At Melbourne ENT in St Kilda East, Victoria, surgery for nasal obstruction offers a tailored and highly effective solution for individuals experiencing chronic nasal congestion, impaired breathing, snoring, tiredness, inability to exercise or recurrent sinus infections. These conditions often go untreated or are misunderstood as mere seasonal allergies, yet they can have a profound impact on a person’s quality of life and general health. Led by Dr Simon Braham and Dr Stephen Kleid, distinguished ENT surgeons, this procedure is performed with precision to restore nasal function while maintaining or enhancing natural nasal aesthetics. While primarily functional in focus, the procedure can be adapted to include cosmetic refinements, particularly when performed as part of a septo-rhinoplasty. This dual approach ensures both medical effectiveness and visual harmony, making it a comprehensive treatment solution.
What Is Surgery For Nasal Obstruction?
Nasal obstruction surgery encompasses several surgical techniques that address internal nasal blockages. These may include correcting a deviated septum through septoplasty or airway rhinoplasty, clearing obstructed sinuses or polyps, reducing the size of swollen turbinates with turbinoplasty, and reinforcing or reshaping the nasal valves to prevent collapse. In some cases, structural issues can be accompanied by cosmetic concerns, and this is where septo-rhinoplasty becomes relevant, offering a combined solution. The goal of nasal obstruction surgery is to improve nasal airflow, reduce breathing resistance, and restore a clear, unobstructed breathing pathway. This is achieved without compromising the natural external appearance of the nose, and in some instances, enhancing it. This procedure is highly individualised and considers the patient’s symptoms, anatomy, and aesthetic preferences.
Who Needs It (Candidates For Surgery For Nasal Obstruction)
This procedure is most suitable for individuals who are suffering from ongoing nasal congestion that does not improve with medications or conservative treatments. Candidates may notice that they breathe predominantly through their mouths, particularly during sleep, which can result in dry mouth, sore throat, daytime tiredness and disturbed rest. Many patients experience difficulty performing physical activities due to a lack of airflow. Others may struggle with loud snoring or be diagnosed with sleep apnoea linked to nasal blockage. Untreated sleep apnoea can lead to high blood pressure, heart attacks, strokes or even dementia. People who frequently suffer from sinus infections, headaches, or facial pain due to inadequate sinus drainage also benefit from this surgery. Additionally, those with a history of nasal trauma or who wish to address both functional and cosmetic concerns of the nose are often excellent candidates.
Benefits Of Surgery For Nasal Obstruction
Surgery for nasal obstruction offers a range of functional and quality-of-life benefits. Breathing through the nose becomes easier and more natural, which can lead to improved sleep quality and a reduction in snoring. Many patients report a significant decrease in the frequency and severity of sinus infections and associated symptoms such as pressure and headaches. In some cases, patients notice improvements in their sense of smell and taste, which may have been diminished due to chronic congestion. The surgery can reduce or eliminate the need for decongestant sprays or antihistamines, improving long-term health and comfort. Surgery can often significantly improve sleep apnoea. Additionally, for patients choosing to undergo septo-rhinoplasty, the procedure offers an opportunity to enhance the aesthetic appearance of the nose while correcting the underlying functional issues.
Before And After Photos
Patients undergoing combined functional and cosmetic procedures can request access to before-and-after photo galleries showcasing successful outcomes. These images provide a realistic view of what to expect and illustrate the subtle yet effective changes that can be achieved. Dr Braham’s approach focuses on maintaining the natural character of the nose while delivering noticeable improvements in both function and appearance. For privacy reasons and in compliance with AHPRA regulations, these galleries are not publicly displayed but can be accessed through our clinic by request during consultation.
Consultation For Surgery For Nasal Obstruction
Your first consultation with Dr Simon Braham is comprehensive and designed to establish a clear diagnosis and customised treatment plan. During this appointment, Dr Braham will take a detailed history of your symptoms and examine both the internal and external structure of your nose. A nasal endoscopy will be performed, allowing a highly accurate visual inspection of internal pathology. In some cases, imaging such as a CT scan may be recommended. This allows for a precise evaluation of the nasal septum, turbinates, and sinus drainage pathways to plan complex operations. Patients are encouraged to discuss any concerns, including aesthetic issues they would like addressed. Based on these findings, Dr Braham will outline the most appropriate surgical strategy. This consultation is also the time to discuss recovery expectations, risks, and Medicare or insurance considerations.
How Is It Performed?
Surgery is carried out under general anaesthesia in an accredited hospital setting. Dr Braham employs meticulous, evidence-based techniques that are tailored to the individual patient’s anatomy and symptoms. Septoplasty is performed to straighten the nasal septum, allowing for better airflow between the nasal passages. Turbinoplasty is used to shrink or remove part of the turbinates that swell and obstruct the airway. FESS procedures to clear sinuses or polyps. Nasal valve repair involves supporting or reconstructing the area that collapses during inhalation, using sutures or grafts where needed. In cases where both function and appearance need correction, a septo-rhinoplasty approach is used. This not only improves breathing but also refines the nasal profile and tip. Surgery duration ranges from one to two hours depending on complexity, and most patients are able to return home on the same day.
Recovery After Surgery
Post-operative recovery is generally well-tolerated. Patients can expect some nasal congestion, mild swelling, and a feeling of fullness or pressure in the nose for the first few days. These symptoms gradually subside, and breathing typically improves significantly over one to two weeks. Pain is usually minimal and can be managed with standard medications. Unlike older methods, modern techniques used by Dr Braham rarely require nasal packing, splints or plaster which improves post-operative comfort. You can expect to return to work and light activities within a week, although heavy exertion should be avoided for at least two weeks. Full results in terms of breathing improvements and cosmetic outcomes are typically achieved within six weeks, with minor refinements continuing over three to six months. Dr Braham provides a detailed aftercare plan and schedules follow-up visits to monitor healing.
Risks And Complications
As with any surgical procedure, nasal obstruction surgery carries some risks. These include bleeding, infection, and swelling, which are generally manageable with appropriate care. There is a very small risk of septal perforation, where a hole develops in the nasal septum. Rarely, the surgical correction may be insufficient or excessive, requiring further adjustment. In procedures that involve cosmetic refinement, there is a potential for asymmetry or scarring, although these are uncommon under the care of an experienced surgeon. Dr Braham discusses all risks in detail during the consultation and takes every precaution to minimise them. His surgical techniques prioritise both function and appearance, aiming for stable, lasting results. A dedicated page on our website provides detailed information on all surgical risks for your review.
Cost Of Surgery For Nasal Obstruction
The cost of surgery for nasal obstruction varies based on the complexity of the condition and the type of procedure performed. Functional procedures, such as septoplasty, fess or turbinoplasty, are generally covered through medicare/private insurance and Dr Braham’s office can provide item numbers and likely gaps after the comprehensive assessment. Cosmetic surgeries are not covered by either medicare or private insurance but the functional component can be. Dr Braham’s team will provide a personalised estimate after consultation, based on your diagnosis and treatment plan. Costs may include surgeon fees, hospital charges, anaesthesia, and any imaging or tests required. We encourage all patients to review our COSTS page for an overview and to contact us directly for specific enquiries.
Medicare And Insurance Coverage
Most functional nasal surgeries are recognised by Medicare and private health insurers as medically necessary, which means they are eligible for rebates. Procedures such as septoplasty and turbinate reduction typically fall under specific Medicare item numbers. In some cases, additional tests or referrals may be required to confirm eligibility. Cosmetic components of surgery, such as reshaping the nasal bridge or refining the tip, are not covered by insurance. When functional and cosmetic procedures are combined, our clinic will help you separate the components for billing and coverage purposes. Our staff is experienced in assisting with Medicare and insurance queries and will guide you through the process to ensure transparency and clarity.
Why Choose Dr Simon Braham?
Dr Simon Braham is a highly regarded ENT surgeon with more than 3 decades of experience. He is known for his precision, attention to detail, and patient-centred approach. Practising at Masada Private Hospital, the Royal Victorian Eye and Ear Hospital, and Kyneton Hospital, Dr Braham brings both private and public expertise to his surgical care. His training includes advanced fellowship experience in nasal and reconstructive surgery in the United States, giving him a unique perspective that combines functional restoration with aesthetic refinement. Patients describe him as approachable, thorough, and committed to achieving the best possible outcomes. He takes the time to understand each patient’s goals and provides honest, realistic advice.
As Dr Braham often says, “Every patient’s nose is different, and I take the time to ensure the result is both medically effective and visually harmonious.”
FAQs About Nasal Obstruction Surgery
How do I know if my nasal breathing issues are structural or allergy-related?
Many patients with chronic congestion assume it’s due to allergies when a structural problem like a deviated septum or nasal valve collapse may be the true cause. At Melbourne ENT, a diagnostic endoscopy helps differentiate between the two.
Can nasal obstruction surgery help reduce my snoring or sleep issues?
Yes, many patients experience reduced snoring and improved sleep quality following surgery, especially if nasal blockage is contributing to poor airflow during sleep.
Will surgery change the shape of my nose even if I’m not having cosmetic work done?
Functional nasal surgery generally does not alter the external appearance. However, in some cases subtle changes occur, and patients can discuss any concerns or goals with their surgeon beforehand.
I’ve had previous nasal surgery but still can’t breathe well – is revision possible?
Yes, revision nasal obstruction surgery is possible. It often involves more complex planning and may include structural grafts to correct previous under-corrections or scar tissue issues.
What does it feel like to breathe through both sides of the nose for the first time after surgery?
Patients commonly describe a sense of clarity and relief – many report they hadn’t realised how limited their breathing was until after surgery restored proper airflow.
Is it normal to feel anxious about surgery when I’ve lived with nasal issues for years?
Absolutely. Patients often adapt to impaired breathing without realising its impact. At Melbourne ENT, we guide patients through the process with clarity, addressing all concerns during consultation.
Are there any lifestyle changes I should make before or after surgery to improve outcomes?
Yes. Avoiding smoking, managing allergies, and maintaining good nasal hygiene can all support both healing and long-term success after nasal obstruction surgery.
Medical References
- Clinical evaluation of septoplasty with and without additional nasal procedures
https://www.ijsurgery.com/index.php/isj/article/view/11177 - A qualitative interview study for a Nasal Airway Obstruction Study
https://pmc.ncbi.nlm.nih.gov/articles/PMC12161377/ - A qualitative interview study for a Nasal Airway Obstruction Study
https://pubmed.ncbi.nlm.nih.gov/40484431/ - A Study on Effect of Nasal Obstruction on Pulmonary Function Tests in Patients with Allergic Nasal Polyposis Attending Medical College Headquarter’s Hospital
https://www.jneonatalsurg.com/index.php/jns/article/view/8132 - Nasal valve obstruction: a comprehensive analysis of the current literature
https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1549915/full - Evaluating post-rhinoplasty nasal obstruction treatment: The efficacy of temperature-controlled radiofrequency
https://www.sciencedirect.com/science/article/abs/pii/S0196070924001248 - Intra Nasal Endoscopic Septoplasty with NOSE score analysis
- https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjaf453/8176655
Contact Melbourne ENT
To schedule your personalised consultation for nasal obstruction surgery, reach out to the team at Melbourne ENT. Our staff will guide you through the booking process and answer any preliminary questions you may have about the procedure or your eligibility. You can reach us by phone at (03) 9038 1311, visit our website at melbourne-ent.com.au, or come to our clinic located in St Kilda East, Victoria.
Ready to take the next step toward improved nasal breathing? Contact Melbourne ENT to book your consultation with Dr Simon Braham.
Further Reading
- Read about Melbourne ENT’s Obstructive Sleep Apnoea – Causes & Solutions
- Read about Melbourne ENT’s Airway Rhinoplasty Melbourne
- Read about Melbourne ENT’s Nasal Congestion Melbourne
- Read about Melbourne ENT’s Breathing Problems for Adults Melbourne
Why Choose Dr Kleid ?
Dr Stephen Kleid,
Melbourne ENT Surgeon
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Dr Stephen Kleid is an experienced ENT Surgeon (Otolaryngologist) based in Melbourne with a passion for Septo-rhinoplasty, Septoplasty and a strong interest in Rhinoplasty Revision.
Qualifications
- AHPRA (Medical Board)
- MB, BS; FRACS (Fellow of the Royal Australasian College of Surgeons)
- AAFPS – Member of the Australasian Academy of Facial Plastic Surgery
- AAFPRS – (International Member of the American Academy of Facial Plastic and Reconstructive Surgeons)
Dr Kleid’s Procedures
Why Choose Dr Braham ?
Dr Simon Braham,
Melbourne ENT Surgeon
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Dr Simon Braham MBBS (Hons) FRACS is an experienced Ear, Nose and Throat ENT Surgeon (Otolaryngologist) based in Melbourne, performing tonsil, grommet and sinus surgery for children & adults. He helps patients with breathing issues, snoring concerns and sleep disturbances.
Dr Braham’s Procedures
How can we help?
The Melbourne ENT Team takes pleasure in assisting you with any questions when considering a plastic surgery procedure. Please call the St Kilda East clinic in Melbourne between 9am – 5 pm on Weekdays.
What Next?
Want more information about your Procedure?
- Please read our website and blogs to find out more about your procedure and concerns
- For more information about pricing and payment methods, please visit our page on Surgery Payment Options.
- Talk to our Patient Care Team from 9 am to 5 pm Monday to Friday
What to Bring to Your Consultation
- We encourage you to bring a friend or family member to accompany you, as they can provide an extra perspective and support throughout the process.
- It is important to take thorough notes and carefully review all the documents provided to you.
How to Book a Consultation
- A referral from your GP or Specialist is necessary to see a surgeon for a consultation.
- Check the guide to consultation fees and payment for Melbourne ENT plastic surgeons.
- Please contact us to book your consultation.