Septoplasty: How to Prepare
Quick answer: To prepare for septoplasty: review medications with your surgeon (stop aspirin 1–2 weeks before, NSAIDs about a week before, and bleeding-risk supplements), stop smoking at least several days before, do not eat or drink after midnight the night before if general anesthesia is planned, dress comfortably, and arrange a driver; you cannot drive yourself home after sedation. The procedure itself takes 30–45 minutes; plan to be at the surgical site for 3–4 hours total. Capital ENT performs many septoplasties in our clinic procedure room under sedation, which lowers cost and shortens recovery compared to a hospital OR.
Septoplasty is surgery performed to correct a deviated septum. The septum is the cartilage separating the two nostrils. If it becomes crooked, it can make breathing difficult. While sleeping, a deviated septum can cause loud snoring. It can also make you susceptible to chronic upper airway infections due to poor drainage.
When breathing and sleep are affected and infections become frequent due to a deviated septum, surgery can help bring relief. Let's talk more about septoplasty and how to prepare for it.
What Happens During a Septoplasty?
During a septoplasty, the surgeon corrects the deviated cartilage by cutting and removing parts of the septum through the nostrils and repositioning the cartilage into a straight position. Septoplasty is an outpatient procedure, and patients go home on the same day as the surgery.
Septoplasty, like other surgical procedures, requires planning. You will meet with the otolaryngologist or ear, nose, and throat (ENT) surgeon and discuss what to expect from the surgery, as well as possible risks and complications that can arise.
Septoplasty may be done under local or general anesthesia. The surgeon will determine which is better for you based on your overall health. The surgeon will ask about your medical history and learn what medications you are taking. They will also conduct a physical exam of your nose and take photographs for reference. The surgeon may also order lab tests, such as a blood test, for evaluation of your overall health. You will have to arrange for someone to take you home after surgery, as you will not be able to drive home.
Medication
Depending on what medication you are taking, you may need to stop taking some and adjust others. Aspirin should be stopped weeks before the procedure. Anti-inflammatory drugs, which can increase bleeding, should be stopped a week or a few days before the surgery unless otherwise instructed. This also goes for herbal remedies or supplements that control inflammation. If you take insulin, follow your surgeon's instructions.
What to Wear
There are no clothing requirements for a septoplasty, as you will be asked to change into a hospital gown for the procedure. However, do dress comfortably in clothes that are easy to change into after surgery. Leave jewelry such as earrings, necklaces, and rings at home.
Food and Drink
Avoid eating and drinking anything on the day of the surgery, especially if you will be using general anesthesia. Beginning at midnight the night before, stop consuming all foods and drinks.
Rest
Get a good night's sleep the night before the surgery. Your body needs to be well-rested for the procedure. It can also help boost recovery.
Don't Smoke
Another habit that can negatively affect recovery is smoking. Septoplasty patients should stop smoking several days before surgery and while in recovery.
Part of preparing is also knowing what to expect financially. Most insurance plans cover septoplasty when it is medically necessary; see our septoplasty cost and insurance guide for self-pay pricing and how coverage works.
This article is for educational purposes only and does not replace an in-person evaluation. Every patient is unique. Schedule a consultation to discuss your specific symptoms and treatment options.
Your Complete Deviated Septum & Septoplasty Guide
What Is a Deviated Septum?
Symptoms, causes, diagnosis, and the full range of treatment options for a deviated nasal septum, from medications to surgical correction.
Learn more →Septoplasty Overview
Learn about the septoplasty procedure: what it treats, how it works, what to expect, and whether it may be right for you.
Learn more →Septoplasty Cost & Insurance
How much deviated septum surgery costs, what determines the price, and how insurance coverage works.
Learn more →What is Deviated Septum Surgery?
Our surgeons answer common questions about septoplasty: symptoms, how the procedure works, recovery, risks, and success rates.
Learn more →Septoplasty Aftercare Instructions
Rest, swelling, medications, nasal cleaning, and activity limits after surgery, plus when to call our office.
Learn more →Interesting Facts About Septoplasty
Quick facts about what septoplasty treats, how it is performed, and what to expect from the procedure.
Learn more →Post-Op Care Instructions
Recovery guides for the procedures we perform, including sinus surgery, tonsillectomy, and ear surgery.
Learn more →Considering Septoplasty?
Capital ENT's experienced surgeons regularly perform septoplasties with excellent outcomes. We'll make sure you're fully prepared for a smooth procedure and recovery.
