Can a septoplasty really stop chronic ringing in the ears (tinnitus)?

This is not good for you at any time, whether after surgery or not. You are putting yourself at risk of a septal perforation.

  At age 38, adenoids are usually long since disappeared.  Most tonsils at that age are also very small and usually inconsequential.  It is rare to perform a tonsil and adenoidectomy on somebody at age 38.  Allergies in the nose are not treated with a tonsillectomy or an adenoidectomy.  Alle...

The best answer is never!  Use this opportunity to help you quit.  There is no scientific data regarding nicotine and healing from septoplasty, but we do know that nicotine (even in its pure form) has many other harmful effects in the body.