When Pittsburgh area patients come to see plastic surgeon, Dr. James Fernau for rhinoplasty, many times, he will diagnose the issue as a deviated septum, which essentially needs septoplasty to correct. The septum is a critical structure within the nose made of tissue and bone to separate the two nasal passages and support airflow. When this passageway is not straight, men, women and children can experience breathing issues and other nasal symptoms. Septoplasty is a surgical procedure that corrects a deviated septum to improve symptoms and produce a normal appearing nose. Dr. Fernau understands that rhinoplasty and septoplasty are complex procedures more akin to art than mere surgery. He customizes each procedure based on the personal and aesthetic goals of the patient so that the nose functions properly and looks natural.
"I am SO impressed by Dr. Fernau's work. Having no idea what to really expect, I searched through a ton of reviews to make sure that I was making a good decision on having Dr. Fernau perform my rhinoplasty/septoplasty procedure. After the thorough consultation (which, by the way, the amount of time that he spent talking with me was unlike any other doctor I have ever encountered), I was confident that Dr. Fernau was not only a perfectionist (something I absolutely wanted for somebody who would be working on my nose, both opening up my nasal passages as well as ensuring that my nose looked better than it had prior to the surgery), but also incredibly passionate about his work and incredibly skillful. I am always skeptical of reviews, but I could not believe the amount of positive feedback and world-recognition Dr. Fernau has. These two things ensured that he would do a good job. Now, almost 3 weeks post-op, I could not be happier with the work he has done. I am breathing better than I ever have and the recovery period was painless as he provided all of the medicine I needed. Any questions I had, I texted and called him and he was patient and helpful in his responses and answers. And my nose looks perfect! Due to a fracture and a severely deviated septum, I had a slight curve to my nose from the profile and the tip of my nose was rounded due to my Italian ethnicity. Post-op, I have the cutest nose - I can't stop looking in the mirror!I can confirm (as well as my sister who had the same procedure) that Dr. Fernau is an outstanding surgeon and an expert at his work. Patient, thorough, detail-oriented, a perfectionist and one of the best at his profession. I 100% support going to him for a consultation, being open about any and all questions or concerns, and scheduling this procedure. It was absolutely worth it and like a dream come true having a surgeon like this so close to home. I am beyond grateful!"- A.L. / Google / Jan 28, 2015
"I recently had septo/Rhinpolasty From Dr. fernau ,I was a little nervous about getting it done because I heard so many stories of the pain , But my sinus headaches had become unbearable . I had visited 2 other EnT surgeons prior to Dr. fernau .And I just didn't connect I felt as though I was just another number . But with Dr. fernau and his staff I felt very comfortable within the first 20 minutes of consulting with him he was very kind and comforting . also his confidence made me feel secure .needless to say I had the procedure done and I'm beyond pleased with the results . my nose looks better day by day, and my breathing is excellent. I can sleep at night without sitting up . I will tell anyone that will listen Dr. fernau as his staff are very professional and they believe in quality not just quantity it shows through their treatment to the public ...D.R"- Anonymous / RateMDs / Jan 24, 2015
"I recently had septo/Rhinoplaasty done I'm very pleased with my results and my breathing is sensational I just wanna say thanks to Dr.fernau and his staff they changed my life I just got the splint off and my nose was better than expected ."- D.R. / Yelp / Jan 30, 2015
"I recently had a rhinoplasty/septoplasty through Dr. Fernau for cartilage structural problems, difficulty breathing and sleeping, and a shape I did not like. I researched various surgeons in the Pittsburgh area who were well-qualified in medical as well as cosmetic surgery. Finding Dr. Fernau was a blessing. Many of the doctors offices I called gave me a bad impression: they were insincere, or treated me as another number to add to their books, or simply rushed me into the process. During my research, however, Dr. Fernau's name continued to appear as a well-reviewed, credible surgeon who was highly qualified. This was evident in the initial phone call I made to the office. Knowing very little about the process, the receptionist stayed on the phone with me for a while to answer all of my questions and to share her own experiences. This type of care continued into my first consultation, where Dr. Fernau spent 2 hours with me, answering questions, calming my doubts, giving me all the information I needed, but never pushing me to become his patient. He left the decision to me and made sure I was well-informed to make it. This type of sincerity was shown by every staff member I came across. Each took the time to learn who I was, what I was hoping to get, and to share their own experiences and prior fears. When it came time for surgery, Dr. Fernau met with me and immediately calmed any last-minute doubts in my mind. He was so passionate and focused that I became excited to see the work he would accomplish! He was meticulous, perfectionistic, and took incredible strides to ensure that his work product would be his best. My results are astounding--far beyond what I ever expected. I now have full oxygen through my nose (the first time I had ever experienced that, as I had only 10% through one side), I now sleep through the night for the first time in my life, the fracture in my cartilage and deviated septum are fixed, and it looks stunning on the outside! He is not only meticulous in his medical work, but he is a total perfectionist in his cosmetic work. His bedside manners were outstanding, his post-op attentiveness was great, and he answers the phone day and night for any questions I have. He still takes the time to give me tips and suggestions to ensure an efficient and painless recovery. Upon my return to the office after surgery, he was just as excited as I was to reveal the results. He lives and breathes this work and I am beyond thrilled to have found him.Dr. Fernau strives for perfection in every patient he works with. I highly recommend looking into Dr. Fernau and his staff for whatever procedure you are considering. I am honored to have been the patient of Dr. Fernau and I give him an A++++++! "- E. / DoctorBase / Feb 16, 2015
"My husband had his first consultation with Dr. Fernau in June 2015, and underwent a revision rhinoplasty and septoplasty at the end of July. We both can only say wonderful things about his experiences with not only Dr. Fernau himself, but his staff, the recovery, and the surgery results. Several years ago, my husband had his first septoplasty and rhinoplasty, which was performed by his ENT, and ultimately left him with a "botched' result. After visiting several other plastic surgeons in the Pittsburgh area, we just couldn't seem to find a doctor who was 100% positive he or she could fix the original surgery results to my husband's preference. Finally,after visiting Dr. Fernau, we both felt so confident with the decision to move forward with the surgery. Dr. Fernau was very honest and frank about the issues my husband was dealing with, but assured us that we could expect exceptional results. After a smooth recovery and constant communication with Dr. Fernau and his staff, we finally got to see the results, which were more than we expected. The issues with my husband's nose that several other doctors seemed sure were "unfixable" are drastically improved. Both my husband and I highly recommend Dr. Fernau, and with utmost confidence. - Cara Doneluck"- C.S. / Google / Aug 22, 2015
Septoplasty Surgical Technique
During septoplasty surgery, the deviated septum structure is reshaped through an incision made inside the nose. The surgeon will lift and separate the septum tissue to fully access the misaligned bone and cartilage. The surgeon will close the incision with sutures and place a splint inside the nose to align the septum as it heals. Some surgeons may use nose packing to help control bleeding.
Septoplasty During/After Surgery
As an outpatient procedure, septoplasty is performed in an accredited surgical facility under general anesthesia. The surgery typically takes between 1 and 2 hours. Recovery takes between 7 and 10 days. Patients should expect bruising and swelling under the eyes and around the nose immediately after the procedure. The final results will not set in for 3 months or longer after surgery.
Septoplasty Expected Cost
Because septoplasty is a customized procedure, the price depends on the physical needs of the patient. Patients can expect to pay between $2,500 and $4,500; however, a portion of the cost can be covered by medical insurance. Patients are encouraged to ask about their insurance coverage to determine the final cost of the procedure.
Plan Your Procedure
- Average Cost
- $2,500 - $4,500
- Recovery Time
- 1 Week
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
Neck Liposuction FAQs
Even though septoplasty is used to correct breathing problems, some patients undergo septoplasty to correct medical issues from a deviated septum. However, a loss of cartilage or bone and cartilage grafting can change the appearance of the nose. Highly skilled surgeons with experience in septoplasty knows the technique needed to make natural and subtle changes.
The most common cause of a deviated septum is birth trauma because most individuals are born with a deviated septum. As people age, the symptoms gradually worsen. Even though a majority of adults have a deviated septum, not everyone has severe symptoms that require surgery. Another common cause is trauma later in life.
ENT for Surgery?
Even though most ENT specialists are able to perform septoplasty, they do not have the skills to preserve the look and shape of the nose like plastic surgeons do. Patients should find a cosmetic surgeon that can perform both a septoplasty and rhinoplasty at the same time.