Septoplasty
Also known as: surgery to correct a deviated septum
Septoplasty is a surgical procedure that helps to straighten the septum and improve nasal airway function.
What is a septoplasty?
Many people suffer from a deviated nasal septum, either due to injury or congenital disability, which can cause breathing problems, alter the shape of your nose, and lead to more frequent nasal blockages. The nasal septum is a vertical structure made of cartilage and bone that separates the two nasal passages. A deviated septum occurs when this structure is displaced to one side, making one nasal passage smaller than the other. The nasal cavity plays a crucial role in facilitating airflow, and deviations can lead to symptoms such as obstruction and difficulty breathing.
Although a septoplasty is typically used to straighten the deviated septum, it might also be performed alongside other procedures to:
- Remove nasal polyps
- Treat chronic sinusitis
- Stop chronic nosebleeds
Causes and symptoms of a deviated nasal septum
A deviated nasal septum occurs when the thin wall of cartilage and bone that separates the two sides of the nasal passages is crooked or off-centre. This condition can lead to a variety of symptoms that affect your daily life. The causes of a deviated nasal septum can be congenital, meaning present at birth, or acquired due to injury or trauma to the nose. Other contributing factors include genetics, allergies, and environmental influences.
Common symptoms of a deviated nasal septum include:
- Nasal obstruction or blockage, making it hard to breathe through one or both nostrils
- Persistent nasal congestion or stuffiness
- Noisy breathing or snoring, especially during sleep
- Loss of smell (anosmia)
- Postnasal drip or discharge
- Frequent sinus infections or sinusitis
If you experience any of these symptoms, it might be worth discussing with a healthcare professional to determine if a deviated nasal septum is the cause.
When septoplasty is not recommended
While septoplasty is generally a safe and effective procedure, it may not be suitable for everyone. Certain conditions and factors can make septoplasty inappropriate or risky for some patients.
Contraindications for septoplasty include:
- Active infections, such as sinusitis or rhinitis
- Bleeding disorders or the use of anticoagulant medications
- Severe medical conditions, such as heart disease or uncontrolled diabetes
- Pregnancy or breastfeeding
- Previous nasal surgery or trauma that may complicate the procedure
It’s essential to discuss your medical history and any existing conditions with your surgeon to determine if septoplasty is the right choice for you.
Alternative treatments to septoplasty
While septoplasty is often the most effective treatment for a deviated nasal septum, alternative therapies may be suitable for some patients. These alternatives can help manage symptoms and improve nasal airflow without the need for surgery.
Alternative treatments include:
- Nasal sprays or decongestants to reduce nasal congestion
- Antihistamines or steroids to decrease inflammation
- Saline nasal irrigation to keep the nasal passages moist
- Turbinate reduction or turbinate surgery to reduce the size of the turbinate bones
- Endoscopic sinus surgery to address sinus infections or chronic sinusitis
It’s essential to consult with a qualified ENT consultant to determine the best course of treatment for your individual needs. They can help you weigh the benefits and risks of each option to find the most suitable solution for your condition.
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Ways to payBefore surgery
Before you can make an appointment for a septoplasty, you’ll need to book an initial consultation with an ENT consultant.
At this introductory appointment, the doctor will examine your nasal passage, assess whether there is a hole in the septum, offer treatment for any facial pain, and explore ways to relieve your symptoms without surgery. Surgery is often a last option for us, as even the low-risk surgeries do require recovery time and come with some risks.
If you’re approved for a septoplasty based on your symptoms, then we’ll arrange a surgery date for you and inform you of any steps you’ll need to take before your procedure.
Before surgery, you may need to stop taking any current medications that involve aspirin, ibuprofen, naproxen, and certain herbal supplements (as these interfere with blood clotting).
During surgery
Septoplasty begins by administering an anaesthetic – the choice between general or local will depend on your conversation with the doctor. Once the team are sure that you’re under, the septal surgery can begin.
This surgery starts by making a small incision inside the nose. In most cases, septoplasty is performed using a closed technique, meaning that all incisions are made entirely within the nostrils. This avoids any external visible scars. In some cases, a small incision may be made on the outside of the nose (open septoplasty), but this is less common. An incision is made on one side of the nose to access and reshape the septum.
From here, the surgeon lifts the mucous membrane (the lining of the nasal septum) away from the cartilage and bone. The elevation of mucoperichondrial flaps ensures optimal exposure and access to the underlying cartilage and structures. The deviated or displaced portions of the septum are then carefully removed or repositioned. This may involve cutting and removing excess cartilage or bone inside the nose, as well as straightening the existing structures. In rare cases or when combined with rhinoplasty, manipulation of nasal bones may be performed.
After reshaping the septum, the mucous membrane is repositioned and sutured back into its original position. In some cases, soft silicone splints or packing may be placed inside your nose to provide support and prevent adhesions during the initial stages of healing. If any incisions were made inside the nostrils, they are closed with dissolvable sutures.
After surgery
After the septoplasty, you’ll be taken to a recovery centre to wait for the anaesthetic to wear off. Once you wake, you may notice a feeling of stuffiness in your ear, nose, and throat. It is essential to have a trusted person or a family member present to provide transportation home due to the effects of the anaesthesia.
Minor bleeding and drainage are normal in the first few days. Your surgeon may provide instructions on how to manage this, such as avoiding blowing your nose. Avoid drinking alcohol for 48 hours after the procedure and refrain from operating machinery during this period.
You may experience temporary numbness in the tip of your nose or upper lip, as well as pain and numbness in the upper teeth. These sensations are common and typically short-lived.
You’ll have a follow-up appointment with your surgeon to monitor your healing progress. Nasal packing or splints, if used, are typically removed within a few days. Some surgeons avoid packing to enhance comfort, depending on the technique used. Your surgeon may recommend saline nasal sprays or other care instructions to keep the nasal passages moist and assist in the healing process. Pain medication may be provided if necessary. Avoid contact sports for a couple of months and refrain from strenuous exercise during the initial recovery period. Consider your level of physical activity when determining how long to take off work.
Swelling and bruising should gradually subside over the first few weeks, but individual recovery times vary. Most patients make a full recovery within a few weeks, although complete healing can take several months to occur.
Risks and complications of septoplasty
As with any surgical procedure, septoplasty carries certain risks and potential complications. Being aware of these can help you make an informed decision.
Possible risks and complications of septoplasty include:
- Excessive bleeding or haemorrhage
- Infection or abscess formation
- Nasal septal perforation, which is a hole in the septum
- Adhesions or scarring inside the nasal passages
- Changes in the shape of the nose or nasal tip
- Loss of smell or taste
- Persistent difficulty breathing or nasal obstruction
- Adverse reactions to anaesthesia or medications
Discussing these risks with your surgeon can help you understand what to expect and how to minimise potential complications.
Appointment and Treatment Plan
Initial Consultation
Your ENT surgeon assesses your nasal passages, symptoms, and possible non-surgical treatments. If surgery is recommended, a date is scheduled.
Pre-operative Preparation
You may need to stop certain meds (like aspirin or ibuprofen). Your surgeon will give specific prep instructions before your procedure.
Surgery
Septoplasty is performed under anaesthesia. Most incisions are made inside the nose (closed technique). The septum is straightened, and splints may be placed to support healing.
Immediate Post-surgery Care
You’ll recover as anaesthetic wears off. Expect mild bleeding, stuffiness, and numbness. No alcohol or driving for 48 hours.
Long-term Recovery
Use saline sprays and follow all aftercare instructions. Avoid strenuous activity and contact sports for a few weeks. Full recovery may take a few months.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
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FAQs
Septoplasty is generally considered a minor to moderate surgical procedure rather than a major surgery. It is usually performed as an outpatient procedure, meaning you can go home the same day after the operation. The surgery typically takes between 30 and 90 minutes and involves correcting the position of the nasal septum to improve airflow. While it requires anaesthesia, either local or general, septoplasty is less invasive compared to other types of nasal or sinus surgeries. Recovery time is relatively short, and most patients experience significant relief from symptoms of nasal obstruction.
Most patients report only mild to moderate discomfort following septoplasty. Pain levels vary depending on individual sensitivity and the extent of the surgery; however, the pain medication prescribed by your surgeon can effectively manage any discomfort. You may experience nasal congestion, a feeling of pressure, or mild soreness inside your nose during the healing process. Swelling and bruising around the nose and eyes are also common but typically subside within a couple of weeks. Overall, septoplasty is not generally described as an excruciating procedure.
Recovery from septoplasty usually takes a few weeks, with most patients returning to normal activities within 7 to 10 days. However, complete healing of the nasal tissues and full improvement in nasal airflow can take several months to occur. During the initial recovery period, it is important to avoid strenuous exercise, heavy lifting, and contact sports to minimise swelling and reduce the risk of complications. Your surgeon will provide specific aftercare instructions, including advice on nasal care, avoiding nose blowing, and managing any nasal packing or splints. Follow-up visits to the outpatient clinic help monitor healing progress.
Septoplasty aims to provide a long-term solution to nasal airway obstruction caused by a deviated septum. In most cases, the results are permanent, and patients experience improved breathing and reduced nasal blockage. However, some factors, such as trauma to the nose after surgery or underlying nasal conditions, can affect the outcome. Occasionally, further surgery may be necessary if symptoms persist or if complications arise. Your surgeon will discuss the likelihood of a permanent fix based on your condition and surgical results.
Medically reviewed by Mr Bhavesh Patel - Consultant ENT Surgeon on 13/08/2025