Is it easier to get a rhinoplasty with a septoplasty?

Hello, Great question. It is best to do both at the same time because a good rhinoplasty requires cartilage from the septum. The most important part here is going to be to choose the correct rhinoplasty surgeon. Rhinoplasty is a very complicated surgery and is different from all other on many levels. I do a lot of revisions and often try to understand where patients went wrong on their first surgery. Often times it was that rhinoplasty was added on as "just another procedure". Make sure the surgeon specializes in rhinoplasty. Sit down and review the changes, preferably using computer imaging. Understand what the surgery entails. Rhinoplasty is not a simple, remove the hump, cut the cartilage and call it a day type of procedure. We have to make sure we change things precisely and support them adequately. I have added a video for what to look for in a consultation, but make sure to check out the other videos as well, especially regarding the anatomy of the nose ... this will help you become a part of the conversation when discussing your nose. Good luck!

During a cosmetic rhinoplasty, the septum plays an important role as it is intricately involved in the function and shape of the lower 2/3 of the nose. Additionally, if grafting is required for your rhinoplasty, it is a valuable source of cartilage (that would likely otherwise be removed during a septoplasty. Most rhinoplasty surgeons would consider doing a rhinoplasty after a prior septoplasty had been done as a revision surgery. If possible, it is best to have this done by a surgeon trained in both functional and cosmetic rhinoplasty who can accomplish both in the same setting.

Based on our experience over 25 years, you would be most likely to achieve a functionally and cosmetically favorable result if the same surgeon addresses both your Airway and your nasal aesthetics at the same time. Since rhinoplasty is considered one of the most difficult facial plastic surgical procedures, one would think that someone who is able to perform rhinoplasty would be able to correct your deviated nasal septum as well. Additionally, we nearly always use somebody's nasal septal cartilage for nasal tip reconstruction and support. Hope this helps! Dr Joseph

Hello! Thank you for your question.
As far as I can understand from your question, We recommend deviation operation and aesthetic operation together, and if you want to have aesthetics afterwards, this will be planned as a revision rhinoplasty.
It would be better face to face consultation.
Best regards!

Hi , a facial plastic surgeon is highly qualified for both functional and aesthetic septo rhinoplasty. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

The #1 reason why we'd love to do a rhinoplasty and a septoplasty at the same time is that for the rhino to happen, we need cartilage, and what better source of cartilage is there than cartilage already from your nose/septum? If you do the septo first and then do the rhino in a year, it is very likely that you will not have enough cartilage in which case you may have to get cartilage harvested from somewhere else (ear/rib), which will incur an extra cost and recovery to you. At the same time, I would NOT encourage you to do a rhinoplasty unless you were 100% sure you wanted to do it because there is a lot of healing involved with rhinos, both physically and mentally, so it's not something you should do "Just because" you are getting a septo done too.

I recommend doing the rhinoplasty at the same time as the septoplasty. A plastic surgeon can do both procedures. The septoplasty can be covered by insurance and the rhinoplasty would be cosmetic.

Best Wishes,

Gary Horndeski, M.D.

Hi there. This is a good question. A septoplasty is normally done to address a functional issue (ie. difficulty breathing through the nose due to a deviated septum). A rhinoplasty is done for cosmetic reasons (ie. a nasal hump, deviated nose, a boxy appearing nasal tip, a downturned nose, etc).
If your concern is a functional one, a septoplasty is appropriate. If your concern is a cosmetic one, a rhinoplasty is appropriate. If your concern is both, then doing both in one surgery is the most ideal situation, for a couple important reason.
1. The cost surgery would typically be less because you're paying for anesthesia & facility fees only once.2. Performing a rhinoplasty at a later date once a septoplasty has been performed can be challenging. Anytime surgery is done on the nose, scar tissue forms, making a secondary surgery in the same area more difficult because of all the built up scar tissue. To what degree depends on how the septoplasty was performed. More importantly, when the septum is removed, it is normally used as graft material for a rhinoplasty (meaning its reused to help with creating structure for the cosmetic purpose of rhinoplasty). Once the septum has been discarded (ie. your first surgery where only a septoplasty was done), then your surgeon might have to harvest graft materials from other areas of your body (ie. behind the ear, a small part of one of your ribs) if they planning on using grafts to perform the rhinoplasty.
In short, know what your concerns are (functional, cosmetic, or both). If they are both, they ideally address both concerns in one surgery.
Hope this helps!

These should best be done together by a facial plastic surgeon who trained as an Otolaryngology expert first.

Hi @britneys445, Great question! I am a facial plastic surgeon and rhinoplasty specialist. I highly recommend doing the septoplasty at the same time as the rhinoplasty. The septoplasty aspect is critical to obtaining graft material for the rhinoplasty portion so you can get the best outcome. I recommend a consultation with a rhinoplasty specialist who would perform both portions in the same time. Best of luck, Dr. Ghazizadeh