What is Septoplasty?

Septoplasty is a surgical procedure to correct a deviated nasal septum.
Endoscopic view of a left septal spur

Who is a Good Candidate for a septoplasty?

Anyone with persistent nasal congestion due to a deviated septum that is not responsive to medical therapy is a great candidate for a septoplasty.
Endoscopic view of a left septal spur

How is a Septoplasty Performed?

Septoplasty can be done under general anesthesia or in the office under IV sedation.


The deviated portions of septal cartilage and bone are accessed through an incision inside the nostril. We then trim, straighten, or reposition the septum into the proper midline position.


Splints that stay in place for 5 days may be needed to stabilize the septum as it heals.

What is Recovery Like After Septoplasty?

Patients may have nasal congestion, pain, and headaches for a few days after surgery. Most people can return to normal non-strenuous activities in 3-5 days. No heavy lifting should be done for 2 weeks. Complete healing takes around 6-8 weeks.

What are the Benefits of Septoplasty?

Our Team

DR Atkins

James Atkins, MD

Dr. Atkins is a sinus expert with years of experience in providing compassionate and effective care to patients. He takes a personalized approach to treatment and is dedicated to helping you feel your best.

James M. Ferris, PA-C

Mike and Dr. Atkins have been practicing together for 18 years. He has a great personality and is a superb provider. Mike is personable and an invaluable asset to our practice. Just don’t start talking about fishing. You won’t be able to get him to stop.

What Patients Are Saying About Us

Excellent4.9 Based on 511 reviews fromMatt PrietoMatt Prieto ★★★★★ I get my tubes removed tomorrow. I got septoplasy & turbinate reduction. So far healing is going smooth. Not much inflammation at all after post op. Pain was at a minimal a little discomfort but manageable Just listened to doctors & staff’s orders. I’m excited to be able to breathe onto a new chapter in life. I am a 5star barber in the San Antonio & Dr.Akins & his team go above & beyond just like I aspire for my family /Clients. Thank you very much. Day by day will continue to feel better & make progress. If you are looking for the best look no further. This is the place you want to be, you will be in great hands 🙏🏻 -MattblendsResponse from the ownerMatt, Thanks for the great review. Mike will get you fixed up tomorrow. Glad you are well. Thanks for following the instructions. Always helps. Amelia CostillaAmelia Costilla ★★★★★ Very polite staff.Brooks the assistant was very attentive to my husband.Dr Atkins was very nice and listened to his concerns.Thank you 🙏Response from the ownerThanks Amelia, I'll make sure Brooks sees this. He is just getting started in medicine and will go far! Charlotte PutnamCharlotte Putnam ★★★★★ I appreciated how quickly I was able to see Dr. Atkins. Dr. Atkins listened patiently while I explained what was wrong with me. He was very thorough in his diagnosis. He was not condescending, but kind and caring. I highly recommend him.Response from the ownerCharlotte, thanks for the great review. I really appreciate it! Virginia HernandezVirginia Hernandez ★★★★★ Had my surgery done on the 6th of June with Dr AtkinsI am so glad I chose this place. Everyone was so kind and professional. After my surgery was done I had absolutely no pain. No bruised or swelling...Dr Atkins contacted me the next morning to make sure that I was doing well and how I was feeling.. That meant a lot to me for him to take the time to check on me and make sure everything was going well after my surgery.. After hearing some horror stories I was a little scared to do this surgery.but I'm so glad that I chose Dr Atkins to do my surgery.. I have not take any pain medications since I got home from my procedure.. If you're in need of sinus surgery, I highly recommend this place.💯❤️❤️❤️❤️Response from the ownerVirginia, so glad you are doing well and thanks for the kind message. Ari StricklandAri Strickland ★★★★★ Very impressed the moment I walked in. Staff is incredibly friendly and were on top of everything. Dr. Atkins and Ferris are professional, knowledgeable, and caring. Best office I have ever been to.Response from the ownerWe're so glad to hear that you had a positive experience with us! Thank you for your kind words, we appreciate your feedback. Grey SkyGrey Sky ★★★★★ The first real doctor I've seen. By that i mean he actually listened to me and took my concerns seriously. He did everything at his disposal to get to the bottom of my problem and offer a thorough diagnosis. I would've had my surgery done by him but he was out of network for my Surgery Plus insurance. He was so good, I strongly considered going through with it out of network.Response from the ownerGreat thanks so much for the kind words. Hope you’re doing well. Terri BoehnerTerri Boehner ★★★★★ Dr. Ferris is amazing. He throughly diagnosed my problem and provided me with the information I needed for a solution to my issues. I recommend this facility and Dr. Ferris for all sinus related problems.Response from the ownerThank you, Terri! We appreciate your recommendation! jansen romejansen rome ★★★★★ Personable and genuine staff with your best interest in mind!!Response from the ownerThank you Mr. Rome. It was a pleasure taking care of you. Chris BrownChris Brown ★★★★★ PA Ferris and the staff are outstanding. I received valuable information as to my health and plan to follow up with allergy testing. If you are military and have post-overseas burn pit exposure symptoms also recommend AESC.Response from the ownerThank you, Chris! We appreciate your kind words and are grateful for the opportunity to provide you with valuable information regarding your health. We're glad to hear that you found our staff outstanding. If you have any further questions or need assistance prior to your follow-up , please don't hesitate to reach out. Bonny HerndonBonny Herndon ★★★★★ I always get the very best care at Atkins Sinus Center. I’ve been a patient here for several years and they are always responsive to my needs. Additionally, they are thorough, compassionate, and friendly. PA Mike Ferris is just the best!Response from the ownerThank you so much for your kind words, Bonny! We truly appreciate your loyalty and trust in our care. It's wonderful to hear that our team has been responsive, thorough, and compassionate during your visits. We'll be sure to pass along your compliments to PA Mike Ferris. Take care and hope you start feeling better soon. Mona EchardMona Echard ★★★★★ Positive experience, felt seen and heard when I talked about my sinus issues!Response from the ownerThank you, Mona! We're glad we could provide you with a positive experience and make you feel seen and heard regarding your sinus issues. Look forward to your follow-up. Clint MorrisClint Morris ★★★★★ This is a practice that "gets it." Their communication is clear before, during, and after your visit. Treatment plans are explained, and Dr. Atkins has me breathing normally for the first time in more than a year. The entire staff shows attention to detail and true care for patients and their wellness. In a time where healthcare is having challenges at every turn, Dr. Atkins is worthy of the highest recommendation. Quality of life restored with Atkins Expert Sinus Care!Response from the ownerThanks Clint! Appreciate the kind words! S. StevensonS. Stevenson ★★★★★ PA Mike Ferris listens intently, and seeks to find treatment that makes you feel comfortable and confident. 5 stars without a doubt!Response from the ownerThank you for your kind words, S. Stevenson! We appreciate your feedback and are glad to hear that PA Ferris provided such attentive and personalized service. Have a Happy Holidays!!!! Cecilia TylerCecilia Tyler ★★★★★ Always professional and listens.Response from the ownerThank you for your kind words, Cecilia! We appreciate your feedback and are glad to hear that our team was professional and attentive to your needs. Ino BadilloIno Badillo ★★★★★ This was my first meeting with Dr. Atkins and his staff. It was very pleasant, professional and receptive. Dr, Atkins was very informative and explained everything well. I enjoyed my visit.Response from the ownerThanks for the kind words. Happy to help. Raquel “ROCKY” RecioRaquel “ROCKY” Recio ★★★★★ I went to see Dr. ATKINS for the first time & I was really impressed. He was so nice, friendly & very knowledgeable. He knew right away what I was needing help on & it felt great. Not only that but his whole staff was also so polite & wonderful. I’m hoping that I can make his clinic the place I can go back to every time I have issues with my allergies. Dr. ATKINS seemed to me like someone that cares for his patients & that’s wonderful to see!!Response from the ownerThank you, Raquel! We're glad you had a positive experience with Dr. ATKINS and our staff. We appreciate your kind words and look forward to being your go-to clinic for any allergy issues. David MorrillDavid Morrill ★★★★★ A friendly, professional staff and a clean modern facility. Mike Ferris examined me and fully explained his findings and discussed possible/recommended treatments. Everyone I met there was super nice and made me feel welcome. I highly recommend these folks.Response from the ownerThank you so much for recommending us, David! We're glad you had a positive experience with our friendly and professional staff. Providing a clean and modern facility is important to us. We're happy to hear that PA Mike Ferris took the time to fully explain his findings and discuss treatments with you. We appreciate your kind words and hope to see you again soon! Letty EstradaLetty Estrada ★★★★★ It was my first visit and meeting Dr. Atkins, and I loved it! The staff were so efficient and nice, Dr. Atkins was FANTASTIC! He reviewed my file and wanted an up to date ct scan to know exactly what was going on with my breathing issues. He did not try to sell me anything just straight to the point and prescribed some anti-biotics and off I went. The best part I did not have to wait a long time to see him!!Mary DobsonMary Dobson ★★★★★ I was promptly seen, staff was efficient and professional.Marlene ValenzuelaMarlene Valenzuela ★★★★★ The best ENT office in San Antonio! Dr. Atkins, PA-Ferris, and the entire staff from receptionists to nurses were all exceptional. I was so anxious about surgery and everyone was so comforting, even for my pre and post-op visits. If you’re dealing with any sinus/allergy issues, this is the place to be seen and treated at.Adriana PerezAdriana Perez ★★★★★ Dr. Atkins and his team made me feel comfortable during my procedure. Love how friendly and helpful they are. The next day after surgery Dr.Atkins checked on me to see how I was feeling. That made me feel good because it shows me how they care about there patients.ChrisAndAmanda PassmoreChrisAndAmanda Passmore ★★★★★ Dr Atkins and PA Ferris both take the time to explain and answer questions. Dr Atkins even texted me personally the day after my surgery to check on me.Jimmy MayfieldJimmy Mayfield ★★★★★ Thank you for taking me in as a new patient, and providing me with excellent care !I came in with a broken septum, and allergies. I was prescribed nasal sprays and a referral for my septum. Thank you again !Kareem SalamaKareem Salama ★★★★★ I was referred to Dr. Atkins office by a former patient who had a great experience, and I must say, I was not disappointed. From the moment I walked in, the staff was welcoming and efficient, and the office was modern and clean.Dr. Atkins was knowledgeable and professional, listening to my concerns and explaining everything in detail and providing a comprehensive treatment plan. The staff were exceptional, and I left feeling grateful for the care I received.Ronald DavisRonald Davis ★★★★★ Everyone I met at Dr Atkins was professional and courteous. Felt confident they knew what they were doing. I’m already feeling better after a few days of meds. Hoping this regimen will solve a problem that I’ve had for a long time. Should have went sooner.Shasta BillingsleyShasta Billingsley ★★★★★ Dr Adkins shows professionalism and courtesy. He and his team (Hector, has been with him for 13 years), are by far better at diagnosing and meeting patient’s needs than most. He took time to correctly diagnose my issues and I knew I was in great hands. Thank you for being a true leader in your field.James LaneJames Lane ★★★★★ Very knowledgeable and professional.Michael BustamanteMichael Bustamante ★★★★★ I’m very pleased with your serviceDr. Atkins has the best team, working for him. I’m very pleased with everything y’all have done for me.Thank You, Thank You, Thank You !!!Michael BustamanteAlexandra Natasha RosadoAlexandra Natasha Rosado ★★★★★ This office was clean, staff was incredibly kind, Dr. Atkins demonstrated he is very knowledgeable in his field. Truly impressed with this office.Cecilia TylerCecilia Tyler ★★★★★ I felt Dr Adkins listened ; tested, and then made recommendations with follow up scheduledAigeeAigee ★★★★★ Overall very positive experience.Dr Atkins is knowledgeable, kind, honest and easy to talk to. When I asked questions he was glad to answer kindly.I say, take notes or ask him to write down these unusual medical terms for you. He wasn’t pushy on surgery or procedures. He just gave options and let me decide.All the staff like Yunique, imaging tech Raul , etc were very nice and caring. My only complaint was the long wait. But Dr Atkins was apologetic, which is rare these days to get an apology. Was worth the wait.I don't trust doctors especially after what the medical establishment has done in mishandling covid treatment and shots for money and hidden agenda. It was nice to have my trust reassured with Dr Atkins.Steven DrewSteven Drew ★★★★★ Excellent staff. Dr "Jim" is a very confident and helpful doctor. Highly recommended.Nannette BordenNannette Borden ★★★★★ The staff and Dr. Atkins were all very helpful and professional. I am so happy to find a doctor in San Antonio that is easy to talk to and great at explaining what I need to know about my sinuses.Jon JeppesenJon Jeppesen ★★★★★ Impressed with Dr Atkins and staff. Very knowledgeable and friendly. Procedure went well, instruction for pre and post procedure were thorough. Dr. Atkins followed up day after procedure to see how I was doing.

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