A septoplasty is a surgical procedure performed to correct a deviated nasal septum, the wall of cartilage and bone separating the two nasal passages. The goal is to straighten the septum, improving airflow and making it easier to breathe through the nose. Since the procedure is typically outpatient surgery, preparation focuses on optimizing the body’s condition and ensuring a smooth transition into the recovery phase at home.
Pre-Surgical Medical and Medication Adjustments
Weeks before the procedure, collaborate with your surgeon to manage all current medications, particularly those that increase bleeding risk. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, and naproxen, along with prescription anticoagulants such as Warfarin or Eliquis, must be discontinued, often one to two weeks prior to surgery. These substances interfere with the blood’s natural clotting cascade, raising the risk of excessive bleeding during and after the operation.
Many common herbal supplements also have blood-thinning properties and must be stopped at least seven to ten days beforehand. Supplements such as Vitamin E, garlic, ginkgo biloba, ginseng, and fish oil can compromise surgical safety. Confirm which regular prescription medications, if any, should be continued with a minimal sip of water on the morning of surgery, as some are necessary for chronic conditions.
For patients who use nicotine products, smoking or vaping cessation is strongly advised, often two to four weeks before surgery. Nicotine is a vasoconstrictor, narrowing blood vessels, which can significantly impair blood flow to the surgical site and delay healing. Nicotine abstinence minimizes the risk of complications and supports the body’s ability to repair nasal tissues efficiently.
The surgical team often requires pre-operative testing to ensure you are healthy enough for general anesthesia. Standard blood tests typically include a Complete Blood Count (CBC) and coagulation studies, assessing for anemia, infection, and proper blood clotting function. For patients over 50 or those with pre-existing heart or lung disease, an electrocardiogram (ECG) or chest X-ray may be ordered to evaluate cardiovascular stability.
Planning Your Recovery Environment
Preparing your home environment is a logistical step that ensures comfort and facilitates optimal healing immediately following septoplasty. Arrange for a responsible adult to drive you home from the surgical facility, as you cannot operate a vehicle due to the effects of anesthesia. This caregiver should stay with you for at least the first 24 to 48 hours to monitor you and assist with immediate needs.
Creating a dedicated recovery zone is essential, setting up a resting area where you can keep your head elevated at a 30 to 45-degree angle. Sleeping with your head above the level of your heart, often using two or more pillows or a recliner, minimizes post-operative swelling and reduces the risk of bleeding. Having all supplies within easy reach prevents unnecessary bending, straining, or lifting, which are activities that can raise blood pressure and trigger a nosebleed.
Stock your kitchen with soft, easy-to-chew foods for the initial recovery period, as excessive jaw movement can cause discomfort near the nose. Excellent choices include yogurts, mashed potatoes, scrambled eggs, smoothies, and nutrient-dense broths. You should also purchase necessary post-operative supplies, such as sterile saline nasal spray or rinse, which will be used frequently to keep the nasal passages moist and help clear crusting.
Final Instructions for Surgery Day
In the 12 hours leading up to your arrival at the surgical center, strict adherence to fasting guidelines is mandatory for safety under anesthesia. You must have nothing by mouth (NPO) after midnight on the day of surgery, including all food, gum, mints, and sips of water, unless instructed otherwise by your anesthesiologist. An empty stomach is necessary to prevent the severe risk of aspiration, where stomach contents enter the lungs during the procedure.
For personal hygiene, shower and wash your hair the night before or the morning of surgery, as this will be difficult for a few days afterward. The surgical team may instruct you to use a specific antiseptic soap to clean your body and reduce the bacterial count on your skin. Arrive without any makeup, lotion, or oils on your face, and ensure all jewelry, including body piercings, is removed.
On the day of surgery, wear loose-fitting, comfortable clothing that is easy to put on and take off without pulling it over your head, such as a button-up shirt or a zip-up jacket. A short-sleeved top is helpful for easy access when the nurse places an intravenous (IV) line. Bring all required documentation, including your photo identification, insurance card, and any facility-specific paperwork completed at home.