Should I have a septoplasty?
In general, you are best off having your septoplasty and rhinoplasty at the same time to give your both better breathing and the shape that you want.
Look for an expereinced and properly trained plastic surgeon. See more than one consult and make a well informed decsion.
Dear re007, An in office consultation with an intra nasal examination will provide a proper diagnosis to confirm deviated septum. Any nasal surgeries you may need would be combined together in one procedure. Best regards, Michael V. Elam, M.D.
Broken nose with difficulty breathing
Thanks for the question. If your nose looks crooked from the outside from the fracture, there are ways to straighten it with a procedure called a nasal reconstruction (basically a medically necessary rhinoplasty). This can be done open or closed, depending on what exact maneuvers/grafts may be necessary. If needed, this nasal reconstruction should definitely be done at the same time as your septoplasty, because the cartilage from the septum can be very useful in straightening the outside of the nose and improving your breathing. It's actually more complicated to do these as separate procedures. Seek a consultation with a board-certified facial plastic surgeon or plastic surgeon, and make sure the surgeon specializes in rhinoplasty. Insurance coverage may be possible as well.
Nasal obstruction and septoplasty
Correcting the broken nose and performing a septoplasty would all be done together. Difficulty breathing can be caused by swelling of the
soft tissues on turbinates usually from allergies, airway obstruction from a
deviated septum, fractured nasal bones, polyps or large bony prominences from
the turbinates. Soft tissue swelling can
be treated by reducing exposure to allergens, and medications such as antihistamines
and steroids. The other listed problems
need to be addressed surgically. Best of luck, Dr. Michael Omidi
An in-person exam with a
board-certified plastic surgeon is the best way to assess your needs and
provide true medical advice. The response to the question does not
constitute a doctor patient relationship or formal advice.
Nasal obstruction and nasal deformity
Septorhinoplasty can be performed to address both of your concerns. This can be performed in one sitting. Please consult with a qualified surgeon so that he may fully evaluate and offer treatment.
The type of surgery you might need will depend on what kind of obstruction you have and what your nose looks like. It would be best to try do address all the problems at once so that you undergo general anesthesia once. I would recommend that you see a facial plastic surgeon who can balance the functional and aesthetic aspects of the nose. Good luck!
Rhinoplasty for crooked nose, septoplasty for breathing
There is no reason to have 2 separate nasal surgeries, so look for a surgeon who can perform both under one anesthesia with one recovery period. A closed rhinoplasty can accomplish resetting the nasal bones straight with placement of osteotomies in them. A septoplasty is performed in the back of the nose when there's twisted bone and cartilage blocking air flow. A septoplasty is performed for medical necessity to improve airflow dynamics. For more information and many examples, please see the link and the video below
Thanks for this question. I would recommend having your septoplasty done at the same time as any other nasal surgeries. Septal cartilage that may be necessary to smooth out any irregularities on the outside will be available during septoplasty. For a variety of reasons it is easier to do things all at once. The key is to get diagnosed first my an experienced physician who does a lot of septoplasties, to make sure you are receiving the correct treatment.