Will a septoplasty / turbinate reduction help with congestion when lying dow ?

When I lay down my down side blocks up 100%. I am fine while standing but lying down I have intense pressure. Are the odds in my favor that a septoplasty / turbinate reduction will help this problem? I respond extremely well to Afrin, don't know if that is useful information or not. My surgery is in November.

Doctor Answers 2

Nasal congestion when lying down

It is a normal physiologic process for the nasal tissue (mucosa) and turbinates to swell when you lay down due to gravity. If you have a deviated septum and/or enlarged nasal turbinates to begin with, there will be less room for this swelling to occur, resulting in increased obstruction or congestion of your nose. If you have underlying seasonal allergies or chronic rhinosinusitis, you may benefit from a nasal steroid spray, which helps control the amount of swelling in your nose. Afrin is a topical decongestant and works to immediately shrink the nasal lining tissue, however, there is high addiction potential with this medication and you risk problems with rebound swelling if you use it chronically. However, the fact that you have some improvement with Afrin does suggest that there is some baseline level of swelling in your nose. Surgery to address the septum and turbinates will help correct the structural issues that would narrow your nasal airway, but will not directly address the underlying cause of mucosal inflammation and swelling (allergies, irritants, etc). Good luck!


Milwaukee Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Septoplasty and turbinate procedures

A thorough internal examination of the nose, a patient history, a CAT scan of the sinuses and medical management  first for nasal obstruction are all required before undergoing surgical manipulation of the septum and turbinates.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 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.