Congenital or post-traumatic curvature in the structure of the nose is one of the factors that make breathing difficult. This deformation is corrected by nasal curvature surgery. Septoplasty (deviated septum surgery) is performed through a small incision under the nose under general or local anesthesia. Through this incision, the curvature of the nose is corrected and, if necessary, excess tissues are removed. Depending on the patient’s condition, nasal deviation surgery lasts between 30 and 90 minutes and ends with the closure of the incisions with dissolving stitches. The patients can easily return to work or school a few days after the surgery. At the end of the 3rd week, they can fully realize their daily routines.

What is deviation and how does it occur?

A deviated septum, commonly known as a deviation of the nasal bone, occurs when the thin wall (nasal septum) between the nasal passages (nostrils) shifts to one side, either due to congenital factors or as a result of trauma. A deviated septum can block one side of the nose and reduce air intake, which can cause breathing difficulties. Medication only treats swollen mucus membranes and does not correct a deviated septum.

How is deviation treated?

A deviated septum is corrected by surgery. Deviated septum surgery is called “Septoplasty“. During septoplasty, the septum nasale is straightened as much as possible and placed in the middle of the nose. In some cases, nasal reshaping surgery (rhinoplasty) is performed at the same time as septoplasty.

What is the best period/age/season for septoplasty?

If the symptoms are not very severe, septoplasty is not performed in a child who is still growing, as the septum contains the “growth center” of the nose, but in adolescents and adults (at least 16 years of age for girls and 17 to 18 years for boys). In some cases, a limited conservative septoplasty may be required at a younger age. Septoplasty surgery, which can be performed in any season, can be postponed to a later period in patients with seasonal allergic rhinitis.

What are the stages of this treatment?

Depending on the complexity of the situation, septoplasty can take between 30 and 90 minutes. The surgery can be performed under local or general anesthesia, depending on the decision of the patient and the doctor. However, general anesthesia is generally preferred considering the patient’s comfort and the advantages it provides.

When it comes to the surgical intervention stage, a small incision is made under the nose to access the internal structures. Through this incision, the nasal deviation is corrected. If necessary, excess tissues are also removed. After the intervention is completed, the incision is closed using dissolvable stitches.

The patient returns to work or school within a few days and to their normal routine within approximately three weeks. Most patients experience complete recovery within 1-2 months. It is recommended for the patient to visit their doctor in the 2nd, 4th, and 6th months after the surgery.

What should be considered before and after treatment?

The patient may be asked to stop taking certain medications sometime before surgery. These medications may include aspirin, blood thinners, some painkillers, and some anti-depressants. The aim here is to reduce your risk of excessive bleeding during and after the procedure. Patients should inform their doctor if they are allergic to certain medications, are taking medications regularly, or have bleeding problems. If septoplasty is to be performed under general anesthesia, the patient should not eat or drink anything after midnight on the night before the procedure. Ice can be applied to the nose and eye area. After the surgery, the patient should refrain from driving, operating machinery, and consuming alcohol for at least 24 hours. They should avoid heavy lifting and vigorous physical activities for the first 3 weeks.

Frequently Asked Questions About Deviation

Is it necessary to repeat this treatment? Is there a need for secondary surgery? Under which conditions is it needed?

In cases of simple deviations, if septoplasty surgery is successfully performed, there is no need to repeat the treatment. However, in patients with excessive cartilage deformity or significant curvature that would cause a droopy nose deformity, even if the surgery is successful, there may still be some curvature due to the “memory of the cartilage” in the later period, although it is less likely. In addition, in cases of trauma to the nose or complications, if other problems causing nasal congestion besides the deviation are not treated, the nasal obstruction may persist even if the septoplasty surgery is successful. In cases where the operation is unsuccessful, the operation can be performed again.

How long does a deviation surgery take?

Deviation surgery typically takes between 30 to 90 minutes, depending on the complexity of the condition. The decision to perform the surgery under local or general anesthesia is made through an evaluation between the patient and the doctor.

What are the symptoms of a deviated septum?

A deviated septum is a condition that makes it difficult to breathe through the nose, often manifesting as a feeling of blockage on one side of the nose. Additionally, symptoms such as sleeping with the mouth open, snoring, throat dryness, nosebleeds, frequent sinusitis, and nasal and postnasal drip can also be signs of a deviated septum. People with a deviated septum often do not catch common colds or the flu as frequently. However, their symptoms become more pronounced during periods of infection and after infections.

What happens if a deviated septum is left untreated? What are the risks?

If a deviated septum is left untreated, the patient’s quality of life and comfort are negatively affected. Symptoms such as night snoring, daytime fatigue, sore throat, and headache are observed.

Is deviation surgery risky?

The risk of deviation surgery performed by plastic surgeons is extremely low. Since it is performed under local or general anesthesia, the patient does not feel any pain during the surgery.

Nasal deviation (Deviated septum) surgery costs

“Deviation surgery cost”, “nasal deviation surgery cost”, and “deviation surgery cost 2023 Ankara” are among the most curious questions of patients planning to have this operation. Many factors such as the city you are in, the hospital, and the regions where the surgery will be performed affect the prices. You can get the necessary information from your plastic surgeon about deviation surgery costs.  For more detailed information on this subject, you can click on the link, contact us by phone at 0 536 511 40 51, and by e-mail at