Non-surgical Deviated Septum Correction?

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

Doctor Answers 5

Most people with nasal congestion do not require surgery.

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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.


West Orange Facial Plastic Surgeon
4.9 out of 5 stars 430 reviews

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

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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

Non-Surgical Rhinoplasty-The Pro's/Con's From a Nose Specialist

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Deciding whether you are or are not a candidate for a non-surgical nose job really depends on your goals. The best candidates for a non-surgical nose job are typically the following types of patients: 1) Those who want the bridge of their nose raised or who want a hump hidden to achieve a more feminine profile 2) Patients with a nose that deviates to one side or the other. Filler can help make it look more straight 3) Patients with features in the tip that appear too harsh or pointy and need softening. Fillers can help create a much smoother and balanced appearance. What non-surgical nose jobs can't do are help patients narrow their nose, make it project (stick out) less, or help with breathing or in this case a deviated septum. For these issues a surgical rhinoplasty is required.

It is very important to know that a non-surgical rhinoplasty is a VERY advanced and technically challenging procedure to do safely. Too much filler in any given area can cause issues with blood supply to the skin on the nose so it is essential that you have a physician who is comfortable in rhinoplasty perform the procedure. There must be an utmost respect for the anatomy and blood supply of the nose. In experienced hands it can be done safely and beautifully with results that enhance the appearance of the nose and really help patients feel more confident.

Depending on the filler used, the results typically last between 1 and 2 years. The procedure is performed after topical numbing creme is applied and should be performed in a meticulous fashion. This means that the procedure typically takes about 45 minutes.

I hope that helps!

Jeffrey Watson, MD
Harvard Trained/Board Certified
Rhinoplasty Specialist
Facial Plastic and Reconstructive Surgeon

Jeffrey Watson, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Straightening a deviated septum requires septoplasty

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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

Injections don't work for septums.

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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.

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.