I believe I have a deviated nasal septum, what surgery do I need? (Photos)

Question

I believe i have a deviated nasal septum which has been bothering me for sometime. I would like to have my surgery done ASAP (before July) and need advise on what surgery i need as everyone keeps telling me different. Will be self paid

Daniel Barrett, MD · Answer

Dear amyclarke910,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing photos along with your question. Based on these images, you do appear to have a deviated septum –although a face-to-face evaluation is still best to confirm this. Septoplasty is the surgical procedure that can address a deviated septum. The procedure will straighten the bone and cartilage dividing the space between your two nostrils to achieve symmetry and correct any breathing issues.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have a deep understanding of the functional and aesthetic elements of nasal anatomy. Your surgeon will assess your nose, recommend the best approach to address your concerns and goals, and help ensure the best possible results.

Gregory S. Dibelius, MD · Answer

Hi!
This is a great question, and the photos you provided are excellent and show the issue clearly.
Your septum is indeed deviated. However, the important thing to point out about your particular septal issue is that it is a specific part of the septum that is deviated, which changes the way a surgical correction is done. As you can clearly see from the photos, the very front of the septum is what is twisted and deviated. This part of the septum is the "caudal" septum, and it is actually the most difficult part of the septum to correct. Most of the time, successful correction of this part of the septum involves an open rhinoplasty approach where an incision is placed across the columella to access the septum, as opposed to the more traditional "closed" septoplasty approach, where all the incisions are hidden inside the nose. Unfortunately, this closed approach, in my opinion, would be very difficult to near-impossible to correct this type of septal deviation. In fact, ENT surgeons often refer these types of deviated septums to facial plastic surgeons who can perform more advanced types of surgical procedures. 
Hope this helps. Good luck!

Karthik Ram, MRCS, DNB · Answer

Hello amyclarke, 
You have a grossly deviated nasal septum, along with ala base and nostril asymmetry. You definately need septoplasty and rhinoplasty which can be combined as a single surgery. More detailed examination can be done only in person so as to make an appropriate surgical plan for you. Do consult a board certified plastic surgeon who will help you better. 
Hope the advice helps. Thanks for your query here

Zoran Potparic, MD · Answer

There is no doubt that you have severe septal deviation and related external nose deformity. Your surgery should include both functional reconstruction of nasal passages (septoplasty) and correction of external nose deformity (rhinoplasty). This is done in a single surgery. In person consultation with board certified plastic surgeon, expert in rhinoplasty is recommended. Good luck.

I believe I have a deviated nasal septum, what surgery do I need? (Photos)

Answers (10)

Answer: You need septorhinoplasty

Answer: You need septorhinoplasty

Answer: Septo-rhinoplasty

Answer: Septo-rhinoplasty

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

I believe I have a deviated nasal septum, what surgery do I need? (Photos)

Answers (10)

Answer: You need septorhinoplasty

Answer: You need septorhinoplasty

Answer: Septo-rhinoplasty

Answer: Septo-rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.