The septum is the partition wall inside the nose made up of bone and cartilage. Septoplasty is carried out to straighten this partition.

• To improve the breathing through the nose
• To straighten the inside of the nose with or without altering the external appearance.
• As an additional procedure in sinus surgery to allow adequate access to the sinuses
• To unblock the nose which may improve snoring

This is usually carried out under general anaesthesia. Cuts are placed inside the nose to allow access to the bone and cartilage of the septum. On rare occasions when there are very marked abnormalities a small incision at the base of the nose may be required. The operation takes between forty to sixty minutes. It may be carried out as a day case procedure but usually an overnight stay in hospital is recommended. It is uncommon to have nasal packing after the operation.

• The nose will be very congested [like a heavy cold] for ten to fourteen days and it may take up to six weeks for the nose to clear. 
• There will be some bloody watery discharge from the nose for up to seven days.
• There is usually no significant bruising or external nasal swelling unless this procedure is combined with rhinoplasty surgery. 
• Flying and exercise should be avoided for ten days.
• It is not usually painful post-operation although some discomfort is usual. 
• Sleeping in a fairly upright position [i.e with extra pillows] may be helpful.
• It is best to avoid a smoky environment for two weeks post surgery.
• Avoid stooping or lifting heavy objects for two weeks post surgery

• There is a small risk of a nose bleed requiring readmission to hospital.
• Nasal infection is uncommon but may require antibiotics.
• Occasionally perforations may develop in the septum after surgery.  These are usually symptom-free but if troublesome can be repaired.
• Dental discomfort may occur but any permanent change is rare.
• Revision surgery may be needed.