Will a deviated septum get in the way of a Rhinoplasty? (photos)

Hello and thank you for your question. Breathing problems, particularly those stemming from a deviated septum, can absolutely be addressed during your rhinoplasty procedure. Before moving forward with treatment, you’ll need a comprehensive endonasal exam to determine whether a combined septoplasty and rhinoplasty is right for you. I recommend scheduling a consultation with a board-certified facial plastic surgeon who has experience in performing both procedures.

Hello @Harrietty11 thank you for your question. One of the most important aspects to consider when performing rhinoplasty, which is also a procedure that we offer at our practice, is ensuring harmony with other features. We work closely alongside an ENT surgeon in order to ensure correct management and alignment of not only the septum but all facial proportions as well.In our work with patients undergoing rhinoplasty surgery, we make it a point to provide natural results that are completely corrected for functional problems. We never perform open procedures and always do closed rhinoplasties. Best wishes!

You are correct.Rhinoplasty can induce or worsen nasal obstruction.
Your deviated septum needs to be straightened with a Septoplasty (not an SMR - Submucosal Resection), at the same time as your Rhinoplasty.
You also are eliciting "nasal valving" (when you sniff in your nostrils collapse), and this needs to be addressed too, but it can make the nose a bit wider, so choose an experienced surgeon for your operation.(In general, Plastic and ENT surgeons use very similar techniques on nasal shape, but dealing with nasal obstruction is usually handled better by ENT surgeons, whose main nasal work is unblocking noses, clearing sinuses, and doing Rhinoplasties.)

Breathing problems can be addressed at the same time as rhinoplasty. An internal nasal exam would be needed to see if you need a septoplasty.

Thank you for the question and photos and during a well performed rhinoplasty your septal deviation should be corrected. So go on some consultations with experts and compare recommendations after a full examination and discussion of desired results

Dr Corbin

Hi and welcome to our forum!
It is a normal phenomenon for the nostrils to narrow during deep nasal inspiration as suction pulls the lax nostril skin and soft tissue against the nasal septum. I am not quite sure how hard you are sniffing.
A deviated (or displaced) septum from midline, encroaching upon the nasal airway, would obstruct the airway even during relatively shallow respiration. Endonasal examination is required to determine the source of obstructed nasal breathing. If there is an obstructed nasal airway, a septoplasty can be incorporated into the rhinoplasty (septo-rhinoplasty) without interference.
Visit a board certified plastic or nasal surgeon for evaluation and discussion.
Best wishes...