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.