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Beverly Hills Profiles Blog

Finding The Right Septal Perforation Surgeon

Written by Dr. Litner and Dr. Solieman | February 15th, 2017

A septal perforation is described as a hole or opening within the nasal septum. These perforations can be caused by several activities and diseases, including excessive nose picking, cocaine use, autoimmune disease, excessive use of nasal decongestant or steroid sprays, and nasal surgery.

Although some septal perforations are asymptomatic, others have been known to cause discomfort, crusting, nasal obstruction, and nose bleeds if left untreated. Treatment options vary depending on size and location, however most patients will benefit from nasal surgery to close the septal perforation. Finding the right doctor to address your septal perforation is extremely important, as treatment for the condition is often difficult to complete successfully in inexperienced hands.

Dangers Of Septal Perforation
Abnormal airflow caused by a septal perforation will cause the edges of the perforation to dry out. The symptoms of an untreated septal perforation range from bleeding and crusting inside the nose to nasal congestion and even serious infections. Because many patients with septal perforations are asymptomatic, they often don’t receive treatment before the condition has become moderate to severe.

If left untreated, recurrent cycles of nasal crusting and bleeding can cause the edges of the perforation to erode and the hole to expand. As the perforation expands, the nose can gradually become more unstable, eventually causing the nasal bridge to collapse. This frequently results in what is known as a “saddle nose deformity”, an unappealing look to the nose which can cause difficulty breathing.

Fixing a Septal Perforation
Ideally, septal perforations should be repaired before they are allowed to expand and become a larger problem for nasal breathing and stability. Non- surgical alternatives, including placement of a septal button, should be limited to those patients who, for some reason, are unwilling or unable to undergo surgery. Various surgical repairs have been described with varying degrees of success. In our experience, combined bilateral advancement flaps of nasal mucosa or lining tissue offer the best chance of a complete lasting closure. Many nasal surgeons have little to no experience in dealing with this complicated condition. Drs. Solieman and Litner are among the most experienced surgeons in the United States in repair of septal perforations with a very high record of successful repair.

How To Find The Best Surgeon For The Procedure
Due to the complexity of septal perforation surgery, finding the right doctor is crucial. The surgeon should have extensive experience in both nasal plastic surgery and septal perforation repair. For this reason, finding a doctor that is board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) is strongly recommended.

Furthermore, the failure rate of septal perforation surgery in published studies is surprisingly high at as much as 50-60%. The surgery is very complicated and should only be performed by a highly skilled surgeon who is knowledgeable about external and internal nasal structures. Do research to confirm that the surgeon performs these types of surgeries on a very regular basis and try to find out their personal success rate for surgery.

Benefits Of Finding The Best Surgeon
Your first chance at closure of a septal perforation is really your best chance. Due to the relative infrequency of this condition and surgical inexperience by most surgeons, it is imperative to choose surgeons such as the team at Profiles with extensive experience and success in septal perforation repair.

Why Choose Drs. Solieman and Litner
Dr. Solieman and Dr. Litner are both highly qualified Double Board Certified Los Angeles Facial Plastic Surgeons and acclaimed rhinoplasty specialists. Their compassionate personalities along with their highly advanced surgical techniques for septal perforations contribute greatly to their success in this difficult field. Often called upon by other plastic surgeons to perform nasal surgeries on their patients, Drs. Solieman and Litner have definitely earned their title as “the surgeons’ surgeons”. To find out more about Drs. Solieman and Litner or to contact their office for a consultation, please visit https://www.beverlyhillsprofiles.com.


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