Non-surgical Deviated Septum Correction?

Can a deviated septum be fixed with non-surgical procedure?

Doctor Answers (4)

Straightening a deviated septum requires septoplasty

+2

Unfortunately, there is no technique currently for straightening out a deviated septum without surgery. The septum is made up of bone and cartilage, with a layer of mucoperichondrium (the inner lining of the nose) on either side. Septoplasty involves lifting up this outer layer through incisions inside the nose and removing/reshaping deflected cartilage and bone. It is a procedure performed quite commonly by ENT surgeons as well as plastic surgeons. The procedure takes around an hour to complete and the recovery is fairly quick and straightforward.

The only situation in which filler injection may be useful is if the upper portion of the septum (along the bridge) is deviated to one side, in which case injecting filler on the concave side may cause the nose to appear less deviated. However, this is more or less a camouflaging technique and will not improve your breathing or the underlying problem of a deviated septum. 

Hope this answers your question!

Regards,

Umang Mehta, MD


Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Injections don't work for septums.

+2

Its unfortunate but currently true that there isn't a non-surgical means to repair deviated septum at present. Will this change in the future? There would have to be an  injectable liquid that temporarily soften cartilage to allow surgeons to straight it, hold it in the new mid line position until it became rigid again. There's nothing like that currently available.

Oakley Smith, MD
Toronto Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Most people with nasal congestion do not require surgery.

+2

If your nsasl septum is very deviated to the point that you can't breathe through one side of your nose, you should consult a board-certified ENT specialist. You could be prescribed topical steroid sprays, or topical antihistamine sprays.

You could also try over-the-counter Breathe Right Strips at bedtime for relief.

Surgery may be necessary since there is no "Non-Surgical Septoplasty" procedure available.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 281 reviews

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Basically, no. (with sort of an exception).

+2

There was some interesting research published about seven years ago on using Holmium:YAG lasers to specifically warp septal cartilage to correct deviations. To the best of my knowledge, this never really went anywhere. Consider, too, that most deviated septums also have a bony component: a spur, a maxillary crest deformity, etc. which cannot be addressed by laser heating.

So the short answer is that surgery is really the best way to correct a septal deviation.

--DCP

P.S. The paper was entitled "Laser Septochondrocorrection" by Ovchinnikov et al. and was published in Archives of Facial Plastic Surgery. 2002; 4: 180-185.

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.