Is it possible to repair a deviated septum and fix aesthetic issues? (Photo)

Question

Is there a way to have my septum fixed and have the hump on my nose ground down and whatever other corrective means to make it smaller?

Semih Yildiz, MD, FEBOPRAS · Answer

Yes. A functional septoplasty can usually be performed at the same operation as cosmetic rhinoplasty, often called a septorhinoplasty. In your side-view photo, there is a visible dorsal hump and the tip appears relatively projected and mildly droopy. Hump reduction and conservative tip refinement may create a smaller, more balanced profile, but the frontal width, symmetry, and nasal base cannot be judged from this single image.

An external photo cannot show how deviated the internal septum is or identify other causes of obstruction. An in-person examination should assess the septum, turbinates, nasal valves, skin thickness, and the strength of the tip and middle vault. After lowering a hump, osteotomies and/or structural grafting may be needed to close an open roof and preserve breathing. The goal should be a natural reduction without weakening the support or over-narrowing the airway.

A facial plastic surgeon or plastic surgeon experienced in both functional and cosmetic rhinoplasty can determine which changes are safe and whether all of them can be addressed in one operation.

Eric M. Joseph, MD · Answer

Whenever somebody has dissatisfaction with their nasal appearance, and also has breathing issues, we always repair both at the same time. It is a mistake to have septoplasty, or other functional issues addressed without the cosmetic issues, if they're going to continue to bother you. Wishing you well moving forward. Sincerely, Dr Joseph

Steven M. Denenberg, MD · Answer

Couple of recommendations in selecting a surgeon: make sure you see the doctor's before and after photos of other patients. Make sure the doctor makes morphs of your photos to show you what he has in mind for your nose, so you can approve or disapprove, make changes to the morphs, and come up with a goal that you like AND that the doctor thinks he can actually accomplish.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. It is very safe and normal to have sub septoplasty performed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Gary M. Horndeski, MD · Answer

Your photograph is very limited.  However, it appears you would benefit from a rhinoplasty and septoplasty.

Best Wishes,

Gary Horndeski, M.D.

Alejandro Nogueira, MD · Answer

That peculiar name refers to a type of nose in which the pyramid, the hump, the nasal bones and the triangular cartilages are overdeveloped, this is too large, however there is a constriction at the skin cover and the cartilages forming the lower third of the nose (tip, alae, colulmella, infratip, etc.).

This is a very difficult and tricky type of nose, the surgeon has to weaken and reduce the upper two-thirds and at the same time reinforce and eventually augment or at least over support the lower one-third, by means of powerful grafting within structure rhinoplasty.

Read at the link below to know more about tension noses and their treatment, also some images of real cases.

Caner Kacmaz, MD - Account Suspended · Answer

Absolutely . Narrowing the nose base,removing the bump, reducing the projection of your nose, fixing the hanging columella, fixing the deviation and giving it some more definition will give you the best results while keeping your nose’s masculinity. Best of luck to you.

Is it possible to repair a deviated septum and fix aesthetic issues? (Photo)

Answers (7)

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