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Dr. Pasha has performed well over 3,000 septoplasties in the operating room but is now performing a newer technique in the office called Balloon Septoplasty.

The wall that divides the left and right side of the nasal cavity is called the septum. It is made of thin bone and cartilage and if “bent” or “deviated” can cause nasal obstruction and sinus related problems. Traditionally, deviated nasal septums are repaired in the operating room with a operative procedure called a septoplastySimilar to in-office balloon sinuplasty, Dr. Pasha is now utilizing the same balloon technology as a tool in the office to repair the septum without requiring you to go to the operating room. For those who qualify, an in-office balloon septoplasty has the advantage of requiring no general anesthesia, minimal to no post-operative pain, no time off work, no splints or packing, and finally you save on hospital costs.


Balloon Septoplasty is an FDA-approved technique in which your nose is first “numbed up” using primarily topical anesthetic solution placed on cotton in your nose for 20-30 minutes. A balloon-like catheter is then placed on either side of the septum in the nose and inflated “pushing” the septum to a more favorable position. The balloon catheter is then removed and repeated on the opposite side. Once complete, Dr. Pasha may remove any sharp spurs or projections on your septum to further improve your breathing. Often balloon septoplasties are performed with an in-office balloon sinuplasty or turbinate reduction depending on your condition.

For most, balloon septoplasties are covered by insurance. The procedure causes minimal pain and recovery. You may return to work or school the same day. As you recover you will need to keep your nose moist with nasal salt-water spray as well as use corticosteroid nasal sprays to keep the inflammation down.

The risks of the procedure are quite minimum. The most common risks are bleeding or failure to correct (which may require a traditional septoplasty).

FAQ about Balloon Septoplasty

Does it hurt?

For the most part- no. However, it really depends on how well we can get you “numbed up” with the anesthetic. For majority of patients, they feel pressure and less pain. It would be similar to going to the dentist and having work done. Except you’ll be able to breathe better afterwards.

Which insurance companies cover In-Office Balloon Septoplasties?

Almost all major carriers as well as Tricare and Medicare cover the costs of in-office balloon septoplasties. You may be responsible for any deductibles and co-insurance depending on your plan.

I’m scheduled for a Septoplasty in the operating room. How do I know if I qualify for in-office Balloon Septoplasty?

There are a number of factors that determine if you qualify for an in-office balloon septoplasty versus a traditional septoplasty in the operating room. Some of the major factors include severity of the deflection, where the deviation occurs in the septum, and if there are other conditions that would be better served in the operating room (eg. severe nasal polyps). Dr. Pasha would ultimately have to spend some time with you in his office and examine your nose and your medical history.

Do you need to keep the balloons or anything in the nose after the procedure?

No, once completed there is no splints, packing, or balloons left in the nose. You may in fact, return to work or school later that day or the following day.

Dr. Pasha on Great Day Houston: Our New Balloon Septoplasty Procedure

Dr. Pasha discusses his revolutionary Balloon Septoplasty procedure to treat sinus & allergy and snoring & sleep apnea patients.

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