Nasal septum correction

In the field of ENT surgery, septoplasty is one of the most popular procedures. The procedure involves straightening the nasal septum to restore nasal breathing. Impaired respiratory function not only significantly reduces quality of life but can also lead to the development of significant ENT conditions such as rhinitis, sinusitis, and otitis.

A deviated nasal septum is a shift away from the nasal center. This problem often develops in childhood and adolescence, when the nose is actively growing, causing irregularities of varying severity. Another common cause of a deviated septum is blows and bruises to the nose.

A deviated septum impedes normal nasal breathing and creates a favorable environment for diseases of the throat, ears, and sinuses. It narrows the space inside the nose and changes the direction of airflow. Constantly disrupting normal circulation causes mucus stagnation, impaired ventilation, and, consequently, the development of inflammatory processes.

Usually, a deviated septum is noticeable during a simple examination of the nose by an ear, nose, and throat specialist. However, hidden deformities are only detected through a specialized examination—an examination of the inner surface of the nose with a small illuminated camera or a 3D scan of the facial bones.

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Indications and contraindications for nasal septum correction (straightening) surgery

Mild deviated septum deformities typically do not require surgery unless they interfere with normal breathing or cause complications. Septoplasty is recommended for patients with the following conditions:

  • Chronic, persistent runny nose
  • Recurring or prolonged inflammation of the paranasal sinuses
  • Difficulty breathing through the nose
  • Intense snoring and episodes of sleep apnea
  • Rough and loud breathing
  • Loss of the ability to distinguish smells
  • Significant aesthetic unattractiveness of the nose
  • Infections and excessive dryness of the nasal mucosa
  • Allergic inflammation of the nasal cavity
  • Frequent headaches

If at least one of the following symptoms is present A specialist consultation is essential. This will help determine the optimal treatment method, if necessary. There are situations when septal surgery is dangerous or undesirable. These include:

  • Acute respiratory infections. Recovery is essential before addressing the septal issue.
  • Chronic heart, vascular, kidney, or liver diseases. Surgery is possible, but the patient's health must first be stabilized.
  • Diabetes, especially if blood sugar levels are unstable. Consult an endocrinologist and prepare for the procedure in advance.
  • Blood clotting problems. Clotting disorders increase the risk of severe bleeding.
  • Pregnancy and breastfeeding. It is best to wait until breastfeeding is complete.
  • Allergy to medications used for anesthesia. It's important to clarify all necessary details with the anesthesiologist.

The decision to perform or postpone surgery is always made by the doctor after discussing all important issues with the patient. It's important to weigh the risks and benefits together, taking into account the patient's overall well-being and the presence of chronic diseases.

What are the methods for performing septum reconstruction and correction

There are many methods for performing septum correction surgery. Each is tailored to specific individual needs and circumstances. The surgeon chooses the correct technique based on the patient's condition and experience.

It's important to remember that any surgery, even the most minimally invasive, requires careful consultation with a professional, thorough diagnostics, and strict adherence to pre- and post-procedure recommendations.

Traditional methods

The most common procedure is a classic septum correction with a small internal incision in the nasal cavity. The surgeon accesses the septum, corrects any defects, and returns it to its proper position. The advantage of this approach is that the doctor has a clear view of the septum, allowing for maximum precision. The traditional method can correct severe deviations and eliminate large defects. Another significant advantage of classic surgery is that it allows for simultaneous rhinoplasty (nose reshaping).

A less invasive method for correcting a deviated septum is the endoscopic method. This involves inserting a thin tube with a camera into the nose. This allows the doctor to see the entire nasal cavity closely and perform the procedure with maximum precision, leaving minimal damage.

Modern methods

There are several progressive methods for correcting a deviated septum, each with its own characteristics and advantages.

Microsurgery is an innovative technology that allows for the highest level of surgical precision. The entire procedure is performed under magnifying equipment, allowing the surgeon to clearly image the smallest details of the patient's anatomy.

This approach minimizes trauma, reduces the likelihood of errors, and speeds up the recovery period. The work is performed with such precision that it allows for the restoration of the correct septum shape even in complex situations.

Another progressive technique is laser septum correction. This approach involves the use of a special instrument—a laser—that precisely vaporizes the desired area of ​​tissue. The laser beam instantly vaporizes excess cartilage or bone elements, delivering targeted action.

The main advantage of this method is minimal blood loss, accelerated recovery, and the elimination of a lengthy recovery period. The patient experiences less discomfort, and their hospital stay is significantly reduced.

Radio wave therapy is also used for nasal septum correction. It utilizes special high-frequency waves. These pulses allow for gentle tissue stimulation, separating the affected area from surrounding healthy tissue.

The waves destroy the pathologically altered tissue while leaving nearby structures intact. This method minimizes blood loss and promotes rapid recovery, reducing pain and possible discomfort.

Another progressive technique is ultrasound-assisted septoplasty. It involves the use of unique equipment that operates on ultrasound principles. The instrument vibrates, converting solid tissue into a liquid mass, which is then removed.

This method reduces the impact on blood vessels and nerves, minimizing the risk of side effects and complications. The process is virtually bloodless, and the rehabilitation phase itself is much gentler and more relaxing compared to traditional methods.

Modern technologies offer a wide range of options for correcting nasal septum deviations, ensuring safety, effectiveness, and patient comfort at all stages of treatment.

General information

Preparing for surgery

Before undergoing surgical correction of bone and cartilage tissue, it is essential to consult with a qualified otolaryngologist. The doctor will explain in detail the rules for preparing for the procedure, which will minimize the likelihood of adverse effects after surgery.

To properly prepare for septoplasty, it is important to consider a number of recommendations:

  • Take the prescribed tests, including clinical and biochemical blood tests, coagulation assessment, and infection screening.
  • Stop smoking at least two weeks before or significantly reduce the number of cigarettes to prevent irritation of the inner lining of the nose.
  • Discuss with your doctor any medications that affect blood clotting and discontinue them two to three days before the procedure.
  • Completely abstain from food for twelve hours before the scheduled surgery.

Proper emotional preparation before surgery is also important to avoid potential postoperative stress.

How is the surgery performed?

Septum plasty is performed under both local and general anesthesia. If the procedure is performed under general anesthesia, the hospital stay will be one to two days. The surgery is performed exclusively intranasally, that is, directly inside the nasal cavity.

The doctor makes a minimal incision in the mucous membrane located inside the nose, eliminating any external marks or scars. First, the doctor makes a small incision in the mucous membrane of the septum on one side. Next, the doctor carefully separates the mucous membrane from the cartilage and bone tissue on both sides, performing the necessary steps to return the septum to its central position.

Special methods and equipment are selected for each case to carefully remove irregularities, straighten the cartilage, and return its fragments to their proper position. Endoscopy ensures control of all procedures in the hard-to-reach posterior areas of the nose.

The final stage involves securely fixing the septum on both sides using special silicone plates. This step prevents negative consequences such as septal displacement, bruising, and the development of adhesions.

Septoplasty is often accompanied by concomitant surgeries on the nose and paranasal sinuses. This can include, for example, correction of enlarged inferior turbinates, which also interfere with free nasal breathing due to septal deformities.

What is the postoperative period like?

Patients after septoplasty experience certain changes that affect their daily lives. Initially, breathing becomes difficult, with a feeling of nasal congestion that gradually subsides.

Sensitivity to odors increases—immediately after the correction, the nose perceives aromas less effectively than usual. After a couple of weeks or months, normal odor perception returns.

After the procedure, you should avoid strong perfumes and colognes, as irritated mucous membranes are easily inflamed. You should also postpone sports training for about a month or two, otherwise the risk of injury to the repaired area increases.

Sometimes, minor bleeding and swelling may occur, accompanied by discomfort. The doctor's advice is important here – a cool compress on the nose will bring relief.

To speed up and ease the recovery, patients are given the following recommendations:

  • Avoid touching the nose with your hands, trying to clean or rub it – this provokes bleeding and prevents the tissue from healing properly.
  • It's best to temporarily avoid wearing glasses to reduce the strain on the nose.
  • Smoking and drinking alcohol are not the best habits for the recovery period, as they slow tissue regeneration. It is advisable to avoid these during the time it takes for the body to fully recover from the procedure.
  • Physical exertion is also prohibited: even light exercise leads to increased pressure in the skull and the risk of rebleeding.
  • It is best to sleep in a semi-sitting position, as lying horizontally increases the risk of swelling and bleeding.
  • Avoid visiting saunas, solariums, and other rooms designed for health treatments that involve high temperatures.

It is essential to follow your doctor's recommendations regarding medication. Each procedure is individual, so it is important to listen to specialists and strictly follow their instructions, without exposing yourself to unnecessary stress.

Results and complications after septum correction surgery

Problems after septoplasty are rare. Early complications include nosebleeds, bruising, suppuration, and damage to the nasal wall. To prevent severe bleeding, surgeons insert special dressings inside the nose. To prevent fluid accumulation and the formation of subcutaneous bruises in the sinuses, thin drainage tubes are used to drain excess fluid.

A very rare consequence is inflammation of the cartilaginous tissues of the nose. Causes include inflammation of the paranasal sinuses, purulent deposits, and microbial contamination of cartilage fragments or dried blood. Proper preoperative cleaning, early treatment of infections, and antibiotics after the procedure help prevent inflammation.

If the nasal cavity is poorly cared for during the first week after surgery, hardened blood clots and scar-like adhesions may develop. Such phenomena sometimes also occur when severe swelling of the mucous membranes persists for a long time after surgery.

Occasionally, after a long period of time, the shape of the nose changes due to excessive removal of a certain portion of cartilage. Most often, after a properly performed procedure, the patient begins to breathe normally through the nose without experiencing any negative effects of the surgery. Proper correction of the septum creates favorable conditions for the functioning of the nasal mucosa, the adjacent sinuses, and the nasopharynx.

Nasal Septum Straightening Surgery Prices

Correcting a deviated septum has long been a common procedure among modern otolaryngologists. The procedure is considered mid-price. The cost of nasal septum straightening depends on the chosen treatment method (conventional surgery or advanced techniques) and the type of anesthesia.

The cost of nasal septum straightening varies due to various factors, including the prestige and equipment of the medical facility, the experience and qualifications of the surgeon, and other circumstances.

The specialists at the K+31 Clinic (Moscow) perform septoplasty using advanced technologies, ensuring the expected results and minimal recovery time. At the same time, the price of nasal septum correction remains affordable. You can find an approximate cost for our specialists' services from our price list, which can be downloaded from the center's official website.

FAQ

Is it true that the nose will become crooked again with age?

There's no guarantee that the crookedness won't recur, especially if there was a genetic predisposition or frequent injuries. However, most patients live their entire lives without experiencing the problem again.

Can toothache occur after septoplasty?

Yes, it does happen. The nerve endings of the upper jaw are connected to the nasal passages. The pain will subside on its own, but if it's severe, it's worth notifying your doctor.

My sense of smell is impaired after surgery. What should I do?

A temporary decrease in smell is normal after surgery. It usually returns on its own within a few weeks. If the problem persists for more than a month, consult a doctor.

How long should I avoid wearing glasses after surgery?

Doctors recommend avoiding glasses for at least two to three weeks. Pressure from the frames can cause the septum to shift back.

Why is my nose getting stuffy again, even though I recently had surgery?

Sometimes the septum can become deviated again. This can happen if the nasal bones are weak or there have been multiple injuries. Doctors advise being careful with your nose and protecting it from impacts.

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Zhao Alexey Vladimirovich
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Reviews 10

I recently encountered a problem: a huge boil appeared on my buttock. I was terrified, thinking it would be incredibly painful and leave a permanent mark. I went to the K+31 clinic, where the doctor explained there was nothing to worry about, examined me, and scheduled surgery. I was a little nervous, of course, but the procedure itself went unnoticed, and a couple of weeks later, a barely noticeable spot remained.
04.11.2025
Svetlana
I came here with a large boil on my back. I endured it until it became completely unbearable. Friends recommended the K+31 clinic. It turned out my fears were for nothing; they did everything quickly and professionally, and it wasn't painful at all. Within two days, I felt much better.
01.11.2025
Timofey
I waited for the boil to heal on its own, but it only grew. I realized I couldn't wait any longer. The local clinic prescribed an ointment, but it didn't help at all. I had to find a specialized clinic. That's how I ended up at K+31. They quickly consulted me and scheduled a convenient time for the surgery. Everything was done quickly and efficiently. I no longer have any pain or discomfort.
30.10.2025
Alexander
I really enjoyed my treatment with Andrey Vladimirovich. He's an attentive and caring doctor. He performed the surgery meticulously, prepared me for it as comfortably as possible, and resolved all my insurance issues. He explained in detail what was wrong with me and how to cope with it. :) Thank you so much for your professionalism and compassion; it's a pleasure to be treated this way.
16.10.2025
Sh. Anna Sergeevna
I was very apprehensive about the procedure, but the doctors at K+31 explained every step in detail and reassured me. The stent was placed under general anesthesia, and I felt nothing. After the removal, the discomfort only lasted a couple of days.
16.10.2025
Sergey, 55 years old

About doctor:

Beliaev Sergei Nikolaevich, Lanshchakov Kirill Vladimirovich

I'd like to express my gratitude to the staff at the K+31 clinic for their support. I was more terrified of removing the stent than having it installed, but it turned out to be much easier and quicker. There was no discomfort during the procedure, and I was able to go home immediately.
14.10.2025
Galina, 53 years old
The service was excellent: the room was comfortable, the staff was attentive. After the stent was placed, I had some lower back pain. Now I feel fine.
13.10.2025
Oleg, 38 years old
I spent a long time choosing a clinic, wanting to find good specialists. I chose K+31 because of the positive reviews. Now I'm confident I made the right choice. The procedure was quick, comfortable, and without any unpleasant surprises. The doctors' professionalism helped me overcome my embarrassment. I feel tremendous relief, and my health is improving. I'm very grateful to the doctors for their care and high level of service.
12.10.2025
Elena
I had a stent removed a week ago. I was a little bothered by a burning sensation when urinating, but it went away quickly. Overall, I was satisfied. I felt the doctor was experienced and confident.
12.10.2025
Vladimir, 59 years old
I was lucky enough to see Dmitry Alexandrovich by chance, but urgently: I went to see a general practitioner with unusual pain, and he diagnosed appendicitis. He's a wonderful doctor, very sensitive, precise, and doesn't waste words, just to the point. The surgery went perfectly, and Dmitry Alexandrovich monitored my recovery. I'm following his recommendations precisely. I'm very grateful I found him. He's a true professional.
11.10.2025
B. Anait Eduardovna
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