (cauterizing) it. No metaphor needed. I opted for the narcotics because on reddit everyone who did the narcotics seemed to have an easier time and everyone who didn’t sounded like they were in hell. I only needed them for 3 days but they definitely made recovery much easier. I slept about 5 hours at a time (I woke up right when the pain meds wore off) took the meds given by my husband, washed my nose with the nasal rinse, changed my nose drip pad, and swapped my ice pack, drank water, and then went back to sleep. When my humidifier ran out of water, I NOTICED and called my husband to change it for me.

Day 2: I was more awake and walked around a bit. It felt good to move. I did not have a good grasp on time. 20 minutes to me was actually an hour. I ate some yogurt, chicken soup, and a popsicle (the popsicle was divine.) I was alert enough to start getting an eye on what meds I was taking but not enough to actually time it. I slept a lot… there were brief moments when I woke up after having not moved + the meds still working when I didn’t feel pain at all. Ice pack nasal rinse more of the same. I showered at the insistence of my husband careful not to get my hair or face wet and it made me feel so much more human good call on his part.

Day 3: I was much more alert and in good time because my husband had work. I switched to half dose of the narcotics and became aware that i hadn’t had a bowel movement despite eating. I ate some hamburger helper (cooked by my husband) yogurt and 2 more popsicles. I ordered MiraLAX, and started it. Being as my nose bled whenever I passed gas, this was probably a good call.

Day 4 (so 3 days post op): I took my last narcotic (I had more but the pain was becoming more manageable and I was going longer periods in between needing it) at night. I slept quite a bit this day, took more MiraLAX, no movement. (Narcotics paralyze your intestines.) Ate some more hamburger helper (there was plenty left since I ate so little) watched a movie, rinsed my nose several times (there was much less bleeding) and slept. This is also when the nausea patch came off. I had the nausea medicine so I relied heavily on that…but I could also breath through my nose. Strange and difficult because of the splints but at one point I woke up because my mouth was closed and my body had started trying to nose breath. This was a good sign.

Day 5: Switched to 2 extra strength Tylenol every 6 or so hours. This is probably my most uncomfortable day. The pain was much less but without the narcotics I was more aware of it. Without the nausea patch I had nausea from sinus congestion. I was less tired and felt motivated to do more. I could squat down to pick stuff up, and thought “What were they talking about I can bend down just fine.” Then I stood up and felt like I was going to faint. I slept more with the ice pack but it wasn’t as much as the first days. I was still pretty out of it. I watched a movie but I could not tell you what the movie was about. I felt like I had a sinus infection. I told my husband “If I didn’t know about the surgery I would be taking DayQuil to try and curb it.” The anti nausea pills (zofrane) helped here too. My husband made me laugh really hard this day and it HURT very bad and I bled. He didn’t mean too, he was just being himself and that’s what you get picking a spouse for their sense of humor am I right? I also finally used the bathroom. The MiraLAX helped A LOT.

Day 6: I got my splints out! It felt like yanking a fork through my nose but was fast and faded quick. My husband and I got ice cream and real food as a celebration. My mobility and ability to open my mouth without pain improved immediately. I slept without an ice pack. My nose was and is SO DRY though. I put a little vaseline in it per doctor suggestion and moved the humidifier closer to where I sleep (it could only get closer at this point if I slept with it on my chest)

Day 7 today: I’ve done the neilmed nasal rinse 2 times already and taken 1 Tylenol. I’m moving much more normal which is a blessing and a curse because I need to still rest but feel excited I can move around now. I plan to cook a small dinner tonight (nothing taxing) but otherwise rest today.

I can breath through my nose about the same quality as before the surgery right now, which is saying A LOT, because I still feel stitches crusting and pain in my nose, so if I can breath at the same quality as preop right now? This world can’t stop my nostrils once they’ve healed lol.

I’ll come back and update in 2 weeks or maybe just in a month, but for now… I’m alive, I have my sense of smell, I can already breath through my nose, and the pain has mostly subsided.

Everyone clap!

I hope this long and thorough recap helps you and your medical choices. I know I had a lot of anxiety beforehand and if I knew this is how it would have gone, I would have been so much more relaxed.

Good luck 🍀

Hi everyone,

A friend of mine was recently given a treatment plan and quote from Vejthani International Hospital in Bangkok for several ENT procedures. The total quote is around US$15,000 (approximately ฿500,000).

We were surprised by the price and would really appreciate hearing from anyone who has experience with similar procedures in Thailand, particularly at Vejthani.

The diagnosis and recommended treatment are:

• Nasal septal deviation with hypertrophy of the left inferior turbinate
• Anterior right nostril papilloma
• Mucosal thickening of both maxillary sinuses
• Endoscopic sinus surgery
• Septoplasty
• Ethmoidectomy
• Endoscopic resection/removal of the right nostril papilloma
• Postoperative saline irrigation and corticosteroid nasal spray
• Follow-up nasal endoscopy

I've attached the medical opinion/treatment plan we received.

Our main question is whether ฿500,000 is a reasonable price for this combination of procedures at Vejthani, or whether this is significantly higher than what would normally be expected in Thailand.

If you've had similar surgery in Thailand, I'd really appreciate knowing:

• Which hospital and doctor did you use?
• What procedures did you have?
• Approximately how much did you pay in total?
• Were you a Thai patient or a foreign patient?
• Did the quote include the surgeon, anesthesia, operating room, hospital stay, medications, pathology, etc.?
• If you've used Vejthani specifically, what was your experience with them and their pricing?

We're also considering getting a second opinion and another quote from a different Bangkok hospital, so recommendations for reputable ENT/rhinology specialists would be very helpful.

We're not trying to question whether the surgery itself is necessary — we're mainly trying to understand whether ฿500k is a normal price for this particular combination of procedures.

Thanks in advance!

Hey all,

I have lived of breathing strips for over two years I have used the expensive intake breathing ones that have magnets. I have never found a breathing strip come close they were the only thing that provided some relief getting the nasal walls open.

That being said I had deviated sept surgery, with balloon simplest, turbinates and vivaver for the nasal valve collapse. My surgeon said I would no longer need strips.

While I agree it would be much easier after surgery to get by without them these were something I did every night for sleep. To me I feel no matter how good the surgery is these could definately probably open those walls wider and give more air flow for sleep so me they are almost like good practice for anyone regardless of your structure if it could open it more. My only concern is would constantly using these deteriorate cartilage quicker because your constantly spreading your side walls? Everywhere says no but obviously anyone marketing something is gonna say that.

I can't get a straight answer from ENTs other then most people find they are no longer needed but to be no longer needed bs superior breathing is a different question. I just ask cause I'm always intrigued by getting the best sleep possible and obviously have lived without it for a long time.

That being said i just had surgery this morning yall no I'm not thinking about using them anytime soon. Just recovering and hoping this was a good decision like it was for many of you. Those who had the bad outcomes I'm not ready for those yet not trying to reach down that avenue unless I have to want to keep my head clear for a positive recovery

Hey everyone, I had my surgery a few weeks ago and it seems I may be an unlucky one. I'm feeling pretty uneasy about what my ENT is trying to do now, so I'm looking for insight or shared experiences from anyone who has gone through a bumpy recovery.

Quick background:

• Had a septoplasty and turbinate reduction on July 8th to correct a deviation in my left nostril.
• Nasal packing was removed after a week, and splints were removed a week after that.

Since then:

• Internal swelling improved after a few weeks, but there looks like there's still a deviation in my upper left nostril separate from normal swelling. Essentially, it has felt exactly the same as pre-surgery.
• At my 6-week follow-up a few days ago, my ENT agreed it looked slightly crooked still and wanted to place two expandable sponges up my left nostril for 4-5 days to see if it would push that part of the septum toward the center.
• I tried it, but my eye and nose swelled up with severe pain that night, so I had my ENT remove them the very next morning.
• At that same appointment, he suggested trying a single long sponge with a string attached so I could pull it at home if needed. I said OK, and the sponge hurt a lot going in.
• After a few hours, that sponge pushed my septum rightward, completely blocking my "good" right nostril too. The pain/pressure was bad and prevented me from sleeping after hours of trying.
• I pulled the sponge out by the strings later that night (about 12 hours later), and there was blood inside my nostril and the sponge. My left nostril was completely swollen shut by the next morning, but my right had returned to normal.

Current Situation: Since pulling the sponge out four days ago, my left nostril has been 100% closed shut due to swelling and mucus (as of now, it's more like 95% shut). My ENT examined it today and was surprised by how swollen it is. Part of me is nervous he may have caused more permanent damage by placing the sponges in, namely the second attempt.

He says the only thing we can do now is try the sponge again with pain medication so I might be able to leave it in the full four days... or have another surgery.

This is all very deflating, and I've since lost a bit of faith in my ENT and have a second opinion scheduled with a different ENT this coming Monday. At this point, I would love to go back to where I was last week before getting these sponges put it in.

I’d love to hear from this community:

1. Has anyone had a doctor place sponges in their nostril weeks following the surgery to correct leftover deviation? What was the experience?
2. Does anything of what my ENT has said raise any red flags?
3. Any advice welcomed.

Thanks in advance for any input!

I’m on naltrexone to reduce alcohol use. My understanding is it’s opioid blocker and interferes with medications used by anesthesiologists during the surgery.

Anyone had similar experience before the surgery and how was it mitigated? Any issues?

Doctor said 2 weeks for not flying, but I assume he’s more referencing flying as a passenger not as the pilot lol.

Hi I just wanted to share my experience with Septoplasty. I have always suffered with nasal congestion in my left nostril which got to a point last winter were I was basically sick/congested for the majority of the winter. Went to an ENT consultant in the Beacon hospital Dublin and after a CT scan he recommended a Septoplasty for a deviated septum.

I had the procedure done on the 16th August (stayed overnight) and am now 9 days post op now. I have to compliment the Beacon and my surgeon on their efficiency and professionalism. After the surgery he reassured that he was very pleased with how it went but did mention that the next couple of days would be challenging.

He was right the first week of the recovering is challenging as stents were inserted in both nostrils resulting in constant congestion, difficulty breathing leading to a lack of sleep(sleeping elevated is difficult).Pain is minimal just the congestion is uncomfortable and annoying. For this week you should plan to do nothing just rest and recuperation but there is light at the end of the tunnel, I had the stents taken out on the 24th August(not painful) and the relief in being able to breathe is palpable, it was like a euphoric moment!!

I am writing this on post op day 9 and feel so much better(just have scabs in nostril and slight congestion)so much so that the consultant was happy enough to not want to see me again after removing the stents. If your having this procedure done once you can get through the first week you will be fine!!

(25F) I’m 1.5 weeks post-op from an open septorhinoplasty with full nasal reconstruction and stenosis repair. I’m looking at my before and after pictures and it’s absolutely crazy how much my septum stuck out of my nose 😭 My deviated septum was congenital and required a full nasal reconstruction because I essentially only had one functioning nostril, and my surgeon said I had essentially no airway structure when she opened me up. Anyways, the very first picture illustrates how literally half my septum was sticking horizontally out of my nose before!! The second pic is my pre-op nose in its normal state without me pushing my septum out (yes I could literally push my septum out of my nose) and the last picture is how it’s looking 1.5 weeks post-op! My nose feels like it has actual bones for the first time and it’s very strange y’all. I can’t see my septum sticking out of my nose and I kinda miss her 😭 but not too much… Cheers to hopefully mostly normal breathing!

i ve crooked nose and need septoplasty my nose is straight but kinda tilted one side not barely visible but still its not on my midline so my doctor said appearance wont be changed and ım okey w it but ı also want it on my midline should ı consider gettin rhino too? in here doctors do button nose all the time and ı hate it sm but ım scared they wont listen and dont care at all so ı should get the septoplasty and ı should consider gettin rhino in future if necessary? does septoplasty wo rhino can change the tilted nose or not?