They should be done together. One surgery, one recovery, one anesthesia.In my experience, half of my rhinoplasty cases get some type of septal cartilage graft. I wold hate to lose cartilage or have it damaged.
Dear mking91, A septorhinoplasty is a combined procedure of septoplasty and rhinoplasty. The "septo" portion addresses the functional aspects and the "rhinoplasty" portion addressing the aesthetic aspects. You do not want to separate these procedures and do a septoplasty first EVER! I always address the septum in any patients that have nasal surgery as an integral part of all rhinoplasty procedures so that each nose is aesthetically pleasing and functional. Seek consultation with surgeons skilled in septorhinoplasty so that you have one procedure, one fee, one surgeon, one excellent result. Best regards, Michael V. Elam, M.D.