Does Deviated Septum Surgery Require Breaking the Nose?

Does Deviated Septum Surgery Require Breaking the Nose? Deviated septum surgery, medically referred to as septoplasty, is a routinely performed procedure intended to correct nasal obstruction resulting from a misaligned septum. The septum is the thin wall within your nose that separates your nostrils, and when deviated, it may lead to issues such as difficulty breathing, snoring, or frequent nosebleeds. The main goal of this type of surgery is to improve airflow through the nose, enhancing overall breathing and comfort.

A question often raised about this surgery pertains to whether it involves breaking the nose. This article aims to provide clear, factual information on this topic. We will elaborate on the nature of deviated septum surgery, discuss the procedure in detail, and highlight the benefits of specific techniques used in modern medicine.

Understanding Deviated Septum Surgery

Deviated septum surgery, medically known as septoplasty, is a surgical procedure performed to correct a deviated or misaligned nasal septum. The nasal septum is the thin wall of cartilage that separates the two nostrils. When it’s misaligned or deviated, it can cause a range of issues including nasal obstruction, difficulty in breathing, snoring and frequent nosebleeds. Septoplasty aims to straighten the nasal septum, thereby improving airflow through the nose and alleviating these symptoms.


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Septoplasty is a form of nasal surgery specifically targeting the septum for realignment. It’s important to note that this procedure does not alter the outward appearance of the nose. Unlike rhinoplasty, which is often carried out for aesthetic purposes, septoplasty is strictly a functional operation aimed at improving breathing. Surgical correction is usually considered when conservative treatments such as medications or nasal strips have been ineffective in managing the symptoms of a deviated septum.

The procedure typically involves making an incision inside one or both nostrils to access the septum. The surgeon then trims, reshapes or repositions portions of the septum to align it correctly in the center of the nose. This may involve removing any obstructions caused by excessive bone or cartilage. In some cases, additional procedures may be performed alongside septoplasty if there are other factors contributing to nasal obstruction, such as enlarged turbinates or nasal polyps. After surgery, most patients experience an improvement in their ability to breathe through their nose, along with a reduction in other symptoms associated with a deviated septum.

The Procedure: Breaking the Nose or Not?

A common misunderstanding about deviated septum surgery is that it involves breaking the nose. This misconception likely stems from the fact that some types of nasal surgery, particularly those aimed at changing the exterior shape or appearance of the nose, may involve fracturing and resetting the nasal bones. However, in the case of septoplasty, this is not usually necessary.


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During septoplasty, the focus is on the correction or realignment of the septum within the nose, not on altering the external structure or appearance. The surgeon makes an incision inside one or both nostrils to access the septum. This process allows them to trim, reshape or reposition portions of the septum without disturbing the outer nasal structure. There’s no need to break any bones during this procedure as the septum consists primarily of cartilage and soft tissue. Therefore, patients undergoing septoplasty can expect a procedure that corrects their deviated septum without breaking their nose.

However, it’s important to note that every patient’s situation is unique and individual surgical plans can vary based on specific needs and circumstances. In some cases, if there are more complex issues involved such as severe deformities or previous trauma to the nose, additional procedures might be necessary which could involve manipulation of the nasal bones. Yet, these instances are not typical for most people requiring a straightforward septoplasty for a deviated septum. As always, patients should have detailed discussions with their surgeons about what their specific surgical plan entails to fully understand what to expect during their procedure.

Does Deviated Septum Surgery Require Breaking the Nose?: Benefits of Non-Breaking Techniques

The non-breaking technique used in deviated septum surgery, or septoplasty, boasts several benefits. It is primarily a less invasive approach compared to procedures that involve breaking and resetting bones. This means that patients can often expect less post-operative discomfort and a quicker recovery time. As the external structure of the nose is not disturbed, there is also typically less bruising and swelling after surgery.

Another significant advantage is that septoplasty does not alter the external appearance of the nose. For patients who are satisfied with their nasal appearance and only wish to correct functional issues caused by a deviated septum, this is an ideal solution. The procedure focuses solely on improving nasal function by facilitating better airflow through the nostrils. This results in improved breathing, reduction or elimination of snoring, and often an overall enhancement in sleep quality.

Furthermore, as the surgical correction targets only the deviated septum internally, there’s usually no need for external incisions. This reduces the risk of visible scarring and potential complications associated with more extensive surgeries. Additionally, the use of modern surgical techniques and technology has improved the precision of septoplasty procedures, further enhancing patient outcomes. Patients should always consult with their surgeons to understand all aspects of their specific surgical plan and to ensure they are well-informed about what to expect during the procedure and recovery process.

Frequently Asked Questions

Is breaking the nose a common part of deviated septum surgery?

No, breaking the nose is not a common part of deviated septum surgery. Septoplasty primarily focuses on correcting and realigning the nasal septum internally without altering the external structure of the nose.

Will I experience pain during or after deviated septum surgery?

During the procedure, you will be under anesthesia and should not feel any pain. After the surgery, some discomfort, swelling, or congestion is normal. However, your surgeon will provide appropriate pain management techniques to help minimize any discomfort during your recovery.

How long does it take to recover from deviated septum surgery?

The recovery time can vary from person to person, but most individuals can expect to resume their regular activities within one to two weeks after surgery. However, it's essential to follow your surgeon's post-operative care instructions for a smooth recovery.

Can septoplasty improve my ability to breathe through my nose?

Yes, septoplasty is specifically designed to improve airflow through the nasal passages by correcting a deviated septum. Many patients experience a significant improvement in their ability to breathe through their nose following the procedure.

Will my insurance cover deviated septum surgery?

Coverage for deviated septum surgery varies depending on your insurance plan. Some insurance companies may cover this procedure if it is deemed medically necessary. It is best to consult with your insurance provider to understand your specific coverage and any pre-authorization requirements.


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