Septorhinoplasty
in California

Rhinoplasty for Deviated Septum
Septorhinoplasty In California
Rhinoplasty for Deviated Septum
At Zarrabi MD Facial Cosmetic & Maxillofacial Surgery in Newport Beach, California, we specialize in crooked nose rhinoplasty procedures to straighten nasal deformities. Our experienced surgeon, Dr. Shahrouz Zarrabi, uses advanced piezo ultrasonic technology to precisely reshape the nasal framework without using hammers or chisels. If you are looking to correct the septal deviation, smooth bumps or dips in your nasal bridge, or improve the symmetry of your facial features, contact us today to learn more about curved nose job options. Our personalized care, state-of-the-art equipment, and artistic vision for beauty can help you breathe freely and regain confidence in your appearance.

What Is a Septorhinoplasty?

Rhinoplasty for deviated septum, also known as septorhinoplasty, is a type of surgery that involves reshaping or changing the structure of the nose and nasal septum (wall between nostrils) to improve breathing and appearance. It is a combination of septoplasty, which corrects the septum, and rhinoplasty, which reshapes the external features of the nose. The goal of septorhinoplasty is to address both functional and cosmetic concerns in one surgery. It typically lasts 1-3 hours and requires several weeks for initial recovery.

Our Piezo Ultrasonic Technology

Dr. Zarrabi performs septorhinoplasty using the piezo ultrasonic technique, which is an innovative approach to rhinoplasty. It involves a handpiece that uses ultrasonic vibrations to precisely sculpt bone and cartilage during surgery. The high-frequency vibrations make it possible to remove tissue accurately and efficiently while minimizing trauma to surrounding structures. This results in less swelling and improved healing outcomes. Overall, the piezo ultrasonic technique allows the surgeon to have greater control and precision during rhinoplasty.

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Before & Afters

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Before & Afters

Causes of Deviated Septum

A deviated septum is a common condition where the wall between the nostrils is shifted off-center or crooked. It often leads to nasal obstruction and breathing problems, causing severe discomfort. There are several possible causes:

Birth defect

This condition can occur as a birth defect when the septum does not form properly during fetal development.

Injury

Injuries to the nose and face can cause the nasal septum to become crooked or bent. This usually happens due to sports injuries, falls, automobile accidents, and other factors.

Previous surgery

Previous rhinoplasty can sometimes contribute to a deviated septum if scar tissue occurs.

Facial growth

As facial bones grow and develop, they may cause the nasal septum to shift to one side. This often occurs during puberty.

Chronic sinusitis

Although it is not the primary cause, long-term sinus inflammation can cause swelling and worsen the symptoms of a deviated nasal septum.

Consultation & Preparation for Septorhinoplasty

The first step is to schedule a consultation with Dr. Zarrabi to discuss goals and expectations for the surgery as well as review medical history. He examines the nose both externally and internally to assess its structure. Dr. Zarrabi also uses an advanced CS 9600 (3D Cone Beam CT imaging) system to scan candidates and develop effective treatment plans based on anatomical insights from 3D imaging.

Leading up to the surgery date, patients need to avoid certain medications, such as blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs), that can increase bleeding risks. Some dietary supplements and herbal remedies should also be halted 2 weeks beforehand. In addition, patients are instructed to stop smoking for at least a month before and after the surgery because nicotine consumption may lead to poor wound healing. The night before the operation, washing the face gently to remove oils and bacteria can help to reduce the risk of infection.
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Septorhinoplasty Procedure

Anesthesia Anesthesia

This medical procedure is performed under general anesthesia to ensure that the patient is comfortable and immobile. Medication is provided through an IV line and breathing masks/tubes to induce total unconsciousness before the operation begins.
Dr. Zarrabi uses a scalpel to make small incisions inside the nostrils. These openings allow him to access the underlying cartilage and nasal bones. For more complicated procedures, an additional incision may be made across the columella (the narrow section of skin between the nostrils).
Using the piezo ultrasonic technique, the surgeon reshapes the cartilage and bones in the nose to achieve the desired aesthetic goals. The deviated septum is also put in a straight position, and protrusions are removed. Dr. Zarrabi uses newly shaped grafts to build up different areas. He may take cartilage from other parts of the nose or ear to improve nasal structures.
Using the piezo ultrasonic technique, the surgeon reshapes the cartilage and bones in the nose to achieve the desired aesthetic goals. The deviated septum is also put in a straight position, and protrusions are removed. Dr. Zarrabi uses newly shaped grafts to build up different areas. He may take cartilage from other parts of the nose or ear to improve nasal structures.

Recovery After Septorhinoplasty

The recovery period after rhinoplasty for deviated septum can vary depending on the extensiveness of the procedure. Swelling and bruising of the nose, cheeks, and eyes can be expected for the first few weeks. Pain is usually mild after the first day and managed with medication. Stents and splints inside the nostrils are removed within a week after surgery.

Most patients take 7-14 days off from work or school to recover. Strenuous activity should be avoided for 3-4 weeks. The nose will be swollen for several months after surgery, and it can take up to a year for the final shape to become apparent. Numbness of the nose and upper teeth is common and resolves slowly over weeks.

Overall, healing is gradual, and patients should be prepared for a slow recovery process. Nevertheless, our practical experience and scholarly studies confirm that the vast majority of people are satisfied with the results of rhinoplasty.
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Candidates for Septorhinoplasty

Patients With Blocked Nose

Patients who have chronic breathing problems can benefit greatly from septorhinoplasty. Structural abnormalities, like a deviated septum or enlarged turbinates, are common causes of nasal blockage. Septorhinoplasty can rectify these structures to open air passageways and improve nasal breathing.
Young adults can be good candidates for septorhinoplasty. Getting the procedure at that age allows the person to enjoy the benefits of their improved appearance and breathing during their youth.
Healthy men and women of any age can potentially benefit from septorhinoplasty. There are no strict upper-age limitations on when the procedure can be performed. Older patients with good skin elasticity and no underlying health concerns that delay healing make excellent candidates who can enjoy a natural-looking, functional nose.
Patients who have undergone one or more previous rhinoplasty procedures may require revision septorhinoplasty to correct unsatisfactory results. Whether it is breathing issues, aesthetic concerns, or both, Dr. Zarrabi can perform impressive revisions to create better noses.

Benefits of Septorhinoplasty

Improved Breathing After Surgical Procedure
Septorhinoplasty can help improve breathing problems associated with a deviated septum or other structural issues in the nose. By straightening the septum and opening nasal passages, this procedure allows for better airflow and makes it easier to breathe through the nose.
Enhanced Appearance
In addition to functional improvements, septorhinoplasty offers cosmetic benefits. The surgery may change the size, shape, or proportions of the nose to create better harmony with the rest of the facial features. Dr. Zarrabi can make this body part more aesthetically pleasing.
Corrected Nasal Deformities
Septorhinoplasty is an effective solution for certain nasal deformities, like those caused by trauma or birth defects. The surgery can be tailored to the patient’s needs to repair damages and abnormalities for an improved appearance and function.
Long-Lasting Results
The outcomes of septorhinoplasty are permanent for most patients. Unlike non-surgical rhinoplasty, it reshapes the actual bone and cartilage to transform the look and function of the nose in a lasting way. If there is no additional trauma, the improvements from this procedure remain for life.

Cost of Septorhinoplasty

The cost of septorhinoplasty in California ranges from $5,000 to $15,000. The price is shaped by the following factors:  

  • the surgeon’s experience
  • the complexity of the procedure
  • the geographic location of the practice.
Cost of Septorhinoplasty
The cost of septorhinoplasty in California ranges from $5,000 to $15,000. The price is shaped by the following factors: the surgeon’s experience; the complexity of the procedure; the geographic location of the practice.

What Makes Our Septorhinoplasty
Different From Others?

Anesthesia Innovative Technology

Dr. Zarrabi uses cutting-edge technology, such as the piezo ultrasonic system and the 3D imaging machine, to achieve optimal results. These advanced devices allow for more precise and controlled operation while minimizing trauma to surrounding tissues. 3D imaging also improves surgical planning and outcomes.
With Dr. Zarrabi’s background as an accomplished sculptor, he brings an artistic eye to all septorhinoplasty procedures. His expertise in facial aesthetics and art allows him to envision and sculpt the best shape and profile for each patient. This creative touch leads to completely natural-looking noses after surgery.
As a board-certified maxillofacial surgeon, Dr. Zarrabi completed extensive specialty training at prestigious institutions like LSU Health Sciences Center and NYU College of Dentistry. This high-level education and experience translate into quality surgeries and patient-centered care.
Using the piezo ultrasonic technique, the surgeon reshapes the cartilage and bones in the nose to achieve the desired aesthetic goals. The deviated septum is also put in a straight position, and protrusions are removed. Dr. Zarrabi uses newly shaped grafts to build up different areas. He may take cartilage from other parts of the nose or ear to improve nasal structures.