
The human nose is divided by a cartilage and bone structure called a nasal septum, which separates your nostrils. If this structure is misaligned in either direction, it’s referred to as a deviated septum. For some people, a septum that’s not correctly aligned causes little or no problems. However, other individuals may be referred to a septoplasty surgeon for further evaluation because of related issues involving recurring sinus infections, airflow difficulties, or even problems with breathing patterns while sleeping (sleep apnea).
Why See a Septoplasty Surgeon?
The main reason to see a surgeon specializing in septoplasty is because a deviated septum is contributing to breathing irregularities and related problems. You may also benefit from an initial examination to determine if surgery is the right option for your situation if your airflow restriction has resulted in you becoming a chronic mouth-breather, which often happens when nose-breathing becomes difficult. This is potentially problematic because mouth-breathing can contribute to dental issues and other health risks. You may also be referred to a septoplasty surgeon for the following reasons:
- Your septum was deviated due to some type of trauma
- Your sinus and nasal allergy symptoms are affected by a deviated septum
- You have problems related to a septum that was deviated at birth


How Is a Septoplasty Performed?
After performing an initial examination, photographs of your nose may be taken for use as a reference when surgery is performed. The purpose of a septoplasty is to straighten the nasal septum by trimming it, repositioning or realigning it, or, in some instances, replacing bone or cartilage. The approach to this type of surgery that’s recommended will depend on the extent of the misalignment.
The mucous membrane that covers the septum will also be temporarily moved so that the septum itself can be adjusted and repositioned. This membrane will then be realigned to match the newly repositioned septum. Spreader grafts are sometimes used if the misalignment affected the bridge of the nose. The type of anesthesia used will depend on the complexity of the procedure.
What Happens After Septoplasty Surgery?
When a septoplasty surgeon has completed the procedure, you’ll likely notice a better ability to breathe through your nose once the nasal packing that’s usually placed in your nostrils is removed. For the first several weeks after surgery, you may be advised to use a nasal decongestant to keep your nostrils clear. It’s also important not to blow your nose for a few weeks while also avoiding strenuous activities. Sleeping on your stomach should also be avoided until tissues have healed. You’ll be given more specific instructions before you are released after your surgery.
Simply visiting a septoplasty surgeon doesn’t necessarily mean surgery will be your only option. However, it is a good way to learn whether or not you would be a good candidate for this type of surgery. An initial consultation also gives you a chance to ask questions and establish realistic expectations. The more informed you are going into the procedure, the more likely it is you’ll appreciate the results.