Surgery for a Deviated Nasal Septum: Plastic surgery Royal✓

Breathing problems are among the most common reasons people seek medical help. While some issues may be temporary, caused by a cold or allergies, long-term difficulty breathing—especially through the nose—can indicate a more serious structural problem. One of the most common causes of persistent breathing difficulties is a deviated septum. This condition can significantly affect quality of life, but effective treatments exist, including surgery, which can permanently resolve these issues.

What is a Deviated Septum?

The nasal septum is the structure that divides the nasal cavity into two sides, allowing air to flow freely through both nostrils. In people with a deviated septum, the septum is not properly aligned and is shifted from its natural position. This can lead to difficulty breathing, frequent sinus infections, and even sleep problems such as apnea.

A deviated septum can be congenital, present at birth, or acquired, as a result of nasal injury, for example, a blow during sports or traffic accidents. If the deviation is not recognized or treated, symptoms may worsen over time. Some people do not notice breathing problems until later in life, while others experience symptoms immediately.

How Does a Deviated Septum Affect Breathing?

When the septum is not properly aligned, airflow through the nose is obstructed. The body must work harder to get enough air, which can lead to various symptoms. In addition to difficulty breathing, people with a deviated septum may notice:

• Persistent or recurring nasal congestion

• Increased nasal discharge (mucus)

• Dry cough or throat irritation due to constant mouth breathing

• Frequent sinus infections due to poor nasal ventilation

For many, these symptoms become noticeable during puberty or later in life, although they can appear earlier. Without timely diagnosis and treatment, symptoms can significantly reduce the quality of life. Septoplasty remains the most effective solution.

When is Surgery Necessary?

Surgery to correct a deviated septum, known as septoplasty, is the only permanent treatment. Medications and other therapies may temporarily relieve symptoms, but they do not address the underlying problem.

Septoplasty is generally not recommended before the age of 18, as the nose continues to grow and develop during adolescence. However, in cases of severe deviation with unbearable breathing difficulties, surgery can be performed at a younger age.

Once nasal growth is complete, surgery is safe and effective. The procedure involves correcting the septum and restoring it to its natural position, normalizing airflow. Surgery is performed under general anesthesia, and patients can typically return to their daily activities within a few days.

Preparing for Surgery

Before septoplasty, patients undergo several preoperative examinations:

• Consultation with an internist

• EKG and laboratory tests

• Nasal and throat swabs

• Chest X-ray

These tests help determine whether there are any contraindications for surgery or anesthesia. Results must be recent (no older than 7 days), and if not conducted at the surgical facility, they should be provided for review.

Postoperative Recovery

Recovery after septoplasty usually takes about two weeks. During the first 24–48 hours, patients remain in the hospital, and nasal packing is placed to help keep the nose open and allow partial breathing. The packing is removed after a few days, and patients can gradually resume normal activities, avoiding strenuous physical effort.

Mild nasal swelling is normal after surgery, bruising is uncommon, and major breathing problems usually disappear once the packing is removed. Absence from work or school for 10–14 days is recommended to ensure full recovery.

Why Choose Royal Belgrade Aesthetic Surgery?

Choosing an experienced medical team and a reputable clinic is crucial for a successful surgery outcome and improved quality of life. A deviated septum can significantly affect daily functioning, and finding the right solution requires expertise and precision.

Royal Belgrade Aesthetic Surgery is trusted by patients throughout the region. We specialize in precise septum surgeries, using advanced technology and expertise to ensure excellent results.

• Expert medical team: specialists in otolaryngology and aesthetic surgery with years of experience

• Advanced endoscopic equipment: precise diagnostics and maximum surgical safety

• Customized treatment plans: tailored to each patient’s individual needs

• Comfortable and discreet environment: creating a relaxed atmosphere before and after surgery

• Ongoing support: from the first consultation to postoperative care

International Trust

Royal Belgrade attracts patients not only from Serbia but also from Slovenia, Croatia, Montenegro, Bosnia and Herzegovina, and North Macedonia. Most patients leave with a sense of relief, gratitude, and—most importantly—able to breathe fully again.

More Than Surgery

Our mission is not only to correct a deviated septum surgically but also to provide patients with complete relief from breathing difficulties, better sleep, and an improved daily life. At Royal Belgrade, your recovery and satisfaction are always our top priority. 

How to contact us?

If you would like to schedule a rhinoplasty appointment, inquire about the cost of nasal surgery, or have additional questions, please contact us by phone at +381 65 202 77 77   or visit the following pages: Nose Surgery, Nose Tip Surgery, and Whole nose surgery