Septum Perforation Surgery
Led by Op. Dr. Samet Ağcayazı, we specialise in septum perforation surgery in Istanbul, focusing on delivering precise, functional, and long-lasting results with a patient-centered approach. Our clinic combines advanced surgical expertise with a personalised, supportive experience.
Septum perforation surgery in Istanbul is performed to repair a hole in the nasal septum that causes airflow disturbance, crusting, bleeding, and whistling sounds during breathing. Septal perforation occurs when the cartilage and mucosal tissue between the nostrils are damaged and fail to heal properly. Septal perforations vary in size and location, which directly affects symptom severity and surgical approach.

Techniques Used in
Septum Perforation Repair
Septum perforation surgery requires advanced reconstructive techniques to restore the integrity of the nasal septum. The method is selected based on perforation size, location, and the quality of surrounding tissue.
Local Mucosal Flap Repair
Adjacent mucosal tissue is rotated or advanced to cover the perforation, utilising the patient's own lining to achieve a vascularised, durable closure with minimal donor site morbidity.
Cartilage Interposition Grafting
A cartilage graft is placed within the perforation as an internal scaffold, restoring structural integrity and providing a stable base for mucosal layers to heal over on both sides.
Fascia Tissue Reinforcement
Temporalis or other fascia tissue is used to reinforce the repair, adding an additional layer of biological material that strengthens closure and reduces the risk of re-perforation.
Multilayer Closure Techniques
Closure is achieved in multiple distinct tissue layers — mucosal flap, interposition graft, and fascial reinforcement — maximising perforation coverage and long-term repair success rates.
Medical studies published in ENT surgical literature show that multilayer closure techniques significantly improve long-term closure success rates in septum perforation repair compared to single-layer approaches.
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Who Is a Suitable Candidate for Septum Perforation Surgery?
A suitable candidate for septum perforation surgery is a patient with persistent symptoms caused by septal tissue loss. Common indications include:
- Recurrent nosebleeds
- Nasal dryness and crusting
- Breathing discomfort
- Whistling sound during inhalation
- Nasal pain or irritation
Op. Dr. Samet Ağcayazı evaluates perforation size, mucosal condition, and blood supply before recommending surgical repair.
How Is Septum Perforation Surgery Performed?
Septal perforation repair is performed under general anesthesia. Surgical steps include:
Surgery duration depends on perforation size and tissue quality.

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Short-Term Results
What Are the Risks of Septum Perforation Surgery?
Septum perforation repair carries specific surgical risks due to limited blood supply in septal tissue. Possible risks include:
- Partial closure failure
- Recurrence of perforation
- Infection
- Persistent dryness
Success rates depend on perforation size, surgical technique, and postoperative care compliance.
Post-Operative Care After Septum Perforation Repair

Swelling reduces gradually. Approximately 60–70% decreases within 1–2 months, while final shape settles between 9–12 months.



Ratings & Reviews (Google • Trustpilot)
Real patient experiences reflect the care, attention, and personalised approach throughout the rhinoplasty journey. Discover honest feedback from individuals who chose Op. Dr. Samet Ağcayazı for their treatment in Istanbul.

I had my rhinoplasty on September 18th 2025. It’s still too early to judge the long-term results, but I can already share my impressions and experience so far. The surgery went smoothly and without any complications. I didn’t even feel the anesthesia, and after the operation, I woke up quickly — no nausea, no weakness, it felt like waking up from an afternoon nap. On days 3–4, the swelling was at its peak, then gradually went down, just as expected. I didn’t have a single bruise, even though my surgery was quite complex.

I had my nose job done simply to achieve a more beautiful and harmonious look for my face, and I'm so glad I chose Dr Samet. From day one, he understood that I wanted a natural result and created exactly the nose I had imagined. It's neither exaggerated nor artificial... It blends so well with my face that people don't even notice I've had cosmetic surgery. I feel more confident and happier. Beauty truly lies in the details, and Dr Samet captured that detail perfectly. Endless thanks!

Dr. Samet and his team are very good. I highly recommend them. My daughter had a rhinoplasty/septoplasty with Dr. Samet . We are very pleased with the results. My daughter’s nose looks very natural, at the same time fits her face and looks so beautiful.I was very hesitant in the beginning because I live abroad and don’t know much about this Doctor. I am very glad we chose Dr. Samet. He is very talented doctor. Irem, who is the doctor’s assistant, was very helpful and responsive. Dr. Samet is very kind always smiling, same were his team, that helped relax my daughter and reduce her anxiety about the surgery. Thank you Dr. Samet, thank you Irem and team.

I am beyond grateful that I chose Dr. Samet for my rhinoplasty. I spent over four months researching doctors, and after so much time and consideration, finding him in Turkey was the best decision I could have made. From the very beginning, he was professional, attentive, and truly cared about my expectations. I am absolutely in love with my nose it looks so natural and fits my face perfectly. Even during recovery, the follow-up and attention have been amazing. Thank you, Dr. Samet, for your incredible work and for giving me so much confidence. I truly feel like a new me.

As a man, I was initially hesitant about undergoing a cosmetic surgery and travel abroad for that. However, I was unhappy with the shape of my nose and decided to consult with Dr. Samet agcayazi after reading positive reviews online. I had a virtual consultation with him and I was impressed by his professionalism and expertise. He took the time to understand my desired outcome and explained the limitations and possibilities realistically. The surgery went smoothly, and the recovery was faster than I expected. With a natural-looking nose that fits my face perfectly, the result is exactly what I hoped for.

I’m about 10 weeks post op and very happy with my experience. The doctor and staff are super friendly and so far my results are looking great. The only improvement I could recommend to the team is to be more responsive and predictable with appointment times, but I was aware that could be an issue. Dr Samet has gotten very popular recently and his team is a bit overwhelmed. All in all I’m very happy and can’t wait to see my nose continue to transform

After a sports injury many years ago, I had breathing issues through one nostril and was also unhappy with the appearance of my nose. I found Dr. agcayazi online and was impressed by his credentials and experience in both functional and aesthetic rhinoplasty. He addressed both my functional and cosmetic concerns with great skill. My breathing has improved so much that it feels like I couldn’t breathe before. My nose looks much better, more symmetrical and natural. The entire process from the initial consultation to the post-operative care was excellent. Dr. agcayazi is a highly skilled and experienced surgeon who I would recommend without hesitation.

I am 3 weeks post-op from rhinoplasty with Dr. Samet and couldn’t have asked for a better experience with him! It is truly the most well-balanced nose and the cleanest closure of incisions I have seen. He is a perfectionist in the best way. He listens to what you want and gives you a realistic expectation of what can be done, keeping your anatomy and the functionality of your breathing in mind. He is conservative with what he will promise (green flag in cosmetic surgery world!) and over delivers on the results. The staff was supportive and helpful, answering all my questions and making sure I was settled during my trip. Couldn’t be happier with my choice of having my procedure with him.

Recovery After Septum Perforation Surgery
Recovery requires careful protection of nasal tissue. Recovery process includes:
How Much Does Septum Perforation Surgery Cost in Istanbul?
The cost of septum perforation surgery in Istanbul is determined after a detailed nasal examination by Op. Dr. Samet Ağcayazı. Surgical planning varies depending on perforation size and tissue condition. Factors affecting planning include:
- Diameter of perforation
- Tissue quality
- Need for graft material
- Surgical complexity
- Healing potential
Septum Perforation Surgery FAQ
Septum perforation surgery is not considered painful.
Common sensations include:
- Nasal pressure
- Congestion
- Mild discomfort
Pain is usually controlled with prescribed medication.
Surgery is recommended when conservative treatment fails to control symptoms. Surgical indication criteria include:
- Persistent bleeding
- Chronic crust formation
- Breathing impairment
- Enlarging perforation
- Reduced quality of life
A septal perforation is an abnormal opening in the nasal septum that disrupts normal airflow dynamics. This condition alters nasal humidity and leads to chronic irritation. Common causes include:
- Previous nasal surgery
- Aggressive septoplasty or rhinoplasty
- Nasal trauma
- Chronic nasal spray misuse
- Infection or inflammation
- Autoimmune conditions
Recovery from septum perforation surgery typically takes a few weeks, but full healing may take several months. Patients may experience swelling and discomfort during the initial recovery period.
Signs like persistent nasal obstruction, recurrent nosebleeds, or difficulty breathing through the nose are common indicators that septum perforation surgery may be necessary. A consultation with an ENT specialist will confirm the need.
Yes, septum perforation surgery can help restore normal airflow by repairing the perforated septum, improving breathing and alleviating associated symptoms like congestion and dryness.
Yes, post-surgery follow-up consultations are important to monitor the healing process, check for any complications, and ensure the septum is properly aligned for optimal breathing function.
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