Deviated Septum and Rhinoplasty? Can I Get Them Together?

A septoplasty and rhinoplasty can be performed simultaneously and are done quite often in our practice.  Septoplasty is performed out of necessity for breathing dynamics through the nose and the procedure is billed to the patient’s medical insurance.  Rhinoplasty will take an hour to an hour and a half to perform at the same time under 1 general anesthesia.  The patient is responsible for the rhinoplasty cost, as it is an elective cosmetic surgery.

Great question. This is one of the most common procedures that a lot of us perform. It is very easy to combine both septoplasty to straighten the septum with a rhinoplasty to straighten the nose. However, only the septoplasty is covered by insurance, and septoplasty alone may not straighten the nose unless it is the only thing contributing to deviation. Most of the time you need to do both septoplasty and rhinoplasty, with the rhinoplasty portion being considered cosmetic and therefore an out of pocket expense.
-Dr. David Mattos, New York Plastic Surgical Group

Your history suggest that you have a post-traumatic nasal deformity and deviated nasal septum with resultant airway obstruction. Under these circumstances it’s not unusual for plastic surgeons to perform rhinoplasty and septoplasty in combination. This approach has significant advantages including improved aesthetics, lowered cost and one recovery.

                It’s virtually impossible in your case to make a specific recommendation without a physical examination and pictures. If you’re considering this approach it’s important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic deformity and achieves your aesthetic goals.