Some people are born with a deviated septum, but it can also be caused by an injury to your nose. Most people with a deviated septum have one nasal passage that’s much smaller than the other. This can cause difficulty breathing. Other symptoms of a deviated septum may include frequent nosebleeds and facial pain. Surgery is the only way to fix a deviated septum.
Septoplasty is a surgical procedure to correct a deviated septum. Septoplasty straightens the septum, allowing for better airflow through your nose.
A septoplasty takes anywhere from 30 to 90 minutes to complete, depending on the complexity of the condition. You’ll be under either local or general anesthesia, depending on what you and your doctor decide is best for you.
In a typical procedure, the surgeon makes an incision on one side of your nose to access the septum. They next lift up the mucous membrane, which is the protective covering of the septum. Then the deviated septum is moved into the right position. Any barriers, such as extra pieces of bone or cartilage, are removed. The last step is the repositioning of the mucous membrane.
You may need stitches to hold the septum and membrane in place. However, packing the nose with cotton is sometimes enough to keep them in position.
Septoplasty is usually performed as an outpatient procedure unless major complications arise. This means that you’ll be able to go home on the same day as the procedure, once the anesthesia has worn off. Your nose will be swollen, painful, and packed with cotton to control bleeding. The packing can be removed a day or two after surgery. Your doctor will also prescribe pain medication as needed.
Your doctor will likely ask you to avoid aspirin, ibuprofen, and other drugs that thin the blood. This is done to lower the risk of bleeding problems after the procedure.
You should also limit your physical activity for several weeks after surgery to minimize swelling and promote healing. This includes most forms of intense exercise, such as running, lifting weights, and playing contact sports. These activities can increase your blood pressure and lead to heavy bleeding.
Tips for a quicker recovery include:
Elevating your head at night to keep the swelling down
Not blowing your nose for at least three days after surgery
Wearing shirts that button up in the front so you won’t have to pull clothing over you
The wound on your nose will heal fairly quickly, and your breathing is likely to improve shortly after the procedure. However, the overall healing process can be slow. Cartilage and other nasal tissues can take up to a year to fully settle into their new shape.
Most people experience no ongoing symptoms after the surgery. In some cases, however, the cartilage and nasal tissues continue to shift over time and eventually block airflow through the nose again. This means that a second surgery will be needed to reshape the nose and septum further.