What is septoplasty?
Septoplasty is a surgical procedure in which a deviated nasal septum is corrected. The aim is to improve airflow through the nasal cavity and ease the symptoms caused by the deviation.
Septoplasty differs from rhinoplasty. Septoplasty addresses a functional problem — improving breathing — while rhinoplasty focuses on changing the shape of the nose. In some cases, however, both procedures can be combined to achieve both functional and aesthetic goals.
When is deviated septum surgery needed?
Septoplasty surgery becomes relevant when breathing difficulties caused by a deviated septum significantly affect quality of life.
Common symptoms include:
- Difficulty breathing through the nose (on one or both sides).
- Blockage on one side of the nose.
- Frequent nosebleeds.
- Facial pain or a feeling of pressure.
- Noisy breathing during sleep or snoring.
- Chronic sinusitis.
- Disrupted sleep due to breathing difficulties.
To assess a deviated septum, the inside of the nose is examined. This may be done using endoscopy, where a small tube with a camera is inserted into the nasal passage. CT imaging may also be used for diagnostic purposes, though it is not usually necessary. The surgeon evaluates the position of the septum, the degree of deviation, and its impact on breathing.
Preparing for septoplasty
During the initial consultation, the ENT specialist (Otolaryngologist) or plastic surgeon discusses the benefits and risks of the procedure with the patient. Any existing or previous medical conditions are reviewed, along with all current medications and supplements. A physical examination is carried out to assess both the inside and outside of the nose.
Photographs may be taken from several angles and used to document the condition of the nose before, during, and after the procedure. The patient's expectations are also discussed during the consultation, and the surgeon explains what outcomes can realistically be anticipated.
Preparation guidelines:
- Medications containing aspirin or ibuprofen are worth avoiding before and after septoplasty surgery, as they can increase the risk of bleeding — the surgeon will advise on this.
- Only medications approved or prescribed by the surgeon should be taken.
- If smoking, stopping at least a few weeks before surgery is advisable, as it can increase the risk of complications and slow the healing process.
Every case is individual, and these and any other relevant preparation details are discussed during the consultation.
Recovery after septoplasty
Rest is important on the first day following surgery. It is essential to avoid touching the nose and to refrain from blowing it — even if it feels blocked — as this can cause bleeding. If a sneeze cannot be avoided, breathing out through the mouth is preferable. Cold compresses applied over the nose and eye area, with a clean cloth placed against the skin first, can help reduce pain and swelling.
Nose care after surgery:
- Sleeping with the head supported on two pillows at night may help reduce strain and swelling.
- Showering or bathing should be avoided for the first 24 hours after the procedure.
- Exposure to colds and infections is worth minimising during the recovery period, as this can increase the risk of complications.
- Moisturising sprays or ointments may be used to keep the nasal passages comfortable during healing.
After the procedure, dusty environments and heat should be avoided, and blowing the nose forcefully should not happen for around 3 weeks. Physical exertion is avoided for approximately 2–3 weeks. A return to work or school is generally possible after 1–2 weeks.
