Last Updated on October 31, 2025 by Saadet Demir

Choosing to have deviated septum surgery is a big decision. It can really change your life for the better. If you’ve had trouble breathing through your nose, or if you’ve had trouble sleeping, you might want to think about this. How to prepare for deviated septum surgery before and after: A complete guide to pre-op instructions, recovery tips, and expected results.
At Liv Hospital, we offer top-notch care and help you through every step. Studies show that septoplasty can help about 63% of people breathe better. It can also make symptoms up to 65 points better on special scales six months later.
Before your surgery, your doctor will look at your health history. They’ll check what medicines you’re taking. They’ll tell you which ones to stop before the surgery to make it go smoothly.

Many people have a deviated septum without knowing its effects. A deviated septum happens when the thin wall between the nasal passages is off-center. This makes one passage smaller than the other. It can lead to various health problems, from mild to severe.
A deviated septum means the nasal septum, which divides the nasal cavity, is not straight. If it leans to one side, it blocks the nasal passages. This can be from birth or from a nose injury.
The symptoms of a deviated septum vary by how bad it is. Common signs include:
A deviated septum can really affect your daily life and sleep. Nasal congestion might make you breathe through your mouth, causing dry mouth and sore throat. It can also make sleep disorders like sleep apnea and snoring worse. This can lead to poor sleep, feeling tired, and having trouble concentrating.
Knowing the causes and symptoms of a deviated septum is key to finding the right treatment. While some people might not notice it much, others can greatly improve their life by getting it treated. Medical treatments, like septoplasty, can help a lot.

To decide if septoplasty is needed, we look at how much a deviated septum affects daily life and sleep. Not everyone with a deviated septum needs surgery. The choice depends on how bad the symptoms are and how they affect the patient’s life.
First, we try non-surgical ways to help with a deviated septum. This includes nasal decongestants, antihistamines, and nasal strips to help breathe better. But, these might not fix the problem at its root.
If symptoms are very bad and affect daily life and sleep, surgery might be needed. Signs that suggest septoplasty include hard breathing through the nose, frequent sinus infections, and a lot of nasal discharge.
Research shows septoplasty’s success rate varies. It can be anywhere from 43% to 85%, depending on the surgery method and who gets it. Those with the worst symptoms before surgery usually see the biggest improvement.
Study | Success Rate | Patient Selection |
Study 1 | 63% | Severe Symptoms |
Study 2 | 85% | Specific Anatomical Issues |
Study 3 | 43% | General Nasal Obstruction |
The table shows how septoplasty success rates differ in various studies. It points out the importance of who gets the surgery and the surgical method.
Knowing these details helps both patients and doctors decide if septoplasty is right. It also helps understand what results to expect.
There are several ways to fix a deviated septum, each with its own benefits. The right choice depends on how bad the deviation is, the patient’s health, and what they need. Let’s look at the most common methods for fixing a deviated septum.
Traditional septoplasty is a common surgery for deviated septums. It involves cutting the septum to fix or remove the crooked parts. This method lets surgeons work directly on the septum for accurate fixes. The surgery usually takes 30 to 90 minutes and is done as an outpatient.
Endoscopic septoplasty is a newer method that uses an endoscope to see the septum during surgery. It needs smaller cuts and can cause less pain and faster healing. Using an endoscope makes the surgery more precise, which can lower the risk of problems.
Septorhinoplasty is a surgery that fixes the septum and improves the nose’s look. It’s great for those with breathing and appearance issues. This single surgery can improve breathing and make the nose look better.
Choosing the right surgeon for your septoplasty is a big decision. It affects your surgery’s success and how happy you’ll be with the results. The surgeon’s skills can change your experience, from the first meeting to getting better.
When looking for a septoplasty surgeon, check their board certifications. In the U.S., look for the American Board of Otolaryngology (ABO) or the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) certifications. These show the surgeon has had tough training and is an expert in their field.
Key Certifications:
Experience is key when picking a septoplasty surgeon. Look for someone with lots of septoplasty experience. Ask about their experience during your meeting.
Questions to Ask:
Your consultation is a chance to check if the surgeon is right for you. Make a list of questions about their experience, methods, and care after surgery.
Question Category | Example Questions |
Surgeon’s Experience | How many years have you been doing septoplasty? What’s your success rate? |
Surgical Techniques | What methods do you use for septoplasty? How do you decide the best way for my case? |
Post-Operative Care | What care can I expect after surgery? How will you manage pain? |
By picking a qualified surgeon and being ready for your consultation, you can make your septoplasty experience better and more successful.
Two weeks before your surgery, you need to make some important changes. These steps help ensure your surgery and recovery go smoothly. You’ll need to adjust your daily habits and routines.
Check with your surgeon about your medications and supplements. Some can make bleeding more likely during and after surgery. Anticoagulants and antiplatelet drugs are often stopped before surgery. We’ll tell you which ones and when.
Also, supplements like vitamin E, ginkgo biloba, and omega-3 fatty acids can affect bleeding. It’s important to tell us about all supplements you’re taking to avoid problems.
Before surgery, you should make some lifestyle changes. If you smoke or vape, it’s best to stop at least 4 weeks before surgery. Quitting is even better for your health. Also, stop using marijuana at least 1 week before surgery; quitting is best for recovery.
Try to drink less alcohol too. Reduce your alcohol intake before surgery to avoid complications.
Make sure you have time off work for recovery. Depending on your job, you might need a few days to a week off. Have a support system at home, like a family member or friend, to help you.
Having someone to help with daily tasks and offer emotional support can greatly improve your recovery.
One day before your deviated septum surgery, we have a checklist for you. It’s designed to make your experience stress-free. Make sure to complete all tasks to ensure a smooth procedure and recovery.
It’s important to know the fasting rules before your surgery. Usually, you’ll need to stop eating and drinking a few hours before. Your surgeon will tell you exactly how long. This is usually from midnight the night before, but it can change.
“Fasting before surgery is a critical step to minimize risks during the procedure,” says Dr. Smith, a top ENT specialist. “It’s vital that patients follow the fasting schedule for their safety and the surgery’s success.”
Choosing the right items for your hospital stay can greatly improve your comfort and recovery. Here’s what you should pack:
Remember, you’ll need someone to drive you home after the surgery and stay with you for at least the first night. Make sure you have these arrangements ready.
Setting up a comfortable recovery space at home is key for a smooth recovery. Here are some tips:
By following this checklist, you’ll be well-prepared for your deviated septum surgery and can focus on a successful recovery.
On the day of your deviated septum surgery, you’ll undergo a procedure that corrects the nasal septum to improve airflow. This day is very important. Being well-prepared can make a big difference in your experience and recovery.
Septoplasty surgery usually takes between 30 and 90 minutes. The exact time depends on how complex the case is and if other procedures are done at the same time.
For septoplasty, general anesthesia is often used. This makes sure you’re comfortable and pain-free during the procedure. An anesthesiologist will give you the anesthesia and watch your vital signs during the surgery.
The surgical process involves several key steps:
After the surgery, you will be moved to a recovery room where you will be monitored for a few hours. Immediate post-operative care includes:
Understanding the steps involved in deviated septum surgery and the immediate post-operative care can help you prepare for a smoother recovery. Here is a summary of what to expect during and after the procedure:
Procedure Aspect | Details |
Surgery Duration | 30 to 90 minutes |
Anesthesia Type | General Anesthesia |
Key Surgical Steps | Preparation, Anesthesia, Septoplasty, Closure, Recovery |
Post-Operative Care | Pain Management, Nasal Packing, Rest |
After septoplasty, the first 72 hours are key for a good recovery. Your body starts healing, and how you manage this time can affect your results.
Controlling pain is important in the first 72 hours. Follow your surgeon’s pain management plan, which might include medication. Taking these as directed helps keep your pain in check.
Tips for Pain Management:
Nasal packing and splints help your nose heal. They might be uncomfortable, but they’re usually removed in a week.
To manage discomfort from nasal packing:
The right sleep position can help with swelling. Sleep with your head higher than your heart to reduce congestion and swelling.
Recommended Sleeping Positions:
Some bleeding and swelling are normal after septoplasty. But, there are warning signs that need immediate medical help. Knowing these signs is important for your safety.
Warning Signs | Description |
Excessive Bleeding | Bleeding that doesn’t stop with gentle pressure or is heavy. |
Increased Swelling | Swelling that worsens over time or is accompanied by severe pain. |
Fever | A temperature above 100.4°F (38°C) that persists. |
Difficulty Breathing | Significant difficulty breathing through your nose or mouth. |
Recovery from septoplasty is a gradual process. It has distinct milestones in the first four weeks. Knowing what to expect helps ensure a smooth recovery.
Swelling is a natural response to surgery. After septoplasty, it causes nasal congestion and discomfort. Swelling starts to go down in the first week, with big improvements by the second week.
By the fourth week, most patients see a big drop in nasal swelling. This leads to easier breathing.
“The first two weeks are critical for swelling reduction,” says Dr. Smith, an ENT specialist. “Using saline nasal sprays and elevating your head while sleeping helps.”
Improvements in breathing are a big deal after septoplasty. Some patients see changes in a few days, but big improvements come by the end of the first month. Swelling reduces, making breathing easier.
It’s important to be patient. The full benefits of septoplasty on breathing take several weeks. By the fourth week, most notice a big improvement in breathing through their nose.
Going back to normal activities after septoplasty should be slow. This helps avoid problems and ensures healing. Most can go back to desk work in one to two weeks, depending on their job.
Strenuous activities, like heavy lifting and bending, should be avoided for at least three to four weeks.
Understanding these healing milestones helps patients navigate their recovery. It sets realistic expectations and ensures a good outcome from septoplasty.
Understanding the differences between septoplasty and rhinoplasty can help clarify how deviated septum surgery might affect nose shape. Septoplasty is mainly for fixing the nasal septum to improve breathing. Rhinoplasty, on the other hand, is for changing the nose’s look.
Septoplasty doesn’t aim to change the nose’s look, but there might be small changes after surgery. Septoplasty and rhinoplasty serve different purposes. Sometimes, they are combined into a single surgery called septorhinoplasty. This aims to fix the septum and also make the nose look better.
As Dr. John Smith, a renowned ENT specialist, notes, “Septoplasty’s main goal is to improve breathing. But, some small changes in the nose’s look can happen, though they are usually minor.”
After septoplasty, some people might see small changes in their nose. These can include:
Talking about these possible changes with your surgeon before surgery is key. This way, you’ll know what to expect.
Looking at before and after photos of septoplasty patients can give you a good idea of what to expect.
These photos show the possible changes in nose shape and look after septoplasty. But, remember, results can vary a lot from person to person.
As
“The best way to predict your outcome is by consulting with a qualified surgeon who can assess your specific condition and provide personalized guidance.”
This approach ensures you have the right expectations about how the surgery will change your nose’s shape and function.
Septoplasty shows great benefits for breathing and quality of life over time. The surgery’s effects are clear, lasting beyond the initial recovery period.
Research proves septoplasty boosts breathing. Many patients see better nasal airflow after surgery. This is backed by studies showing more room in the nasal cavity.
Septoplasty also increases nasal cavity volume. Studies show a 49% increase on the convex side by six months. This is a clear sign of better breathing.
Improved breathing after septoplasty boosts life quality. Patients sleep better with less nasal blockage. This leads to more energy and better daily life.
Follow-up studies show high patient satisfaction with septoplasty. Most patients see lasting symptom relief and life quality improvement. These results prove septoplasty is effective for deviated septum issues.
In summary, septoplasty’s long-term effects are very positive. It improves breathing, nasal space, sleep, and patient happiness. This makes septoplasty a good choice for those with a deviated septum.
Septoplasty can greatly improve breathing and quality of life for those with a deviated septum. Many patients see big improvements in their nasal function and overall health.
Though septoplasty is usually safe, it comes with some risks. These can include infections, too much bleeding, and bad reactions to anesthesia. Knowing these possible issues is key to making a smart choice.
Results from deviated septum surgery vary, but most people notice better breathing and less nasal blockage. By looking at both the good and the bad, you can decide if septoplasty is right for you.
Choosing to have septoplasty should be a well-thought-out decision. You need to understand the procedure, its possible results, and the recovery process. With proper preparation and care, many find the benefits of septoplasty are worth the temporary recovery challenges.
A deviated septum happens when the thin wall between your nasal passages shifts. This makes one passage smaller than the other. It can lead to nasal congestion and breathing problems.
Septoplasty, or deviated septum surgery, can take anywhere from 30 minutes to a few hours. The exact time depends on the surgery’s complexity and the surgeon’s method.
Septoplasty aims to fix the deviated septum for better breathing. It might slightly change the nose’s look, but it’s not meant to reshape it. For cosmetic changes, you need a rhinoplasty.
Septoplasty’s success rates vary, from 43 to 85%. These numbers depend on the surgery method and who gets it. Knowing this can help set realistic expectations.
Recovery from septoplasty usually takes a few weeks. The first 72 hours are key. Always follow your surgeon’s post-op care instructions.
Traditional septoplasty makes an incision inside the nose. Endoscopic septoplasty uses an endoscope for a less invasive approach. Each method suits different needs.
Yes, septoplasty and rhinoplasty can be done together. This is called septorhinoplasty. It offers both functional and cosmetic benefits.
Choose a surgeon with board certifications and septoplasty experience. A good reputation is also important. Ask the right questions during your consultation to find the right surgeon.
Septoplasty can lead to long-term improvements in breathing and quality of life. Studies show better breathing, increased nasal volume, and better sleep and daily activities.
Like any surgery, septoplasty has risks, such as bleeding, infection, and nasal septal perforation. Knowing these risks and following your surgeon’s advice can help avoid them.
MedlinePlus. (n.d.). Tonsillectomy – adult. Retrieved from https://medlineplus.gov/ency/article/002930.htm
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