Surgery

Septoplasty

A septoplasty straightens the wall between the nostrils (the septum) to improve breathing through a blocked or crooked nose.

Quick answer

Septoplasty: what it is, why it's done and what happens

A septoplasty corrects a deviated (crooked) nasal septum — the partition of bone and cartilage between the nostrils — that is blocking airflow. It works inside the nose, without changing its outward shape.

  • Why it is done: It is used for a deviated septum that significantly blocks the nose, causing breathing difficulty, recurrent sinus problems or disturbed sleep, when this has not improved with sprays or other measures.
  • What happens: Under general anaesthetic, the surgeon works through the nostrils to straighten or trim the septum, with no external cuts.

What it is

A septoplasty corrects a deviated (crooked) nasal septum — the partition of bone and cartilage between the nostrils — that is blocking airflow. It works inside the nose, without changing its outward shape.

Why it is done

It is used for a deviated septum that significantly blocks the nose, causing breathing difficulty, recurrent sinus problems or disturbed sleep, when this has not improved with sprays or other measures.

What happens

Under general anaesthetic, the surgeon works through the nostrils to straighten or trim the septum, with no external cuts. The operation usually takes 30–60 minutes as a day case.

Recovery

The nose is often blocked and congested for a couple of weeks as it heals, and heavy lifting and nose blowing are avoided at first. Breathing usually improves once the swelling settles.

Good to know

Risks and things to consider

Risks include bleeding, infection, a hole in the septum, changes in the sense of smell and, occasionally, the problem not fully resolving. It corrects breathing rather than appearance.

Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.

Answers

Septoplasty: frequently asked questions

Will septoplasty change how my nose looks?

Usually not, as it works inside the nose to straighten the septum without altering the external shape. Changing the nose’s appearance is a separate operation (rhinoplasty), sometimes combined with it.

How long until I can breathe better?

The nose is often congested for a couple of weeks while it heals, after which breathing usually improves as the swelling settles.

Sources

Where this is drawn from

  • NHS — Tests and treatments
  • NICE — procedure and treatment guidance
  • Relevant Royal College / professional body

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