How do I fix a deviated septum?

As a board-certified otolaryngologist (ENT surgeon), one of the most common reasons patients visit my office is difficulty breathing through the nose. Often, the underlying cause is a deviated septum, a condition in which the wall dividing the nostrils (the septum) is crooked or displaced. This can lead to chronic congestion, sinus pressure, snoring, and even nosebleeds.

What Is a Deviated Septum?

The septum is made of cartilage and bone and divides your nasal cavity into two sides. Ideally, it’s centered — but in many people, it’s slightly off to one side. In some cases, the deviation is minor and causes no symptoms. In others, it can block airflow and make breathing difficult.

Common Symptoms

  • Chronic nasal congestion, often worse on one side

  • Difficulty breathing through the nose

  • Snoring or mouth breathing

  • Recurrent sinus infections

  • Nosebleeds or nasal dryness

How a Deviated Septum Is Diagnosed

Diagnosis begins with a detailed nasal examination. In my practice, I use a nasal endoscope, a small camera that allows me to see the septum and other nasal structures clearly. This helps confirm whether the deviation is mild or severe and whether other conditions, such as enlarged turbinates or nasal valve collapse are also contributing to your symptoms.

Can a Deviated Septum Be Fixed Without Surgery?

In mild cases, medications can reduce inflammation and temporarily improve breathing:

  • Nasal steroid sprays

  • Antihistamines or decongestants

  • Saline rinses or sprays

These treatments can help manage symptoms but don’t actually correct the underlying structural problem.

The Definitive Solution: Septoplasty

For moderate to severe deviation, the most effective and lasting treatment is septoplasty — a simple outpatient surgical procedure to straighten the septum and improve airflow.

What to expect:

  • The procedure is performed under anesthesia and takes about 30–60 minutes.

  • There are no external incisions. Everything is done inside the nose.

  • Patients return home the same day.

  • Recovery typically takes about a week, and results are long-lasting.

In some cases, I may also address enlarged turbinates at the same time to further improve breathing.

When to See a Specialist

If you’re constantly congested on one side, snore frequently, or rely on nasal sprays just to breathe comfortably, it may be time to consider septoplasty.

I am currently accepting new patients and would be glad to help if you suspect a deviated septum is affecting your breathing. In my practice, I offer evidence-based, patient-centered care and perform septoplasty as a safe, outpatient procedure that can help you breathe clearly again.

Do you need to schedule an appointment to discuss treatment options for correcting a deviated septum? Contact my office, located in Scottsdale, AZ.

Call my office: (480) 273-8448

Schedule an appointment: Click here

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