Surgical Procedures
The practice concentrates on one region: the nose and sinuses. The operations are set out below, with the setting, the referral pathway and the OHIP position stated for each.
Three families of operations cover most of what a nose can need. Septoplasty straightens the wall between the airways; endoscopic sinus surgery opens the drainage pathways that chronic sinusitis and polyps close; rhinoplasty reshapes the outside, alone or together with the airway work. They are described separately below, but they are planned by one surgeon in one assessment, because noses rarely file their problems under a single heading — a blocked airway can involve septum, turbinates and sinuses at once, and an appearance concern often sits alongside a breathing one. Every operation here begins the same way: an assessment that names the diagnosis, the options with their trade-offs, and what OHIP insures, in writing where fees arise. Where the honest advice is not to operate, that is the advice given.
Fig. Three operations on one anatomy.
Appearance & Function
Surgical reshaping of the nose (refining a dorsal hump, a drooping or bulbous tip, asymmetry or post-injury changes), with the airway respected throughout. Where a functional problem exists, it can be corrected in the same operation as a septorhinoplasty.
Explore rhinoplastyNasal Obstruction
Straightening a deviated septum to restore nasal airflow. It is performed through the nostrils, with no external incisions and no change to the outward shape of the nose. Frequently combined with turbinate reduction where both narrow the airway.
Explore septoplastyChronic Sinus Disease
Reopening the sinuses' natural drainage pathways when chronic sinusitis, with or without nasal polyps, hasn't responded adequately to medical therapy. Advanced and skull-base cases are performed with the McMaster Skull Base Group in Hamilton.
Explore sinus surgerySide by Side
Most people arrive knowing the problem rather than the procedure. This is the short version; each page below sets out candidacy, risks and recovery in full.
| Operation | What it addresses | How it is done | Coverage |
|---|---|---|---|
| Rhinoplasty | The shape of the nose, the airway, or both together | Open or closed approach, under general anesthesia in hospital | Not insured when the goal is appearance. The breathing component may be insured; the rhinoplasty component needs Ministry pre-approval |
| Septoplasty | Blocked breathing caused by a deviated septum | Entirely through the nostrils, no external incisions, outward shape unchanged | Insured when medically necessary. |
| Turbinate reduction | Enlarged turbinates narrowing the airway, often alongside a deviated septum | Through the nostrils; frequently combined with septoplasty in one operation | Insured when medically necessary. |
| Endoscopic sinus surgery | Chronic sinusitis, with or without polyps, after medical therapy | Endoscopic, through the nostrils, opening the sinuses' own drainage pathways | Insured when medically necessary. |
These operations are performed in a hospital operating room rather than in an office, usually as day surgery. More than one can be carried out in a single operation where that is appropriate, and the parts are assessed and explained separately. General guidance only: what applies in your case is established at consultation.
One System
A patient who dislikes the shape of their nose often can't breathe well through it. A patient with recurring sinus infections often has a septum that never let the sinuses drain. These are not three unrelated problems; they are one anatomy, described three ways.
Because Dr. Khetani's subspecialty covers the whole region, the assessment doesn't stop at the reason you were referred. If your breathing complaint has a cosmetic dimension you'd like addressed, or your cosmetic goal is limited by an internal problem, that conversation happens once, with the surgeon who would perform both.
Also Available
Khetani Medical Aesthetics (the physician-led aesthetics practice Dr. Khetani founded in 2022 at the same Burlington address) continues to offer select non-surgical facial treatments, assessed and planned by a physician.
The practice's present focus is surgical care of the nose and sinuses. Where a non-surgical option is genuinely the better answer for what you want to change, it remains available and is discussed openly.
That's what the consultation is for. Describe what's bothering you. The assessment will establish the rest.
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