John, I have a deviated septum that, after surgery years ago, was different but no better. I consulted with a few ENT surgeons and studied 'second surgery studies and the caution from surgeons that I could possibly be no better off with another surgery. (The first surgery left me with less cartilage, ergo less structural material.)

One of the best surgeons I could find, who advised against surgery, started offering the Vivaer radio-frequency protocol a few years later. I had that and it increased breathing comfort significantly with no cosmetic difference and no further loss of cartilage.