In Office Septoplasty

What is septoplasty?

Septoplasty is a procedure to correct a deviated nasal septum.  The deviated septum may cause nasal obstruction or congestion.  It should be considered if medical treatment such as use of allergy medications is ineffective in adequately relieving symptoms of nasal blockage.  Recommendations will be made based on patient specific history, actual exam findings including specialized nasal exam, and possibly CT (CAT) scan imaging.

Deviated nasal septum

Adobe Stock – deviated or crooked nasal septum (middle divider between the two nostrils)

At Nevada Sinus Relief, septoplasty is commonly performed in the office using local anesthesia techniques as well as light oral sedation.  A mild anti-anxiety medication is prescribed to help relax you. It is usually taken two hours before arriving to the office. We do not use general anesthesia or IV sedation, therefore you will be awake.  However, many of our patients have slept through their procedure because the medications that they take before arriving to the office can cause drowsiness.

“I didn’t feel a thing during the procedure.  I had no pain.  It was much better than I thought I would be.” –George 


Preparing for septoplasty

If septoplasty is scheduled, certain medications should be discontinued seven days prior to the procedure.  These medications include  aspirin, Advil, Motrin, Aleve (naproxyn), and in general, drugs that decrease the ability for the blood to clot.  Certain supplemental or herbal medications may also increase the risk of bleeding.  Theses include Vitamin E, garlic tablets, and fish oil or Omega.

The procedure is performed inside the nose and through the nostrils, so there is not a need to make any incisions on the face. You should not have any facial swelling, bruising, black eyes, or a change in the shape of your nose.

Plan on being at the office for about an hour for this.  If it is done with other procedures, it may take up to 1.5 hours.


What to expect after septal surgery

  • You will have red colored nasal discharge after the surgery, which is entirely normal.  The bloody discharge typically resolves after 24 hours.  You may have some blood-tinged discharge for 10-14 days after the procedure.
  • Septoplasty surgery can cause temporary swelling of nasal tissues, which can make the nose and sinuses feel congested or full.
  • Do not blow your nose for 7 days after surgery to prevent bleeding.  If you sneeze, do not hold back, but sneeze with your mouth open.

After most septoplasty surgery, small plastic tubes called nasal splints will be placed into each nostril.  These are not visible on the outside.  They are needed to maintain alignment of the nasal septum immediately after surgery and assist in healing.  These are usually removed on the day following the procedure.

Once the splints are removed, we will recommend using saline nasal rinses to keep the nasal passage open, assist in healing, and decrease swelling of the nasal tissue.

What our patients are saying about their experience:  “I had septoplasty done a while ago to correct my deviated septum. I’m very happy with the results and I can finally breathe through my nose clearly. I would definitely recommend Dr. Sikand.” – Amber