A deviated septum occurs when the nasal septum, the thin wall dividing the nostrils, is displaced. This misalignment can obstruct airflow, making breathing difficult. Septoplasty is a surgical procedure to correct this internal deviation, primarily improving nasal function and breathing. While the surgery focuses on internal structures, temporary visual changes to the nose and face during recovery are common. This article details the appearance of the nose and surrounding areas at different healing stages after septoplasty.
Immediately After Surgery
During the first week after septoplasty, visible facial changes are common. Swelling is prominent, especially around the nose, but can extend to the cheeks and under the eyes. Bruising, appearing as black or blue discoloration around the eyes and nose, often accompanies swelling and varies in intensity.
Internal nasal packing or splints, though not externally visible, might be placed inside the nose. These support the straightened septum and help control bleeding. They can contribute to a feeling of fullness and may make the nose appear slightly wider. An external bandage, often called a “mustache dressing,” may be placed under the nostrils to absorb common drainage for the first few days. The face may also appear tired due to the surgical experience.
Weeks to Months Post-Surgery
From one week through the first few months, visible signs of surgery gradually diminish. Bruising typically fades within two to three weeks. Swelling also steadily decreases, though some residual swelling can persist for weeks or months.
Internal splints or packing, if used, are typically removed within one to two weeks, subtly reducing the feeling of fullness. As swelling subsides, the nose may appear more refined or symmetrical, especially if the original deviation caused external asymmetry. These subtle visual improvements result from the internal correction of the septum. Septoplasty is performed through incisions inside the nose, meaning there are generally no visible external scars.
Long-Term Visual Outcomes
Once fully healed, typically around 6 to 12 months post-surgery, septoplasty’s long-term visual outcome primarily reflects its functional purpose. Its main goal is to improve breathing and nasal airflow by straightening the internal nasal septum. Thus, the nose’s external appearance generally remains very similar to its pre-surgery state.
Any subtle improvements in symmetry or alignment are a consequence of correcting the internal deviation, not a deliberate reshaping of the nose’s external structure. Septoplasty is distinctly different from rhinoplasty, often called a “nose job.” Rhinoplasty is a cosmetic procedure that changes the size, tip, or bridge of the nose; septoplasty does not typically alter these external features. If significant cosmetic changes are desired, a combined septorhinoplasty (addressing both functional and aesthetic concerns) or a separate rhinoplasty procedure would be necessary. The visual outcome of a septoplasty remains stable once the healing process is complete.