Nose & sinus

Septoplasty (Deviation Surgery)

A straight septum and an open airway, without changing how your nose looks.

Coronal section · nasal septumdeviated septumcorrectedturbinatenarrowed sideairway
Coronal section · nasal septum
Operation time
45–90 minutes
Anaesthesia
General
Hospital stay
Day case or 1 night
Back to work
3–5 days
Final result
4–6 weeks

The septum is the wall of cartilage and bone that divides the nose into two passages. In many people it is bent, either from birth, from growth or from an old injury, and a bent septum narrows one side, sometimes both. The result is the familiar picture: a nose that never quite opens, mouth breathing at night, snoring, a dry throat in the morning, and a tendency to sinus infections on the blocked side.

Septoplasty, often called deviation surgery, straightens that wall. It is one of the most common operations Dr. Teker performs and one of the most rewarding, because patients are often surprised by how much air a nose can actually move.

Why the septum matters

Nasal breathing is not only about comfort. The nose warms, filters and humidifies air before it reaches the lungs, and steady nasal breathing supports better sleep. A deviated septum also disturbs the airflow to the sinuses and the middle ear, which is why it is frequently found behind recurrent sinusitis and pressure in the ears. Correcting it treats the cause rather than the symptoms.

How the operation works

Everything is done through the nostrils. Dr. Teker lifts the lining off the septum, reshapes or removes the bent segments of cartilage and bone, and lays the lining back. The front and upper parts of the septum, which hold up the nose, are kept intact so that the external shape does not change. Enlarged turbinates, the shelves of tissue on the side walls that swell with allergy, are reduced at the same time when they contribute to the blockage. The whole procedure takes under an hour and a half.

What recovery is like

Most patients go home the same day or the next morning. The nose feels blocked for the first week from swelling and the soft silicone splints that protect the lining; once they are removed, breathing begins to open up and keeps improving for about six weeks. There is no bruising and no visible sign of surgery. Saline rinses, no nose-blowing for the first days and a week away from strenuous exercise are the main instructions.

Septoplasty or septorhinoplasty?

If breathing is your only concern, septoplasty alone is the answer. If you would also like to change the shape of your nose, the septum is corrected as part of a combined rhinoplasty, in a single operation and a single recovery. Dr. Teker will explain which applies to you after the examination.

Videos

Dr. Teker explains

Short videos from the channel about this procedure.

All videos

Combined rhinoplasty, explained

ExplainerWatch on YouTube

A nose that breathes or a nose that looks good?

ExplainerWatch on YouTube

In every surgical or interventional procedure, results may vary from person to person. You are advised to obtain a detailed opinion from your physician before any procedure.

How the operation is done

How the operation is done

  1. 01

    Examination and endoscopy

    Dr. Teker examines the inside of the nose with a thin endoscope to see where the septum bends and whether the turbinates or valves also contribute to the blockage.

  2. 02

    Incision inside the nose

    A small incision is made inside one nostril. There are no cuts on the outside of the nose and no visible scars.

  3. 03

    Lifting the lining

    The mucosal lining is lifted off the cartilage and bone of the septum on both sides, keeping it intact.

  4. 04

    Straightening the septum

    The bent portions of cartilage and bone are reshaped, repositioned or removed, while the front and top of the septum are preserved to keep the nose supported.

  5. 05

    Turbinate reduction if needed

    Enlarged turbinates on the side walls are reduced with radiofrequency or a microdebrider during the same operation.

  6. 06

    Closing

    The lining is laid back and held with a dissolvable stitch or soft silicone splints. Heavy packing is usually unnecessary.

Recovery, step by step

Recovery, step by step

  1. Day 1

    The nose feels blocked from swelling and the splints. Discomfort is mild; you can go home the same day or the next morning.

  2. Week 1

    Internal splints, if used, are removed around day 5–7. Breathing starts to open up. Saline rinses keep the nose clean.

  3. Weeks 2–4

    Swelling inside the nose settles and breathing improves week by week. Normal work and light exercise are fine.

  4. Week 6

    The airway is essentially at its final size. Most patients notice they sleep better and no longer breathe through the mouth.

  5. Month 3

    Healing is complete. Contact sports are safe again.

A note on risks

Septoplasty is one of the safest ENT operations, but not without risk. Bleeding in the first days, infection and a reaction to anaesthesia are uncommon. Rarely a small hole in the septum (perforation) can form, which may cause crusting or whistling, or the septum can partially re-deviate over time. Numbness of the front teeth or the tip of the nose is occasionally noticed and usually temporary. A change in the external shape of the nose is not expected from a septoplasty alone.

FAQ

Questions patients ask

Will septoplasty change how my nose looks?

No. Septoplasty works inside the nose and leaves the outside unchanged. If you also want the shape changed, the two are combined in a septorhinoplasty.

Do I need packing in my nose afterwards?

Dr. Teker rarely uses heavy packing. Soft silicone splints or a dissolvable stitch hold the lining in place, and they are far more comfortable than traditional gauze.

How soon will I breathe better?

Once the internal swelling and splints are gone, usually in the second week. Breathing keeps improving until about six weeks after surgery.

Can a deviated septum come back?

The cartilage has a memory and a small return of deviation is possible over years, but a well-performed septoplasty gives lasting improvement in the great majority of patients.

Is it done under general or local anaesthesia?

Usually general anaesthesia for comfort, as it is short. In selected cases it can be done under local anaesthesia with sedation.

Talk it through with Dr. Teker

Send a few photos on WhatsApp for a first assessment, or arrange a consultation at the clinic in Bakırköy.