there is no reason to be concerned about fusion. Besides the fact that it is very uncommon to have scarring like that, it can be prevented by using silicone sheets to line the septum. If your turbinates are big they should be reduced.
Turbinate surgery is only performed when the inferior turbinates are significantly enlarged and blocking airflow. A septoplasty is performed when there's a deviated nasal septum present that's blocking airflow on either one or both sides of the nose. A rhinoplasty is performed only for cosmetic purposes. Both functional and cosmetic nasal surgery can be performed at same time under the same anesthetic with the same recovery period. Careful dissection and technique are important not to get any adhesions between the septum and the inferior turbinates. All three procedures are frequently performed when needed.
It is very common to do septoplasty and turbinectomy at the same time. To prevent fusion between the septum and the turbinates simple precautions like using lots of saline, using splints for a week to keep the turbinates away from the septum and regular follow ups with the doctor to identify any fusion that can be taken care of in the office. RegardsDr. J
Turbinate reduction or outfracture is routinely done with most septal surgeries. It is commonly a problem because when the septum is deviated then the turbinates usually are inflamed on the opposite side. If your surgeon is not able to address them at the same time then you should find someone else. It does not sound like that person is comfortable or familiar performing many functional rhinoplasties
in most of the rhinoplasties I do I perform a turbinate reduction at the same because it helps significantly with breathing. Unless they are repairing a septal perforation at the same time there typically isn't a contraindication to fixing the turbinates. I would seek a second opinion from a facial plastic surgeon who is accustomed to fixing the turbinates at the same time as the rhinoplasty. Good luck!!!