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Deviated Septum

A deviated septum is a common condition that can affect both nasal function and, in some cases, the external appearance of the nose. The septum is the thin wall of bone and cartilage that separates the two nasal passages. When it is displaced or off-centre, it can restrict airflow and lead to a range of symptoms.

For some individuals, a deviated septum may go unnoticed. For others, it can contribute to ongoing nasal obstruction, difficulty breathing, snoring or recurrent sinus issues. The severity of symptoms often depends on the degree of deviation and how it affects airflow within the nose.

At Paul Wilson Aesthetics, treatment for a deviated septum begins with a comprehensive assessment of both nasal function and structure, with each treatment plan tailored to the individual.

About

What is a Deviated Septum?

A deviated septum occurs when the nasal septum is displaced to one side, rather than sitting centrally between the nostrils. This can result in one nasal passage being narrower than the other, affecting airflow and nasal function.

In some cases, the deviation is mild and causes little to no symptoms. In others, it can significantly impact breathing, particularly during exercise or sleep. A deviated septum may also contribute to dryness, congestion or frequent sinus infections.

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Causes

What Causes a Deviated Septum?

A deviated septum can develop due to a range of structural, developmental and external factors. In many cases, it is the result of natural anatomy, while in others, it may occur following trauma or changes over time. The underlying cause often influences both the severity of the deviation and the symptoms experienced.

Congenital (Present from Birth)

Many individuals are born with a deviated septum, which develops as part of their natural facial structure. During early growth, the cartilage and bone that form the nasal septum may not align perfectly, resulting in a deviation that can become more noticeable over time. In these cases, the condition is often longstanding, even if symptoms only appear later in life.

Nasal Injury or Trauma

Injury to the nose, such as from sports, accidents or impact, can displace the septum. It is one of the most common causes of a deviated septum. Trauma can shift the septum out of alignment or cause irregular healing, leading to obstruction within the nasal passages. Even relatively minor injuries, particularly if untreated, can result in structural changes that become more apparent over time.

Growth and Development

As the face matures, the nasal structures continue to develop. Uneven growth between the cartilage and bone can contribute to a septal deviation becoming more pronounced during adolescence or early adulthood. This may explain why some individuals only begin to notice symptoms later, despite having an underlying deviation for many years.

Age-Related Changes

Over time, the cartilage within the nose can weaken, shift or change shape. These subtle changes may shift the septum or exaggerate an existing deviation. In addition, age-related changes to surrounding tissues can make symptoms such as nasal blockage or airflow restriction more noticeable.

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Treatment

When to Consider Professional Treatment for a Deviated Septum?

Treatment may be appropriate when a deviated septum begins to affect breathing, sleep quality or overall comfort. Common signs include persistent nasal blockage, difficulty breathing through one side of the nose, frequent sinus infections or disrupted sleep.

While mild cases may be managed conservatively, structural issues within the nose cannot be corrected with topical treatments alone. A professional assessment allows for a clear understanding of the underlying cause and whether surgical correction is appropriate.

Options

Deviated Septum Treatment at Paul Wilson Aesthetics

Treatment for a deviated septum is tailored to the individual, depending on the severity of the deviation and whether aesthetic concerns are also present. Mr Paul Wilson uses advanced surgical techniques to restore function while maintaining or improving nasal balance.

Septoplasty

Septoplasty is a surgical procedure that corrects the position of the septum and restores normal airflow through the nasal passages. During the procedure, the septum is carefully reshaped, straightened and repositioned to reduce obstruction.

This approach focuses solely on function and is typically recommended for patients with symptoms such as chronic nasal blockage, difficulty breathing through one nostril, snoring, or recurrent sinus infections. As septoplasty is performed internally, it does not usually alter the external appearance of the nose. Often trimming of the inferior turbinates is also required to improve the airflow.

Recovery is generally straightforward, with most patients noticing a gradual improvement in breathing as swelling subsides and the nasal passages stabilise.

Septorhinoplasty

Septorhinoplasty combines functional correction with aesthetic refinement, offering a more comprehensive approach for patients with both breathing concerns and visible nasal irregularities.

In addition to straightening the septum, this procedure allows for precise reshaping of the external structure, addressing concerns such as asymmetry, deviation of the nasal bridge or imbalance in facial proportions. By treating both the internal and external structure in a single procedure, septorhinoplasty provides a cohesive and long-lasting result.

This approach is particularly suitable for individuals who want to improve both their breathing and the appearance of their nose, with outcomes tailored to complement their overall facial features.

Choose Us

Why Choose Paul Wilson Aesthetics for Deviated Septum Treatment?

At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.

His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.

From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you. Supported by a dedicated team, you can expect a seamless and attentive patient experience, where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.

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FAQ

Frequently Asked Questions

What does a deviated septum look like?

A deviated septum is not always visible externally. In many cases, the deviation occurs internally and does not significantly affect the nose’s outward appearance. However, in more pronounced cases, it may cause the nose to appear slightly crooked, uneven or asymmetrical. For most people, symptoms such as difficulty breathing through one side of the nose are more noticeable than any visual change.

A deviated septum can be present from birth due to natural anatomical development or occur later as a result of injury to the nose. Trauma, such as from sports or accidents, can shift the septum out of alignment. In some cases, the deviation may become more noticeable over time as the nasal structures change with growth or ageing.

The cost of treatment can vary depending on the complexity of the procedure and whether septoplasty or septorhinoplasty is required. Factors such as surgical time, individual anatomy and whether functional and aesthetic concerns are addressed together can all influence the overall price. A personalised quote will be provided following consultation, with a clear breakdown of all associated costs.

While a definitive diagnosis requires a clinical examination, certain signs may suggest a deviated septum. These include consistently blocked airflow on one side of the nose, difficulty breathing through one nostril or a noticeable difference in airflow when alternating sides. Some individuals also find temporary relief by manually adjusting the nose’s position; however, a specialist assessment is needed to confirm the diagnosis and determine the severity.

Not necessarily. Mild cases may be managed with non-surgical treatments such as nasal sprays or lifestyle adjustments to reduce symptoms. Surgery is typically considered when symptoms are persistent, impact daily life or do not respond to conservative management. A consultation allows for a thorough assessment to determine whether surgical correction is the most appropriate option.

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Book a consultation with Paul Wilson Aesthetics

Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation where Mr Wilson will assess your concerns, discuss your goals and determine whether septoplasty or septorhinoplasty is the most appropriate option for you.

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