Deviated Septum Surgery

  • 101
    • Nasal Septum Anatomy
    • Treatment Types: Complete Guide
    • What is Deviated Septum Surgery?
    • Benefits of Surgery
    • Causes of a Deviated Septum
      • Deviated Septum from Drugs
    • Pain – How to Manage
    • Risks: Potential Complications
    • Symptoms: 7 Signs
    • Self-Test: How to Test Yourself
    • When to Do It
    • What Doctor to See
    • Surgeon: 4 Steps to Find the Best One
    • Surgery Videos
  • Effectiveness
    • Success Rates
  • Cost
    • Average Cost
    • Insurance
  • Types
    • Major Procedures – Overview
    • Rhinoplasty Surgery
    • Septoplasty Surgery
      • Pros & Cons
      • Complications
      • Recovery
    • Septoplasty & Rhinoplasty
    • Septoplasty & Turbinate Reduction
    • Balloon Sinuplasty Surgery
    • Laser Surgery
    • Turbinate Reduction
  • Recovery
    • Success Rates
    • Timeline
    • How Long Recovery Takes + Tips to Recover
    • Pain: Guide to Managing It
  • Home Treatments
    • Without Surgery: Complete Guide
    • 11 Home Remedies
    • 9 Non-Surgery Options
    • Ayurveda
    • Buteyko Breathing
    • Diet
    • Essential Oils
    • Homeopathy
    • Medication
    • Nasal Devices
    • Neti Pot
    • Nasal Dilators
    • Supplements
    • Yoga
  • Related
    • Side Effects
      • Breathing Problems
      • Headaches
      • Ear Problems
    • Sinuses
    • Sleep Apnea
    • Snoring

Septoplasty Recovery: Complete Guide to Deviated Septum Surgery Recovery

January 20, 2021 by Marc Leave a Comment

Septoplasty Recovery

This is the most comprehensive septoplasty recovery guide on the Web. On this page we answer all of the most commonly-asked questions about recovering from deviated septum surgery – from how long it will take to how to deal with specific complications to tips on how to recover quickly and without problems.


Table Of Contents
Septoplasty Recovery Time
Nasal Splints – Frequently Asked Questions
Septoplasty Recovery Day by Day
Septoplasty Aftercare – Tips for Recovery After Septoplasty
Nose Care After Septoplasty
Nasal Irrigation After Septoplasty
Medications to Consider Using After Septoplasty
Day-to-Day Living After Septoplasty
What to Eat After Septoplasty?

How to Sleep After Septoplasty
Smoking After Septoplasty
Drinking After Septoplasty
Congestion After Septoplasty
Personal Hygiene After Septoplasty
Sex After Septoplasty
Side Effects of Septoplasty – Health Issues You Might Experience
Septoplasty Recovery Blogs

Septoplasty Recovery Time

Many patients wonder “how long does it take to recover from a deviated septum surgery?” and related questions.

Here are the most common recovery-related questions and answers:

  • How many days rest after septoplasty?

The recovery after septoplasty may vary in different individuals. Complete recovery from septoplasty may take 6 weeks or more. Patients are recommended to take rest for minimum of 1 week.1Baumann I. Quality of life before and after septoplasty and rhinoplasty. GMS current topics in otorhinolaryngology, head and neck surgery. 2010;9.

  • How long should you expect to take off work after septoplasty?

Usually most of the patients can resume their work within a week. However, individual working in physically demanding jobs such as heavy lifting, sports, and high strain physical activities are recommended to extend the resting period and resume work after 2-4 weeks of surgery.2Returning to work - Royal College of Surgeons

  • Can a deviated septum return after surgery?

Re-deviation of septum, although rare, can occur after the surgery. This can be due to inadequate or improper correction of the nasal septum, resulting in persistent or recurrent nasal obstruction after septoplasty. Research suggests that the incidence of re-deviation in adolescents is higher than in adult patients. This could be due to immaturity of septal cartilage and their ability to regrow in adolescents.3Derin S, Sahan M, Deveer M, Erdogan S, Tetiker H, Koseoglu S. The Causes of Persistent and Recurrent Nasal Obstruction After Primary Septoplasty. J Craniofac Surg. 2016 Jun;27(4):828-304Lee, E., Lee, S. J., Kim, H. J., Shin, J. M., Choi, J. H., & Lee, J. Y. (2018). Incidence of re-deviated nasal septum after septoplasty in adolescent and adult patients. Acta Oto-Laryngologica, 1–4

  • Can you Breathe Through Your Nose After Septoplasty?

A significant improvement in nasal breathing is observed by individuals within 3-6 months of septoplasty surgery. However, placement of nasal packing and swelling after the surgery can make individual feel uneasy and stuffy for about a week post-surgery.5Sundh C, Sunnergren O. Long-term symptom relief after septoplasty. Eur Arch Otorhinolaryngol. 2015 Oct;272(10):2871-5.

  • How Long Does It Take for Septum to Heal After Septoplasty?

The initial symptoms such as pain, swelling, and bruising will reduce in 7-10 days after the surgery. Overall healing is slow. It may take ~3-6 months for the septum to heal completely. However, it may also take about a year for patients to appreciate the changes after the surgery.6Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.7Septoplasty Results - American Society of Plastic Surgeons

  • How Your Nose Will Look After Septoplasty

The nasal septum is a midline structure that positions the nose centrally. Any deformity in the septum gives a crooked appearance to the nose. During septoplasty, deviated septum is repositioned centrally. This improves the appearance of the nose and makes it look more symmetrical.8Saharia PS, Deepti Sinha. Septoplasty can Change the Shape of the Nose. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 2):220-225. doi:10.1007/s12070-011-0330-7.

Many individuals wonder if their nose will look different after septoplasty…

  • My nose looks different after septoplasty. Should it?

Usually, septoplasty done right makes the nose look symmetrical and improves the function of the nose. In some cases, overcorrection of the nose can make your nose look different. In such cases, rhinoplasty may be required to improve the appearance of the nose.9Ketcham, A. S., & Han, J. K. (2010). Complications and Management of Septoplasty. Otolaryngologic Clinics of North America, 43(4), 897–904.

  • Uneven nostrils after septoplasty - should my nostrils look uneven?

The uneven appearance of nostril in the initial days after surgery is normally seen due to presence of swelling. If the uneven appearance of the nose persists for a longer time (more than 6 weeks) then consult your doctor.10Ketcham, A. S., & Han, J. K. (2010). Complications and Management of Septoplasty. Otolaryngologic Clinics of North America, 43(4), 897–904.

  • Saddle nose after septoplasty – what should I do?

Saddle nose appearance is a most common cosmetic defect observed after septoplasty.   The over resection (cutting) of the cartilage during septoplasty leads to loss of height of the nose, giving a saddle nose appearance. This affects both appearance and function of the nose.11Ketcham, A. S., & Han, J. K. (2010). Complications and Management of Septoplasty. Otolaryngologic Clinics of North America, 43(4), 897–904.

Nasal Splints – Frequently Asked Questions

What are nasal splints?

Nasal splints are small plastic or silicone devices which are used to stabilize the nose post-surgery. They also serve as a mechanical barrier between the mucosa (inner skin) of the septum and side wall of the nose, preventing the adhesion of these two structures, resulting in nasal obstruction post-surgery.12S.J. Kim, D.S. Chang, M.S. Choi, et al., Efficacy of nasal septal splints for preventing complications after septoplasty: A meta-analysis, American Journal of Otolaryngology--Head and Neck Medicine and Surgery (2020)

How long do splints stay in after septoplasty?

These splints can be placed for minimum of 24 hours to maximum of 2 weeks after septoplasty.13Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.

How long does it take for septum to heal after septoplasty?

The initial symptoms such as pain, swelling, and bruising will reduce in 7-10 days after the surgery. It takes ~3-6 months for the septum to completely heal and settle.14Septoplasty Results | American Society of Plastic Surgeons

Do you need splints after septoplasty?

Nasal splints are frequently recommended by doctors. These splints stabilize the nose and reduce the incidence of adhesion between the mucosa of the septum and side wall of the nose post-surgery. However, placement of splints is associated with co- morbidities such as pain and discomfort in the post-surgery period.15Júnior RG, Brandão FH, de Sousa Carvalho MR, de Aquino JE, de Paula SH, Fabi RP, Eiras B. Frequency of Nasal Synechia after Septoplasty with Turbinectomy with or without the Use of Nasal Splints. surgery. 2008; 6:7.

Nasal splint removal after a septoplasty?

Nasal splints can be removed either after 24 hours or 1-2 weeks post-surgery, as per doctor’s recommendation.16Aksoy E, Serin GM, Polat S, Kaytaz A. Removing intranasal splints after septal surgery. J Craniofac Surg. 2011 May;22(3):1008-9.

Nasal splints after septoplasty?

Nasal splints are small plastic or silicone-based devices, placed within the nostrils immediately after the surgery. These splints stabilize the healing septum, reduce the postoperative bleeding by compressing the septum, and reduce the incidence of post-surgery nasal adhesion. They are removed 1-2 weeks after the surgery. Many patients report pain and nasal discomfort after insertion of nasal splints but complications are rare.17Mundinger GS, Shanavas Z, Kontis TC. Could Your Patient Have Swallowed Their Nasal Splint After Septoplasty? Seeing is Believing. Aesthet Surg J. 2016 Feb;36(2):NP68-70.

Septoplasty Recovery Day by Day

What can you expect in the days following septoplasty surgery? Here’s a general timeline:

1–2 days: Individual may feel mild to moderate amount of pain and swelling. The nose may feel stuffy or congested due to the presence of dressing. Individual will need to breathe through the mouth for a week even after removal of the dressing. Blood-stained mucus discharge from the nose is common. Blowing of the nose is completely restricted

3-7 days: Nose may still feel stuffy and sore. Gentle blowing of the nose can be performed. Individual can sneeze with mouth open. Dryness of nose and crusting (accumulation of mucus) are common. Drainage of blood-stained mucus is normal. Performing of vigorous exercises should be avoided. Nasal splints are removed during this period.

7–10 days: Improvement in breathing is observed. Pain and swelling are reduced. Some amount of dryness of the nose and crusting is still evident. One can resume work that doesn’t require any physical strain.

10–14 days: Improvement in breathing evident but individual may still feel restricted.

6 weeks: Individuals can resume back physical activities such as sports and exercises as the septum heals.

Septoplasty Aftercare – Tips for Recovery After Septoplasty

Nose Care After Septoplasty

  • How fragile is the nose after septoplasty?

Nose remains delicate and fragile after the surgery until healing completes. Patients are recommended to avoid excessive physical, strenuous activities and sports for a period of 6 weeks until the nose regains its previous strength.

  • Can you breathe through your nose after septoplasty?

For initial few weeks patients are unable to breathe through the nose due to presence of nasal packing and swelling of the nose post-surgery. However, significant improvement in nasal breathing is reported 3-6 months after the surgery.

  • How to clean your nose after septoplasty
  • How do you remove dried blood from nose after septoplasty?

Dried blood can be removed from the nostrils by using cotton swabs or Q-tips with antibiotic ointment, petroleum jelly, or hydrogen peroxide. These ointments soften the hard crusts of blood, resulting in easy removal.18Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Nasal rinsing after septoplasty with splints – how to do it

Following septoplasty, patients are advised to rinse their nose at least twice daily with saline solution. It is recommended to use squeeze bottles or neti pots filled with saline solution and irrigate the nose. Saline solution can be freshly prepared at home by adding two teaspoons of salt in ~1000ml (1 quart) of warm water. One may add ½- 1 teaspoon of baking soda to buffer the solution.19Süslü, N., Bajin, M.D., Süslü, A.E. et al. Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty. Eur Arch Otorhinolaryngol 266, 685–689 (2009).


Nasal irrigation with saline helps keep the nose clear and moist, and prevents the formation of scabs (crusty mucus). It also reduces the swelling (edema) and eases breathing.20Süslü, N., Bajin, M.D., Süslü, A.E. et al. Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty. Eur Arch Otorhinolaryngol 266, 685–689 (2009).

  • Nose won't stop bleeding after septoplasty. What should I do?

If bleeding doesn’t stop, patient can tilt his head back slightly, apply pressure or ice on the nose to reduce the bleeding. A decongestant spray can also be used to control the bleeding. In case of uncontrolled bleeding contact doctor immediately.

  • How much bleeding is normal after septoplasty?

Mild oozing of blood from nose is common after septoplasty for 2-7 days. In case of excessive bleeding, contact the doctor.21Ors S, Ozkose M. Late postoperative massive bleeding in septorhinoplasty: A prospective study. Plast Surg (Oakv). 2016;24(2):96-98.

  • Blocked nose after septoplasty – what to do about it

Patient may feel uneasy or have a blocked nose for some time (more than a week) after the surgery due to presence of swelling and nasal packing. This feeling of congestion improves with healing. However, sometimes patient continues to have blocked nose even after months of septoplasty, indicative of need for revision surgery.22Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Blowing nose after septoplasty – how to do it

Patient may feel uneasy or have a blocked nose for some time (more than a week) after the surgery due to presence of swelling and nasal packing. This feeling of congestion improves with healing. However, sometimes patient continues to have blocked nose even after months of septoplasty, indicative of need for revision surgery.23Simpson JC. Postoperative Care of The Patient After Nasal Surgery[/mfn]

  • How do you keep your nose moist after septoplasty?

Nose can be kept moist by using saline spray or rinsing with saline irrigation after removal of packing post-surgery. The use of humidifier also keeps the nose moist and fastens the healing.23Simpson JC. Postoperative Care of The Patient After Nasal Surgery[/mfn]

  • How often should you irrigate your nose after septoplasty?

It is recommended to irrigate the nose twice daily after removal of packing post-surgery.24Simpson JC. Postoperative Care of The Patient After Nasal Surgery[/mfn]

  • Saline spray after septoplasty. Should I use it? What types of spray are best? How to use it?
Saline spray is used to moisten the dry nasal mucosa (inner skin), clear the debris from nasal passage, and improve the mucociliary function (clearing of mucus filled with bacteria and allergens) after the septoplasty. It can be used even in the presence of nasal splint and is considered to be a simple and an inexpensive method. However, most of the commercially available saline sprays contain preservatives (e.g., Benzalkonium chloride). These preservatives may cause burning sensation and destruction of defence cells (e.g., Neutrophils) responsible for fighting against the infection. This results in exacerbation of symptoms of rhinitis (inflammation of nose) and sinusitis (inflammation of sinus).

Commercially available nasal irrigation includes multiple forms of saline solutions, herbal solutions, nasal corticosteroids, and nasal antihistamines. Homemade saline solutions or saline solutions, e.g., Ayr, Ocean, Simple Saline without preservatives are best to use.25Berry, Y. J. (2003). Negative Side of Nasal Saline Sprays: They Can Be Harmful. Archives of Otolaryngology–Head & Neck Surgery, 129(12), 1352.

How to use:

  • Clear both nostrils before using spray.
  • Gently insert bottle or spray applicator in one the nostril and close the other nostril not in use with fingers.
  • Take a deep breath and spray the solution in the nostril.
  • Repeat as directed
  • Sinus rinse after septoplasty. What is it? How do I do it?

Sinus rinse after septoplasty is a method to keep nose clear and moist and prevent the formation of scabs (crusty mucus) post-surgery. It also reduces the swelling (edema) and fastens the healing and recovery after septoplasty.

It is recommended to rinse the nose twice daily using a saline solution. The nasal solution can be delivered using positive pressure squeeze bottles, negative pressure (sniffing solution into nose), or Neti pots. Saline solution can be freshly prepared at home by adding two teaspoons of salt in ~1000ml (1 quart) of warm water. Addition of ½- 1 teaspoon of baking soda is performed to buffer the solution. 26Süslü, N., Bajin, M.D., Süslü, A.E. et al. Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty. Eur Arch Otorhinolaryngol 266, 685–689 (2009).27Brown, C. L., & Graham, S. M. (2004). Nasal irrigations: good or bad? Current Opinion in Otolaryngology & Head and Neck Surgery, 12(1), 9–13.

How to use:

  • Fill the squeeze bottles or neti pots with saline solution.
  • Stand with head tilted to one side over a sink.
  • Insert the nozzle of a squeeze bottle or neti pot such that it snugly fits into one of the nostrils.
  • Press the bottle or tilt the neti pot to allow the solution to pour out from the nostril into the sink.
  • Repeat the same in the other nostril.
  • Nasal valve collapse after septoplasty. What should I do?

The upper lateral (side) cartilage on the nose and the wall of the nasal septum form a space known as nasal valve. This nasal valve regulates the entry of air into the nasal cavity. The collapse of nasal valve can cause narrowing of the space resulting in nasal obstruction.

Individuals undergoing septoplasty to improve symptoms of nasal obstruction may often have persistent symptoms due to nasal valve collapse. In such cases revision surgery may be recommended by the doctor.28Dağli E, Ocak E, Mirici E, Kaya M, Acar A. Effects of early postoperative nasal decongestant on symptom relief after septoplasty. Int Forum Allergy Rhinol. 2018 Dec;8(12):1476-1480

Nasal Irrigation After Septoplasty

Medication for a Deviated Septum
  • What is nasal irrigation?

Nasal irrigation is a method to keep the nose moist and clean using saline solution post-surgery. It is also an effective method to soften and remove nasal crusting (nasal scabs) associated with the surgery.29Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • How is nasal irrigation done?

Nasal irrigation can be performed after removal of nasal packing (~2-3 days after the surgery). It is performed using positive pressure squeeze bottles, negative pressure (sniffing solution into nose), or neti pots.

How to use:

  • Fill the squeeze bottles or neti pots with saline solution.
  • Stand with head tilted to one side over a sink.
  • Insert the nozzle of a squeeze bottle or neti pot such that it snugly fits into one of the nostrils.
  • Press the bottle or tilt the neti pot to allow the solution to pour out from the nostril into the sink.
  • Repeat the same in the other nostril.
  • How often should you irrigate your nose after septoplasty?

It is recommended to rinse nose twice daily up to 3 weeks after septoplasty.30Brown, C. L., & Graham, S. M. (2004). Nasal irrigations: good or bad? Current Opinion in Otolaryngology & Head and Neck Surgery, 12(1), 9–13.

Medications to Consider Using After Septoplasty

  • Decongestant after septoplasty

The use of nasal decongestants after septoplasty is effective in the early postoperative period. It helps to reduce nasal crusting (nasal scabs), nose bleeding, and nasal congestion (blockage). However, prolonged use of decongestant can reverse the effect and cause nasal congestion.31Dağli E, Ocak E, Mirici E, Kaya M, Acar A. Effects of early postoperative nasal decongestant on symptom relief after septoplasty. Int Forum Allergy Rhinol. 2018 Dec;8(12):1476-1480

  • Can you use Afrin after septoplasty?

Afrin is a nasal decongestant which is used in the form of nasal spray during the initial post-operative care. It is mainly used to arrest bleeding and provides relief from nasal blockage. However, Afrin is not recommended beyond 3-5 days after septoplasty as its action may reverse, resulting in nasal congestion.

Day-to-Day Living After Septoplasty

source

  • Driving after septoplasty

It is recommended to resume driving once you are completely recovered after septoplasty. However, you can drive 1 day after the surgery.32Returning to work - Royal College of Surgeons

  • Showering after septoplasty

It is recommended to avoid taking shower immediately after the surgery. Precautions should be taken to avoid the entry of water in the nose as it may loosen the dressing and irritate the mucosa (inner skin). It is better to take tub bath until the nasal dressing is removed. Wash your hair and face with mild soap after dressing is removed.33post-op-septoplasty-turbinectomy-fss2.pdf

  • Flying after deviated septum surgery – is it okay to fly?

Air travel should be avoided at least for 1-2 weeks after the surgery. The difference in the air pressure inside and outside the cabin during the journey can result in nasal pain and swelling.34post-op-septoplasty-turbinectomy-fss2.pdf

  • Wearing glasses after septoplasty – is it okay?

Glasses can be normally worn as long as shape of nose doesn’t get altered. However, some doctors recommend the use of contact lenses instead of glasses to prevent the pressure on the nose while it’s healing.35post-op-septoplasty-turbinectomy-fss2.pdf

What to Eat After Septoplasty?

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  • Foods after septoplasty – what should I eat?

Individuals can eat light soft and bland meals for initial few days. Diet rich in fibers help prevent constipation post-surgery. Diet rich in vitamins and minerals fasten the healing and recovery post-surgery. Avoid eating spicy, greasy, and acidic food and drink at least 8 cups of water everyday to stay hydrated.

How to Sleep After Septoplasty

source

  • What are some tips for sleeping comfortably (and encouraging healing) after septoplasty?

Keep the head elevated while sleeping by using 2-3 pillows underneath the head for 2-3 days post-surgery. This helps to reduce the swelling, congestion, and increase patient’s comfort.

  • Sleeping on side after septoplasty – can I do it?

Sleeping on sides doesn’t impact the outcomes of the septoplasty. However, it is recommended on sleep on back with elevated head position instead of sleeping on sides to avoid unnecessary pressure on the nose.

Smoking After Septoplasty

  • Smoking cigarettes after septoplasty – can I do it?

No, its better to avoid smoking for at least 2 weeks after the surgery.

Research suggests that smoking cigarettes delays the wound healing, prolongs the mucociliary clearance (clearing of mucus filled with bacteria and allergens). This promotes infection and increases the risk of developing septal perforation (perforation on the septum), affecting the surgical success.36Cetiner, H., Cavusoglu, I., & Duzer, S. (2017). The Effect of Smoking on Perforation Development and Healing after Septoplasty. American Journal of Rhinology & Allergy, 31(1), 63–65.

  • Smoking weed after septoplasty – can I do it?

The short answer is no.

Smoking weed delays the wound healing by slowing down the blood circulation at the operated site. It also increases the chances of developing infection at the operated site post-surgery. So, it should be avoided at least for two weeks after septoplasty.37How nicotine sabotages plastic surgery

  • Vaping after septoplasty – can I do it?

Vaping after septoplasty should be avoided at least for 2 weeks post-surgery for effective results. Vaping results in shrinkage of blood vessels, reducing the blood supply to the operated site, resulting in increased tissue death and delay in wound healing.38E-cigarette vaping negatively impacts wound healing

Drinking After Septoplasty

  • How long after septoplasty can I drink alcohol?

Drinking alcohol should be avoided for at least 1-2 week after septoplasty as it may delay the healing at the operated site.

Congestion After Septoplasty

  • How long does congestion last after septoplasty?

Congestion may last for 1-2 weeks after septoplasty. Individuals may feel uneasy and congested for initial few days after the surgery due to the presence of swelling and nasal packing, resulting in difficulty in breathing.39Septoplasty Recovery | American Society of Plastic Surgeons

  • How long until I can breathe after septoplasty?

The nasal passage and breathing without difficulty may take ~2-3 weeks after the surgery.

  • Chronic sinusitis after septoplasty – what to do if you have it

Individual may feel uneasy with congested (stuffy) nose, may develop dull pain in sinuses or may feel like a sinus infection for few days after the surgery. This could be due to swelling of the tissues or presence of nasal packing. However, this subsides over time as the septum heals completely. In case of persistence of the condition, consult your doctor.40Post Operative Instructions | Johns Hopkins Sinus Center

Personal Hygiene After Septoplasty

  • Can you shower after septoplasty?

Yes, one can shower but precautions should be taken to avoid the entry of water in the nose as it may loosen the dressing and irritate the mucosa (inner skin). It is better to take tub bath until the nasal dressing is removed.

  • Picking nose after septoplasty – can I do it?

Nose picking should be avoided after septoplasty as may injure the operated site. The accumulated mucus can be cleaned using cotton swabs or Q-tips with antibiotic ointment or petroleum jelly after the removal of nasal packing or splints.

Sex After Septoplasty

  • Can I have sex after septoplasty?

There is no specific time or set of rules with regard to having sex after septoplasty. Just like any other physical activity it can be performed once the individual feels better.41Returning to work - Royal College of Surgeons

Side Effects of Septoplasty – Health Issues You Might Experience

Deviated Septum and Headaches
  • Headache after septoplasty & how to deal with it

Individuals often complain of headache post-surgery. This could be due to presence of nasal packing or several other causes. But a significant improvement in the severity of headaches may be observed within 3 months of the surgery. Headache after septoplasty can be managed with the help of painkiller medications. In case of severe headaches consult your doctor.42Lakshmanan, S., Singh, U., Zaffrullah, N. S., & Manimaran, V. (2020). Clinical Outcome Following Endoscopic Septoturbinal Surgeries for Rhinogenic Contact Point Headache: A Retrospective Analysis. Indian Journal of Otolaryngology and Head & Neck Surgery.

  • Pain after septoplasty

Mild to moderate pain may be experienced by the patient for 2-3 days post-surgery. Mild pain may also be experienced during retrieval of splints. However, intake of pain killers, application of cold pack over the operated site, and sleeping with the head elevated using pillows can help overcome the pain early.43Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.

  • Sneezing after septoplasty

Sneezing should be avoided with mouth closed after the surgery. Instead, mouth should be kept open while sneezing for at least 2 weeks after the surgery.44Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Swelling after septoplasty

Mild to moderate swelling will occur for 3-4 days after the surgery and subside gradually. It may be accompanied by bruising or discoloration of the skin. However, the use of medications and placement of a cold pack or ice intermittently for 20 minutes for the first 48 hours after the surgery can fasten the recovery.45Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Sore throat after septoplasty

Sore throat is a common symptom in individuals with deviated nasal septum. Research suggests that sore throat symptom significantly improved in individuals after septoplasty.

Sometimes sore throat symptoms may arise even after the surgery due to intubation of breathing tube during the surgery or because of mouth breathing. However, improvement in the condition is seen within few days. Regular sipping of water will help in faster recovery.46Returning to work - Royal College of Surgeons47Konstantinidis, I., Triaridis, S., Triaridis, A., Karagiannidis, K., & Kontzoglou, G. (2005). Long term results following nasal septal surgery. Auris Nasus Larynx, 32(4), 369–374

  • Sinus pressure after septoplasty

Individual may feel pressure built up in the sinus area for few days post-surgery. This may be due to swelling of the tissues and accumulation of mucus plugs in the nose, resulting in stuffy feeling and increased sinus pressure. This can be overcome by sleeping with elevated position (using 2-3 pillows) and also with the use of saline irrigation and regular cleaning of nose after removal of nasal packing.48Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Sinus infection after septoplasty

Individual may feel sinus infection-like symptoms for few days after the surgery. This could be due to swelling of the tissues or due to accumulation of mucus in the nose. However, use of saline irrigation and regular cleaning of nose with Q-tips or cotton swabs using antibiotic ointment may help overcome this feeling. In case of persistence of the condition, consult your doctor.49Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • One nostril blocked after septoplasty

Complete nostril blockage after septoplasty is common after surgery due to presence of packing. Meanwhile one nostril will continue to remain blocked even after removal of packing due to presence of swelling in the lining (inner skin) of the nose.50Returning to work-Royal College of Surgeons

  • Blood clots after septoplasty

Individuals may experience little bleeding from nose for 2-3 days after septoplasty. During nosebleed, blood begins to thicken and form clots. Later, these clots along with accumulated mucus in the nose result in stuffy feeling and congestion. Individuals are recommended not to blow their nose harshly as it may induce bleeding.51Septoplasty: Risks / Benefits

  • Tooth pain after septoplasty

Upper teeth share a common nerve supply with the nose. So, any damage or stretching of nerve during septoplasty may instill a feeling of pain, tingling, or numbness in the upper tooth region. Pain is temporary and remains only for few weeks after the surgery.52Yariktaş M, Döner F, Doğru H, Tüz M. Septoplastinin horlama üzerindeki olumlu etkisi [The beneficial effect of septoplasty on snoring]. Kulak Burun Bogaz Ihtis Derg. 2003 Feb;10(2):58-60.

  • Dry nose after septoplasty

Individuals may develop dry nose after septoplasty due to trauma to the nasal mucosa (inner skin) and altered blood flow during the procedure. This condition improves over time as the healing completes. Hence, it is important to keep the nasal mucosa moist with the help of nasal sprays (for initial few days), humidifiers, and nasal irrigation to fasten the recovery. However, some individuals may experience complications such as septal perforation or empty nose syndrome after septoplasty which also causes dryness of the nose.53Kuduban O, Bingol F, Budak A, Kucur C. The Reason of Dissatisfaction of Patient after Septoplasty. Eurasian J Med. 2015;47(3):190-193. doi:10.5152/eurasianjmed.2015.18

  • Nasal crusting after septoplasty

Nasal crusting or excessive accumulation of mucus is common as the nose heals after septoplasty. This accumulated mucus doesn’t drain normally but instead thickens and dries, resulting in stuffy and congested nose. Crusting is softened and removed with the help of saline irrigation and use of humidifiers.54Simpson JC. Postoperative Care of The Patient After Nasal Surgery

  • Snoring after septoplasty

Septoplasty is an effective method to relieve snoring in individuals with nasal obstruction. Research suggests that individuals reported improvement in the quality of sleep along with improvement in the duration of sleep after septoplasty.55Yariktaş M, Döner F, Doğru H, Tüz M. Septoplastinin horlama üzerindeki olumlu etkisi [The beneficial effect of septoplasty on snoring]. Kulak Burun Bogaz Ihtis Derg. 2003 Feb;10(2):58-60.[/mfn]Alharethy S (2016) Septoplasty is Promising for Improving Snoring. J Otol Rhinol 5:3.[/mfn]

  • Still can't breathe after septoplasty

Inability to breathe or presence of nasal obstruction may indicate the need for revision surgery. The necessary of revision surgery could be due to inadequate surgery performed by the surgeon (unaddressed nasal deformities during the primary surgery) or presence of complex deformities needing multiple interventions for correction.56Derin S, Sahan M, Deveer M, Erdogan S, Tetiker H, Koseoglu S. The Causes of Persistent and Recurrent Nasal Obstruction After Primary Septoplasty. J Craniofac Surg. 2016 Jun;27(4):828-30

  • Signs of infection after septoplasty surgery

Infection after septoplasty is rare (~0.48-2.5%) but may occur immediately after surgery. Most of the times infection after septoplasty remains localized to the septum and nasal cavity but they can rarely occur in the form of dangerous threats involving other systems (e.g., brain abscess, meningitis, cerebritis, endocarditis, shock).

Several signs of infection after septoplasty include fever, nausea, vomiting, bleeding from nose, pus discharge, and swelling. Most of the doctors consider use of nasal packing for prolonged time as a causative for severe infection.57Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.

  • Staphylococcus infection after septoplasty

Postoperative infection is a possible complication because of the growth of Staphylococcus aureus bacteria at the operated site. The presence of Staphylococcus bacteria is common but it doesn’t always cause infection. However, if there is any break (cut, injury due to nose picking or excessive blowing of nose) in the mucosal lining of the nose, bacteria may enter the site and cause infection.

The infection is characterized by presence of pain, swelling, redness, bleeding, and fever. This can be prevented by the use of antibiotic ointment (Muciprocin) or saline irrigation twice daily to keep the operated site clean and minimize crusting and growth of bacteria.58Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.

  • Bruising after septoplasty

Bruising (discoloration of skin) of nasal region, eyes, and cheeks may occur after septoplasty due to damage to the underlying blood vessels during the procedure. Swelling and bruising remain for 5-6 days after surgery and subside gradually. Application of ice or cold pack at operated site for 20 minutes intermittently for 2-3 days can help reduce swelling and bruising.59Bernardo MT, Alves S, Lima NB, Helena D, Condé A. Septoplasty with or without postoperative nasal packing? Prospective study. Braz J Otorhinolaryngol. 2013 Aug;79(4):471-4. English, Portuguese

  • Septal perforation after septoplasty

Septal perforation or hole in the nasal septum is a post-surgery complication reported in 1%-6.7% of individuals. Research suggests the perforation can be due to mucosal trauma (trauma to the inner skin) caused by excessive use of nasal saline sprays, intranasal steroids, or placement of tight sutures to stabilize splints.

Septal perforation is characterized by symptoms such as nasal obstruction, crusting, dryness of mucosa (inner skin), bleeding of nose, discharge from the nose, abnormal airflow and whistling during nasal breathing, headache, and pain. Most of the perforations are small and manageable. In cases where perforation continues to enlarge can compromise the structural support of the nose. Meanwhile, small perforations can be managed with the use of antibiotic gels and saline irrigation. Large perforations may require surgical intervention.60Ketcham, A. S., & Han, J. K. (2010). Complications and Management of Septoplasty. Otolaryngologic Clinics of North America, 43(4), 897–904.61Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.

  • Runny nose after septoplasty

Runny nose is common in the initial post-operative symptom after surgery. It is observed for initial few days and subsides over time. This drainage after the surgery will be bloody at first, but will turn clear and reduce as the site heals.  

  • Loss of taste after septoplasty

Loss of taste sensation is commonly reported in individuals after septoplasty. It is often accompanied with the loss of smell sensation. These symptoms are temporarily experienced by the individual for 1-2 weeks after surgery due to the presence of edema. Consult your doctor in case of persistence of symptoms even after complete recovery.

  • Cold after septoplasty

Developing cold post-surgery in the first post-operative week is common. It subsides easily over time as the nose heals. In case of persistence of the symptom, consult your doctor.

Septoplasty Recovery Blogs

If you’d like to learn from the experiences of patients who have already undergone septoplasty surgery, there are some patient blogs you can check out.

Here are the best ones we’ve seen:

  • My experience with Septoplasty surgery
  • My Septoplasty Experience
  • My experience: Septoplasty and Turbinate Reduction

Sources:

  1. 1
    Baumann I. Quality of life before and after septoplasty and rhinoplasty. GMS current topics in otorhinolaryngology, head and neck surgery. 2010;9.
  2. 2
    Returning to work - Royal College of Surgeons
  3. 3
    Derin S, Sahan M, Deveer M, Erdogan S, Tetiker H, Koseoglu S. The Causes of Persistent and Recurrent Nasal Obstruction After Primary Septoplasty. J Craniofac Surg. 2016 Jun;27(4):828-30
  4. 4
    Lee, E., Lee, S. J., Kim, H. J., Shin, J. M., Choi, J. H., & Lee, J. Y. (2018). Incidence of re-deviated nasal septum after septoplasty in adolescent and adult patients. Acta Oto-Laryngologica, 1–4
  5. 5
    Sundh C, Sunnergren O. Long-term symptom relief after septoplasty. Eur Arch Otorhinolaryngol. 2015 Oct;272(10):2871-5.
  6. 6
    Ishii LE, O’Connor SS, Strike DJ, Walsh SA. Plain Language Summary: Improving Nasal Form and Function after Rhinoplasty. Otolaryngology–Head and Neck Surgery. 2017 Feb;156(2):220-7.
  7. 7
    Septoplasty Results - American Society of Plastic Surgeons
  8. 8
    Saharia PS, Deepti Sinha. Septoplasty can Change the Shape of the Nose. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 2):220-225. doi:10.1007/s12070-011-0330-7.
  9. 9
    Ketcham, A. S., & Han, J. K. (2010). Complications and Management of Septoplasty. Otolaryngologic Clinics of North America, 43(4), 897–904.
  10. 10
    S.J. Kim, D.S. Chang, M.S. Choi, et al., Efficacy of nasal septal splints for preventing complications after septoplasty: A meta-analysis, American Journal of Otolaryngology--Head and Neck Medicine and Surgery (2020)
  11. 11
    Bloom, J. D., Kaplan, S. E., Bleier, B. S., & Goldstein, S. A. (2009). Septoplasty Complications: Avoidance and Management. Otolaryngologic Clinics of North America, 42(3), 463–481.
  12. 12
    Júnior RG, Brandão FH, de Sousa Carvalho MR, de Aquino JE, de Paula SH, Fabi RP, Eiras B. Frequency of Nasal Synechia after Septoplasty with Turbinectomy with or without the Use of Nasal Splints. surgery. 2008; 6:7.
  13. 13
    Aksoy E, Serin GM, Polat S, Kaytaz A. Removing intranasal splints after septal surgery. J Craniofac Surg. 2011 May;22(3):1008-9.
  14. 14
    Mundinger GS, Shanavas Z, Kontis TC. Could Your Patient Have Swallowed Their Nasal Splint After Septoplasty? Seeing is Believing. Aesthet Surg J. 2016 Feb;36(2):NP68-70.
  15. 15
    Simpson JC. Postoperative Care of The Patient After Nasal Surgery
  16. 16
    Süslü, N., Bajin, M.D., Süslü, A.E. et al. Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty. Eur Arch Otorhinolaryngol 266, 685–689 (2009).
  17. 17
    Ors S, Ozkose M. Late postoperative massive bleeding in septorhinoplasty: A prospective study. Plast Surg (Oakv). 2016;24(2):96-98.
  18. 18
    Berry, Y. J. (2003). Negative Side of Nasal Saline Sprays: They Can Be Harmful. Archives of Otolaryngology–Head & Neck Surgery, 129(12), 1352.
  19. 19
    Brown, C. L., & Graham, S. M. (2004). Nasal irrigations: good or bad? Current Opinion in Otolaryngology & Head and Neck Surgery, 12(1), 9–13.
  20. 20
    Dağli E, Ocak E, Mirici E, Kaya M, Acar A. Effects of early postoperative nasal decongestant on symptom relief after septoplasty. Int Forum Allergy Rhinol. 2018 Dec;8(12):1476-1480
  21. 21
    Kuduban O, Bingol F, Budak A, Kucur C. The Reason of Dissatisfaction of Patient after Septoplasty. Eurasian J Med. 2015;47(3):190-193. doi:10.5152/eurasianjmed.2015.18
  22. 22
    post-op-septoplasty-turbinectomy-fss2.pdf
  23. 23
    Cetiner, H., Cavusoglu, I., & Duzer, S. (2017). The Effect of Smoking on Perforation Development and Healing after Septoplasty. American Journal of Rhinology & Allergy, 31(1), 63–65.
  24. 24
    How nicotine sabotages plastic surgery
  25. 25
    E-cigarette vaping negatively impacts wound healing
  26. 26
    Septoplasty Recovery | American Society of Plastic Surgeon
  27. 27
    Post Operative Instructions
  28. 28
    Lakshmanan, S., Singh, U., Zaffrullah, N. S., & Manimaran, V. (2020). Clinical Outcome Following Endoscopic Septoturbinal Surgeries for Rhinogenic Contact Point Headache: A Retrospective Analysis. Indian Journal of Otolaryngology and Head & Neck Surgery.
  29. 29
    Konstantinidis, I., Triaridis, S., Triaridis, A., Karagiannidis, K., & Kontzoglou, G. (2005). Long term results following nasal septal surgery. Auris Nasus Larynx, 32(4), 369–374
  30. 30
    Septoplasty: Risks / Benefits
  31. 31
    Yariktaş M, Döner F, Doğru H, Tüz M. Septoplastinin horlama üzerindeki olumlu etkisi [The beneficial effect of septoplasty on snoring]. Kulak Burun Bogaz Ihtis Derg. 2003 Feb;10(2):58-60.
  32. 32
    Alharethy S (2016) Septoplasty is Promising for Improving Snoring. J Otol Rhinol 5:3.
  33. 33
    Bernardo MT, Alves S, Lima NB, Helena D, Condé A. Septoplasty with or without postoperative nasal packing? Prospective study. Braz J Otorhinolaryngol. 2013 Aug;79(4):471-4. English, Portuguese

Is Deviated Septum Surgery Painful? How to Manage Pain After Septoplasty Surgery

Is Deviated Septum Surgery Painful? How to Manage Pain After Septoplasty Surgery

Septoplasty and Turbinate Reduction Surgery: Your Quick Guide

Septoplasty and Turbinate Reduction Surgery: Your Quick Guide

Septoplasty and Rhinoplasty Surgery: Answers to Common Questions

Septoplasty and Rhinoplasty Surgery: Answers to Common Questions

Deviated Septum Surgery Success Rate: A Look at the Evidence

Deviated Septum Surgery Success Rate: A Look at the Evidence

Is Fixing a Deviated Septum Worth It? A Look at the Pros & Cons

Is Fixing a Deviated Septum Worth It? A Look at the Pros & Cons

Septoplasty Complications: Risk Associated with Deviated Septum Surgery

Septoplasty Complications: Risk Associated with Deviated Septum Surgery

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