Septal perforation repair in Bussum is available at the FACE Institute, where Dr. Callum Faris, an internationally trained ENT specialist and facial reconstructive surgeon, provides specialist-level care for patients with holes in the nasal septum. Whether the perforation results from prior surgery, chronic nasal irritation, systemic disease, or other causes, this is a technically demanding procedure that requires significant reconstructive expertise. If you are experiencing nasal symptoms related to a septal defect, contact the FACE Institute to discuss your options with a qualified specialist.
To enquire about a consultation, please call: call for details
Septal Perforation Repair in Bussum: What You Need to Know
A septal perforation is a hole through the nasal septum, the internal wall dividing the left and right nasal passages. Perforations may range in size from a few millimetres to several centimetres and can produce symptoms including nasal crusting, bleeding, whistling on breathing, obstruction, and recurrent infections. In larger or more complex cases, structural collapse of the nasal bridge may also develop over time.
Surgical repair typically involves advancing or rotating mucosal tissue to cover both sides of the perforation, often with an interposed graft for structural reinforcement. The technique selected depends on perforation size, location, tissue quality, and underlying cause. Smaller perforations may be amenable to direct mucosal flap repair, while larger defects frequently require more complex reconstructive approaches. Patients with perforations secondary to cocaine-related injury, prior failed surgery, or systemic conditions such as vasculitis or granulomatous disease present particular reconstructive challenges.
At the FACE Institute in Bussum, Dr. Faris brings experience in septal perforation surgery within the broader context of complex nasal reconstruction, ensuring that functional outcomes are considered alongside structural repair. Understanding the relationship between the septum and the overall nasal architecture is central to his approach, and further detail on this is available in the resource on the mutual relationships between rhinology, rhinoplasty, and nasal reconstruction.
Are You a Candidate for Septal Perforation Repair?
Surgical repair may be appropriate for patients whose septal perforation is causing significant functional symptoms or progressive structural deterioration. Candidacy is determined through a thorough clinical assessment, including endoscopic nasal examination, review of medical history, and where relevant, investigation of any underlying systemic condition that contributed to the perforation.
Patients with active inflammatory or autoimmune disease may require medical stabilisation before surgery is considered. Perforations related to ongoing cocaine use are generally not suitable for surgical repair until abstinence is confirmed, as repair in the context of continued use carries a high risk of failure.
Patients who may benefit from surgical repair include those with:
- Symptomatic perforations causing crusting, bleeding, or obstruction
- Whistling or audible airflow disturbance during breathing
- Progressive structural deterioration or saddle nose development
- Prior failed perforation repair requiring revision
- Perforations resulting from prior rhinoplasty or nasal surgery
- Stable systemic disease with a well-defined perforation amenable to closure
Individual results vary depending on perforation size, tissue quality, and clinical history. A consultation at the FACE Institute in Bussum will provide a realistic assessment of what surgical repair may achieve in your specific case. To arrange an evaluation, please call: call for details
What to Expect at the FACE Institute
The process at the FACE Institute begins with a detailed consultation. Dr. Faris will review your clinical history, examine the nasal cavity endoscopically, and assess the perforation in the context of overall nasal structure and function. If underlying conditions are suspected, appropriate investigations or specialist referrals may be recommended prior to planning surgery. This initial consultation is substantive and typically takes considerable time, reflecting the complexity of these cases.
Surgical repair is performed under general anaesthesia in most cases. The operative approach depends on perforation characteristics and may involve mucosal advancement flaps, interposition grafts, or cartilage grafting as required. Most patients are managed as day-case or short-stay admissions, though this varies by complexity.
Recovery typically involves a period of nasal packing or splinting, followed by staged removal. Crusting and mild congestion are commonly reported in the weeks following surgery. Most patients are advised to avoid strenuous activity for several weeks, and full mucosal healing may take a number of months. Dr. Faris and the FACE Institute team provide detailed aftercare guidance throughout this period.
Patients travelling to Bussum from elsewhere in the Netherlands or from abroad are welcome to discuss consultation and surgical scheduling, including options for Saturday appointments. The FACE Institute understands that many patients seeking this level of specialist care are referred from outside the region, and the practice is structured to accommodate international and long-distance patients where clinically appropriate.
Why Choose the FACE Institute for Septal Perforation Repair in Bussum?
The FACE Institute was founded with a specific purpose: to make specialist reconstructive nasal surgery accessible to patients with complex and often rare conditions that general reconstructive surgeons or otolaryngologists are not routinely equipped to manage. Septal perforation repair, particularly in complex or previously failed cases, belongs squarely within this category. Dr. Faris and his team have extensive experience achieving successful closure of septal perforations, and will discuss the outcome that is realistic for your specific case during consultation.
Dr. Callum Faris holds fellowship training from Harvard Medical School and the University of British Columbia, in addition to training across multiple European centres. He is a Fellow of the Royal College of Surgeons in Otolaryngology, Head and Neck Surgery, and holds accreditation from the American Academy of Facial Plastic and Reconstructive Surgery. He was awarded the Claus Walter Prize for achieving the highest score among international participants in the facial plastic surgery accreditation examination, and received the Joseph Scholarship from the European Academy of Facial Plastic Surgery. He also serves on the editorial board of the EAFPS Facial Plastic Surgery Journal.
The FACE Institute serves patients from Bussum, Amsterdam, Hilversum, Almere, Utrecht, and across the Netherlands and Belgium, as well as internationally referred patients from across Europe. For patients who have experienced the significant functional and personal impact of a nasal deformity, the FACE Institute offers a rigorous and compassionate specialist environment.
Arrange a Consultation for Septal Perforation Repair in Bussum
If you are seeking specialist assessment for septal perforation repair in Bussum, the FACE Institute offers consultant-level evaluation by a fellowship-trained ENT specialist and facial reconstructive surgeon with extensive experience in complex nasal reconstruction. Patients are seen from across the Netherlands, Belgium, and internationally. To enquire about a consultation, please call: call for details
