Is a plastic surgeon a good choice for fixing a deviated septum?

It may sound strange but I like the way my nose looks, it just doesn't work that well, especially the right nostril. I had an E.E.N.T. doctor do this when I was 17, but the results were not very good. I'm 53 now, and haven't found the obstruction any easier to deal with. Should I go to a plastic surgeon to get the deviated septum fixed?

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23 answers to “Is a plastic surgeon a good choice...”

A: Find a Rhinoplasty Surgeon who has experience correcting both functional and cosmetic issues

C. Spencer Cochran, MD

Choosing a qualified surgeon is the most important decision you can make when deciding to under go nasal surgery.  First and foremost, choose an surgeon who specializes in nasal surgery and who has experience correcting both functional problems (such as a deviated septum) and cosmetic problems. While... more

A: Plastic Surgeon is a good choice for deviated septum

Gregory Turowski, MD, PhD

Often patients seeking a rhinoplasty complain about some breathing problems which are caused by deviated septum. An experienced board certified plastic surgeon should be able to examine your nose and evaluate the problems. During the consultation you should be explained what is causing the nasal airway... more

A: Accurate diagnosis and treatment plan are more important

Nick Slenkovich, MD

As a surgeon that has completed full residencies and holds current board certifications in both Plastic Surgery and ENT (American Board of Plastic Surgery and American Board of Otolaryngology-Head and Neck Surgery), I can tell you that an accurate diagnosis is a vital step toward treating your symptoms. To... more

A: Seek a rhinoplasty surgeon well versed with this procedure

Sanjay Grover, MD

You should seek out a rhinoplasty surgeon who is well versed with this procedure. Many surgeons who perform many cosmetic rhinoplasty procedures should be comfortable evaluating and treating nasal obstruction. However, this is not always the case and a patient should feel comfortable asking their surgeon how... more

A: Figure out the problem first

Otto Joseph Placik, MD

The most important issue is to determine the cause of the obstruction, which may not be structural in nature. There are many causes including allergies which may better be treated with medications rather than surgery. First, figure out the problem. This may take several specialists including an allergist, ENT... more

A: Depends on the surgeon's training

William Portuese, MD

An ear, nose and throat doctor (otolaryngologist) is more qualified to fix a deviated septum. Deviated septum is a functional problem associated with breathing and is a procedure that is frequently done in most ear, nose, and throat doctors’ offices and surgery centers. Most facial plastic surgeons have... more

A: Fixing a Deviated Septum

Daniel Reichner, MD

I believe that most well-trained plastic surgeons can diagnose and treat your functional nasal airway problem(s) .  The most important step is determining the cause of your functional problem(s) - residual septal deviation, enlarged turbinates, internal nasal valve collapse or external valve issues. Each... more

A: Surgeon dependent not specialty dependent

Anil R. Shah, MD

Anytime there is nasal obstruction, you should focus on the cause of nasal obstruction which can be from septal deviation as well as internal and external valve collapse, enlarged turbinates, septal perforation, and a host of other medical conditions which can cause nasal obstruction. Within the fields of... more

A: Plastic Surgery and Repair of a Deviated Septum

Raffy Karamanoukian, MD

Every subspecialist has a particular practice emphasis.  Plastic surgeons are well trained in the functional, structural, and aesthetic elements of a septorhinoplasty. It is ideal to consult with a plastic surgeon to not only correct your functional airway obstruction but to also lend aesthetic harmony to... more

A: Redo Rhinoplasty

Steven H. Williams, MD

There are some great answers here.  I agree that both ENT (facial plastic surgeons) and plastic surgeons are well trained to handle this issue. However, what you should focus on is finding a surgeon that also has experience in redo rhinoplasties.  Trying to fix a problem a second time around can lead... more

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Comments

i think the best choice for functional problems of the nose are ent surgeons.although many plastic surgeons are very good on septoplasty.

Scott M.
2 posts
13 Jan 2009

I have had nasal and airway surgery in 1984. My 18 year old son just had it this past November by the same doctor who is fantastic. We both have had great results no pain and little bruising with our surgery.

Scott M.
2 posts
13 Jan 2009

We both had airway reconstruction also. Both of us had badly broken noses. My son's was much worse than mine his right side airway was crushed.

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