Locations in Chicago & Glenview, IL

Septal Deviation
In Chicago & Glenview, IL

Chicago Aesthetics Surgery & Med Spa in Chicago & Glenview, IL is led by Dr. John D. Rachel, MD, FACS, a facial plastic and reconstructive surgeon who is quadruple board-certified.

Medically reviewed for accuracy.

What is
Septal Deviation?

Our noses are one of the most important organs we have. They are designed to filter and warm the air we breathe. The nasal septum runs down the middle of the nose, dividing the bone and cartilage into two compartments. If the septum is deviated, it can dramatically impact the nose’s function.

Septal deviation is a common condition where the nasal septum is off-center or crooked. It can be congenital, meaning present from birth, or occur as a result of injury or trauma. This deviation can cause issues with nasal breathing and lead to chronic sinus infections.

Symptoms of a
Deviated Nasal Septum:

While some individuals are born with this condition, others may develop septal deviation through injury or trauma to the nose. The severity of symptoms can vary widely, depending on the degree of deviation. The lists below show some of the most commonly to rarely observed symptoms.
Common Symptoms

  • Nasal Congestion
  • Difficulty Breathing
  • Frequent Nosebleeds
  • Snoring

Uncommon Symptoms

  • Facial Pain
  • Headaches
  • Postnasal Drip

Rare Symptoms

  • Sleep Apnea
  • Altered Sense of Smell
  • Chronic Sinus Infections

What Causes
Septal Deviation?

There are two ways patients get septal deviation: congenital and acquired causes.

Congenital Causes

  • Genetic Predisposition: Some individuals are born with a deviation in their nasal septum due to genetic factors influencing their development.
  • Developmental Issues: During fetal development, the nasal septum may not form correctly or may grow unevenly, resulting in a deviation that is present at birth.

Acquired Causes

  • Trauma or Injury: This can occur from accidents, sports injuries, fights, or any impact that causes the nasal cartilage or bone to shift.
  • Nasal Growth Discrepancies: As individuals grow, the nasal septum might grow faster or in a different direction than the surrounding structures, leading to a deviation.
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How Is A
Deviated Septum Diagnosed?

Septal deviations can be diagnosed in one of three ways. The first will detect deviations in the front of the nose, while the second and third can detect deviations further back in the nasal passages.

  • Step 1 – Medical Examination: A simple examination will detect deviations that may be in front of the nose.
  • Step 2 – Nasal Endoscopy: A nasal endoscopy is performed in the office by sliding a tiny camera mounted on a slender telescope and passing it through the nostrils.
  • Step 3 – Imaging: A CT Scan may need to be performed, for visualization of the nasal cavity and the paranasal sinuses.

What Are the
Treatment Options for A Deviated Septum?

Medications and treatments will not cure a deviated septum but can help ease or manage symptoms. This type of treatment may focus on managing symptoms through medications such as nasal corticosteroid sprays, decongestants, or antihistamines. These can help reduce nasal congestion and inflammation.

For severe septal deviation, surgery may be required.

Understanding
Septoplasty for Septal Deviation

For patients with a severe case of septal deviation, medications are usually less effective, so we will opt for surgery–often called a septoplasty. A septoplasty or septal reconstruction is a procedure meant to straighten the deviated septal cartilage and bone. Septoplasty is an outpatient procedure and is performed in combination with other nasal- and sinus-related procedures.

The procedure is typically performed by Dr. Rachel. Patients go under general or local anesthesia, depending on the extent of the correction needed. During septoplasty, we will make a small incision inside the nose to access the septum. We then trim, reposition, and remove parts of the bone or cartilage to straighten the septum.

The incisions are usually closed with absorbable sutures, and no external scars are visible since the surgery is performed entirely through the nostrils.

What to Expect
During Septoplasty Recovery

Recovery from septoplasty generally involves a short period of downtime, with patients often returning to normal activities within a week, although they may be advised to avoid strenuous activities for a few weeks to prevent nosebleeds or other complications. After the surgery, patients typically experience improved breathing, reduced nasal congestion, and a decrease in sinus infections.

Breathe Easy with
Dr. John D. Rachel

Don’t let nasal discomfort and breathing challenges affect your quality of life any longer! Schedule your consultation with Dr. Rachel today and take the first step towards clearer breathing and improved nasal health. Contact us now to book your appointment and breathe easier with the care and support of our expert team.

Why Choose
Dr. Rachel

Dr. Rachel and staff

You want a clear recommendation, realistic expectations, and results that still look like you. At Chicago Aesthetics Surgery & Med Spa in Chicago and Glenview, we start with an anatomy-led plan based on your goals. We’ll tell you what we think will work, what won’t, and why. We explain your options in plain language, including what we would not recommend, so you can feel confident with your decision.

Dr. John D. Rachel, MD, FACS is a facial plastic and reconstructive surgeon. He is quadruple board-certified in Otolaryngology-Head & Neck Surgery, Facial Plastic & Reconstructive Surgery, the American Board of Cosmetic Surgery, and the American Board of Facial Cosmetic Surgery. He completed residency training in Otolaryngology–Head & Neck Surgery at Wayne State/Detroit Medical Center and a Facial Plastic & Reconstructive Surgery fellowship at the Beeson Cosmetic Surgery Institute. He has been in practice since 2001, is a Fellow of the American College of Surgeons (FACS), and has published peer-reviewed research in facial plastic surgery and skin rejuvenation.

Dr. Rachel and his team at Chicago Aesthetics Surgery & Med Spa in Chicago and Glenview

Frequently Asked Questions
Septal Deviation

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How does septal deviation impact overall respiratory health and what are its long-term effects?

Long-term, this condition can lead to chronic nasal congestion, recurrent sinus infections due to impaired drainage, and potentially even changes in the structure of the mouth and throat due to altered breathing patterns. Chronic mouth breathing can also result in dry mouth, which increases the risk of dental health issues.

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Can septal deviation contribute to sleep disorders, such as sleep apnea, and how?

Septal deviation can contribute to sleep disorders, including obstructive sleep apnea. The condition can cause diminished airflow through the nose, disrupted sleep patterns, and snoring, among others.

Addressing septal deviation through medical treatments or surgical intervention can significantly improve airflow, reducing the risk and severity of sleep apnea and leading to better sleep quality overall.

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Can septal deviation recur after surgical correction, and what preventive measures can be taken?

Yes. There is a small chance that deviation can recur, especially if the surgery is done during childhood or adolescence before the nasal structures have fully matured. Subsequent nasal trauma is another factor that can lead to a recurrence of septal deviation.

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How does septal deviation affect children differently from adults, and what are the treatment considerations?

In children, symptoms may be less apparent, but the condition can lead to chronic sinus issues and affect the development of the facial bones. Treatment for children often involves observation over time to see if the deviation corrects itself as the child grows. We only advise surgical intervention in severe cases that significantly impact breathing or lead to recurrent sinus infections.

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How does MetropolitanMD tailor septal deviation treatments to individual patient needs, especially in complex cases?

For individuals with mild symptoms, we usually focus on medication first to relieve symptoms. In more severe or complex cases, Dr. Rachel will recommend septoplasty. This could be combined with other procedures to address all factors contributing to nasal obstruction.

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I’ve been seeing Carol for Botox for over two years, and she is absolutely amazing! I trust her completely with my face. She always takes the time to listen to what I want and makes sure my results look natural and beautiful—she never overdoes it. I especially appreciate how honest she is; she will tell you when you don’t need something rather than trying to sell you more treatments. Carol truly cares about her patients and always makes me feel comfortable, welcomed, and at home. She is professional, knowledgeable, gentle, and incredibly attentive. I always leave feeling confident and happy with my results. It’s hard to find someone you can trust this much, and I’m so grateful I found Carol. I wouldn’t trust
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I had Lipo 360 and a Skinny BBL this summer, and I am so happy with my results. I was always extremely nervous about going under the knife, but I really wanted to do something that would help boost my self-confidence. Dr. T and his entire team were truly amazing throughout the whole process. I am naturally pretty skinny, so I was always worried about whether this procedure would work well for my body type, but I honestly wish I had done it sooner. I am currently about five weeks post-op, and I am already so pleased with how everything is turning out. My results continue to improve as I heal, and I’m excited to see the final outcome. I’m very grateful to Dr. T and his team for making me feel comfortable and confident throughout the experience.
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I’ve been seeing Carol for 10 + years She’s the best and has a perfect eye for what’s needed and what is not. I’ve always trusted her completely and highly recommend!
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Wonderful service, everyone is knowledgable and friendly. Dr. Rachel is fabulous and quadruple board certified. I would not trust any other company.
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Carol is the best in the business! She is professional, kind, and incredibly attentive throughout my experience. She took the time to understand my concerns and made sure I felt comfortable. I love my results! I truly appreciated her expertise and attention to detail. I highly recommend Carol!
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Nurse Carol always does an outstanding job no matter the procedure. She literally has light hands and you barely feel a thing. She brightens my day whenever I have an appointment with her. Very kind, professional and very knowledgeable. I have never had anyone as thorough as her. She communicates with me before and after all appointments and reaches out to ensure I safely drive there sooner due to the weather conditions. ⭐⭐⭐⭐⭐ I cannot say enough wonderful things about Nurse Carol Donohue. After four years as her client, I can genuinely say that the trust, care, and relationship we have built over the years means so much to me. Carol has always been incredibly easy to communicate with and accommodating with my schedule. She consistently goes above and beyond for her clients—even coming in early before her shift to make sure she can see me when needed. That level of dedication and care does not go unnoticed. What I appreciate most about Carol is her integrity. She doesn’t simply recommend a cosmetic procedure because she can perform it. She takes the time to honestly tell me what would be beneficial, what may be unnecessary, and what she believes is best for me. My health, well-being, and safety have always come first, and that has given me an incredible amount of confidence and trust in her. Carol is knowledgeable, professional, friendly, and genuinely welcoming. She explains everything in detail, makes sure I understand every step of the process, and always makes me feel comfortable and cared for. She values her clients as people, not just appointments. Beyond her professionalism, Carol’s kindness has touched me personally. There have been days when I walked into her office feeling at my lowest, and simply being met with her warmth, compassion, and kindness helped me leave feeling a little more confident and a lot better than when I arrived. That is something I will never forget. Thank you, Nurse Carol Donohue, for four wonderful years of professionalism, honesty, compassion, and exceptional care. I am incredibly grateful for the client-and-nurse relationship we have built, and I look forward to many more years to come. I wholeheartedly recommend her to anyone looking for a provider who combines expertise with integrity and truly cares about the people she serves.
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I’ve been getting Botox from Carol for several years now, and I couldn’t be happier with my experience! She is incredibly kind, knowledgeable, and professional, and she always takes the time to make sure I feel comfortable and confident throughout the process. I truly trust her expertise and appreciate how carefully she listens to what I want while providing honest, thoughtful recommendations. My results have always looked natural and beautiful, which is exactly what I’m looking for. I highly recommend her to anyone considering Botox or looking for someone skilled, trustworthy, and genuinely caring!
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Carol was great! She made the experience comfortable and pain-free while also being efficient. Would definitely return!

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