A deviated septum is extremely common, and not everyone needs surgery. Understanding the options — from conservative management to septoplasty — helps you make an informed decision about your breathing.
When repair is worth considering
If a deviated septum causes ongoing congestion, difficulty breathing through one or both sides, recurrent sinus issues, or disrupted sleep that doesn’t respond to conservative care, repair may help.
Conservative options first
Sprays, allergy management, and other measures can relieve symptoms for some people and are often tried before surgery.
Septoplasty
When surgery is warranted, a septoplasty straightens the septum to open the airway. It is a well-established procedure, often done alongside turbinate reduction when needed.
Frequently asked questions
Do I have to have surgery for a deviated septum?
No — surgery is considered when symptoms are significant and conservative care hasn’t helped.
How do I know if mine is bad enough?
An exam and your symptom history determine whether repair is worthwhile.
Is recovery difficult?
Most people recover well; your surgeon reviews specifics.
Will it help my sleep and congestion?
It can, when a deviated septum is the cause — confirmed at evaluation.
Talk to a specialist
To find out whether septum repair would help your breathing, Request a consultation.
Dr. Hootan Zandifar, MD, FACS, is a double board-certified facial plastic surgeon and otolaryngologist in Beverly Hills and Santa Monica.
