Septoplasty and Nasal Reconstruction

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Q) What is Septoplasty?
Q) Is nasal airflow obstruction always caused by the septum?
Q) Does insurance cover these surgeries?
Q) Is it possible to combine functional surgery with cosmetic nasal surgery or rhinoplasty?
Q) What is nasal reconstruction?
Q) How does Dr. Naderi perform nasal reconstruction?
Q) Are the results of nasal surgery affected by smoking?
Q) Is Sinus surgery something that Dr. Naderi performs as well?
Q) What insurance plans do you accept?
Q) What about a redeviated Septum

Q) What is Septoplasty?
A) Septoplasty is a procedure which involves the functional reconstruction of the nasal airway. The purpose of the surgery is to provide better airflow in patients who are suffering from nasal airway obstruction.

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Q) Is nasal airflow obstruction always caused by the septum?
A) There are a variety of conditions which may cause the sensation of a 'blocked nasal passage' including a deviated septum, enlarged turbinates, collapse of the external nasal valve, narrowing of the nasal internal valve, scar tissue from previous surgery, and functional disorders of the inner lining, mucosa, or nose. All of these may lead to turbulent airflow or airflow resistance, resulting in symptoms of nasal obstruction. Dr. Naderi, who is a true rhinoplasty surgeon with an Otolaryngology (ENT) background, has the skills necessary to identify and correct these problems. In fact, many of the 'tough' cases of local ENT surgeons are referred to Dr. Naderi because his ability and holistic approach allow him to address all issues which may be contributing to a problem.

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Q) Does insurance cover these surgeries?
A) In many cases, yes. In certain situations, a letter may need to be dictated to your insurance carrier in order to obtain their approval. To make things as simple as possible for you, we will help to guide you through the process.

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Before		After		Before		After

Q) Is it possible to combine functional surgery with cosmetic nasal surgery or rhinoplasty?
A) Yes. In fact, there are several reasons why it's often best to perform these surgeries at the same time. Regardless of whether your insurance company pays for some of your surgery or not, combining surgeries allows you to save on the hospital and anesthesia fees. Furthermore, cartilage removed from the septum in order to straighten it can be used during rhinoplasty surgery for grafts. Postponing aesthetic rhinoplasty until after your septoplasty may mean that septal cartilage is not available for use as grafts and may require that cartilage be taken from your ears or ribs. Combining the surgeries also allows for a single week-long recovery rather than two separate ones.

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Q) What is nasal reconstruction?
A) Nasal reconstruction is a procedure which rebuilds the nose. There are several reasons why nasal reconstruction may be necessary including poor results from a previous rhinoplasty procedure, trauma, dog bites, and cancer.

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Q) How does Dr. Naderi perform nasal reconstruction?
A) While the exact nature of the nasal reconstruction procedure will depend upon the type of injury and the extent of tissue loss, the technique may involve anything from simple local flaps and small composite grafts to more complex staged local flaps. Many patients have been referred to Dr. Naderi from Mohs surgeons (a special type of dermatologist) for the reconstruction of near total nasal defects. These procedures are often staged and may require two to four or more surgeries in order to achieve the final result.

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Q) Are the results of nasal surgery affected by smoking?
A) Because smoking restricts the blood flow to the skin, this can delay healing and promote infections. Smoking is an absolute contraindication in cases where flaps are used as there is a very high risk of the flaps not taking in smokers.

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Q) Is Sinus surgery something that Dr. Naderi performs as well?
A) Though Dr. Naderi does not practice general Otolaryngology, there are several excellent local ENT surgeons whom he works very closely with. He can refer you to these surgeons for evaluation if sinus disease is present. For your safety and convenience, Dr. Naderi can combine your procedure with your ENT surgeon's sinus surgery, allowing them to be performed at the same time.

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Q) What insurance plans do you accept?
A) We participate in most insurance plans in order to best serve our patients. While chances are very good that we do accept your insurance plan, please contact our office for verification. We are the area's only plastic surgery practice participating in such a wide variety of insurance plans.

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