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Endoscopic Sinus Surgery (FESS) – Minimally Invasive Relief
Breathe easier with a precise, minimally invasive procedure designed to open blocked sinuses, restore natural drainage, and reduce infections for the long term.
Functional endoscopic sinus surgery (FESS) is a minimally invasive procedure used to remove blockages deep within the sinus passages. Using a thin endoscope and precision-guided instruments, this surgery restores natural drainage, improves airflow, and prevents mucus build-up, all without needing external cuts.
This treatment is commonly recommended for patients with chronic sinusitis, nasal polyps, or recurrent sinus infections that do not respond to medication.
Benefits of Endoscopic Sinus Surgery
- Improved sinus drainage → fewer infections
- Reduced facial pressure and congestion
- Better airflow and sense of smell
- No external incisions or visible scars
- Faster healing and minimal tissue trauma
Treatment Options
Why Might You Need This Treatment?
Functional endoscopic sinus surgery is typically recommended when sinus problems persist despite medication or keep returning.
You may benefit from this treatment if you have:
- Chronic sinusitis that isn’t improving with medical therapy
Ongoing inflammation can block the natural drainage pathways, causing persistent congestion, pressure, and discomfort.
- Recurrent acute sinus infections
If infections keep coming back, it may be due to a structural problem that is preventing the sinuses from clearing properly.
- Nasal polyps obstructing airflow or drainage
Polyps can grow large enough to block breathing, cause loss of smell, and increase the risk of infection unless removed.
- Structural issues such as a deviated septum or enlarged turbinates
These changes can narrow the nasal passages, worsen congestion, and contribute to long-standing sinus symptoms.
- Reduced or lost sense of smell due to chronic inflammation
- Restoring open, healthy sinus pathways often improves your ability to smell again.
With FESS, you can experience easier breathing, fewer infections, a better sense of smell, and meaningful relief from facial pressure and pain.
Preparing for Endoscopic Sinus Surgery
Good preparation helps your surgery go smoothly and makes recovery far more comfortable. Think of it as setting the stage so your sinuses and your surgeon can do their best work.
Before your procedure, please make sure to:
Review your medications and allergies with the team
This ensures everything I use is safe and suitable for you.
Follow any fasting instructions carefully
If you’re having sedation or general anaesthesia, avoiding food and drink beforehand is essential, not just a test of willpower.
Avoid smoking and alcohol for 24–48 hours
Your nose will thank you (and so will your recovery).
Arrange a safe lift home
You’ll feel a little woozy afterward, so this isn’t the day to prove your independence
Let us know if you take blood thinners
Medicines like aspirin, warfarin, or clopidogrel may need adjustment before surgery.
Ask if you’re unsure about anything
There are no silly questions except the unasked ones.
If you’re uncertain about any step, get in touch for personalised pre-surgery guidance.
Diagnosis & Treatment Process
The Treatment Process
Your treatment journey is designed to be clear, calm, and completely centred around your comfort.
Here’s what you can expect at each stage: no surprises, no jargon, just straightforward care.
Consultation & Diagnosis
I begin with a detailed discussion about your symptoms, followed by a nasal endoscopy and, if needed, a CT scan. This allows me to understand exactly what’s causing your sinus issues, not guesswork, but clear visual evidence.
Personalised Treatment Planning
Once I know what’s going on, I’ll talk you through your options. If FESS is the right choice, I’ll explain why, what it involves, and what outcome you can expect.
The goal is simple: a plan that makes sense and feels right for you.
Surgery & Immediate Recovery
Your procedure is minimally invasive and usually completed as a day case. Using a tiny endoscope, I clear blocked pathways without any external cuts. You’ll rest in recovery afterward, and no, you won’t remember the operating theatre playlist.
Follow-Up & Long-Term Care
Healing continues at home, and I make sure you’re fully supported throughout. Follow-up visits, nasal rinses, and supportive medication form part of a tailored plan to keep your sinuses healthy long after surgery. My aim is not just to fix the problem, but to help prevent it from returning.
Diagnosis Process
Recovery & What to Expect
Every recovery is slightly different, but most patients find the healing process straightforward with the right guidance.
Here’s what you can expect in the days and weeks after your endoscopic sinus surgery.
Hospital stay
Most patients go home the same day; occasionally, an overnight stay is recommended.
Nasal congestion is normal
Your nose may feel blocked or “full” for a few days; this is part of the healing process.
Mild bleeding
Light spotting is common in the first 24–48 hours.
No nose blowing for around 7 days
It helps protect delicate healing tissues (yes, it’s tempting, but resist).
Saline rinses are essential
Gentle rinsing keeps the nose clean and supports smooth healing.
Gradual return to normal activities
Light activities can resume quickly, but full recovery may take several weeks to a few months.
You’ll receive clear guidance at every stage, and my team is always here if anything doesn’t feel quite right.
When Should I Call My Healthcare Provider
Most patients recover without any issues, but it’s important to know what signs need attention. Please contact us if you experience:
- Heavy bleeding that doesn’t settle
- Fever above 38°C
- Severe pain not relieved by prescribed medication
- Vision changes or worsening eye swelling
- Persistent clear fluid discharge from the nose
- Symptoms returning suddenly or worsening unexpectedly
- If you notice any of these, contact my clinic immediately, as prompt guidance can make all the difference to a smooth recovery.
What to Avoid After Endoscopic Sinus Surgery
The first few weeks are crucial for smooth healing, and a few simple habits can make all the difference.
Avoid These
- Heavy lifting or any strenuous workouts
- Blowing your nose or forceful sneezing
- Hot, steamy showers that may trigger bleeding
- Smoking or exposure to smoke
Do This Instead
- Keep yourself well hydrated throughout the day
- Use saline sprays or rinses as recommended
- Take your prescribed post-operative medications on time
- Attend all scheduled follow-up appointments
| Avoid These | Do This Instead |
|---|---|
| Heavy lifting or any strenuous workouts | Keep yourself well hydrated throughout the day |
| Blowing your nose or forceful sneezing | Use saline sprays or rinses as recommended |
| Hot, steamy showers that may trigger bleeding | Take your prescribed post-operative medications on time |
| Smoking or exposure to smoke | Attend all scheduled follow-up appointments |
Want more clarity on post-surgery do’s and don’ts? View the full guide
Endoscopic Sinus Surgery: Risks & Complications
Endoscopic sinus surgery is considered very safe, especially in specialist hands. Still, like any medical procedure, there are some risks to be aware of so you know exactly what to expect.
Common, Usually Mild Risks:
- Light bleeding in the first few days
- Temporary nasal congestion or crusting
- Minor infection that responds well to treatment
Rare but More Serious Risks:
- Injury to the orbit (eye area), which may affect vision
- A cerebrospinal fluid (CSF) leak due to its proximity to the brain
- Changes in sense of smell (uncommon)
Most patients recover smoothly and experience significant symptom relief, but being informed helps you feel confident and prepared.
Have questions? I’m here to help you feel confident about every part of your care.
Why Choose Mr Vikas Acharya
When it comes to endoscopic sinus surgery, you want experience, precision, and care that feels genuinely personal. That’s exactly what I aim to deliver; with a calm, clear approach (and the occasional smile) to help you feel at ease.
What Sets My Care Apart
- Specialist expertise in FESS
As a Consultant ENT Surgeon focusing on nose and sinus disease, I have extensive experience treating even complex sinus conditions.
- Fellowship-trained with advanced skills
My training includes specialist rhinology and sinus surgery fellowships, ensuring your care is based on the latest techniques.
- Tailored, patient-centred care
From diagnosis to recovery, your treatment plan is designed around your symptoms, lifestyle, and goals; no generic templates.
- Clear, reassuring communication
I explain every step without the jargon, so you always know what’s happening and why.
If you’re looking for sinus care that’s expert, approachable, and truly personalised, you’re welcome to get in touch. My team and I are here to help.
Testimonials
What Patients Say
Real experiences often say more than any medical explanation. Here are a few words from patients who’ve trusted me with their sinus care:
From consultation to recovery, I felt supported every step of the way. My quality of life has improved enormously.
S. Patel
Professional, calm, and incredibly thorough. I finally feel in control of my sinus symptoms.
James R.
After years of struggling with blocked sinuses, surgery with Mr Acharya gave me my first truly deep breath in ages.
Laura M
👃 The nose knows… that life smells better when you finally start breathing easy again.
FAQ’s
Frequently Asked Questions About Sinusitis Treatment
If you’re considering sinus treatment, it’s natural to have a few questions.
Here are some questions I’m often asked by my patients, answered as clearly as possible.
How long is the recovery after FESS?
Recovery after FESS usually takes 1–2 weeks, although full internal healing may take several months. Regular saline rinses and scheduled follow-up care support faster healing and reduce inflammation.
Are there any external scars after endoscopic sinus surgery?
No. Endoscopic sinus surgery leaves no external scars because the procedure is performed entirely through the nostrils. This technique makes FESS a preferred minimally invasive option.
Can sinus surgery stop nasal polyps from returning?
Sinus surgery removes existing nasal polyps, but cannot guarantee they won’t return. Ongoing medication and regular monitoring significantly reduce recurrence and help maintain clear sinus passages.
Is endoscopic sinus surgery painful?
Endoscopic sinus surgery is not usually painful. Most patients feel mild pressure or congestion, which improves within a few days with proper aftercare and prescribed medication.
Will FESS cure my sinus problems permanently?
FESS provides long-lasting relief by correcting sinus blockage, but conditions like allergies or nasal polyps may need ongoing management. Regular care keeps symptoms under control and prevents flare-ups.
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