Would it be possible to have deviated septum and sinus surgery all in one? (Photo)

Question

I suffer from constant sinus infections, headaches and breathing issues. I just had a CT scan and I have a deviated septum, septal spur, bilateral concha bullosa, hyper trophy of the turbinates and ridicular cysts involving the maxillary second and third molars. Would it be possible to have a plastic surgeon fix all of this in one surgery or would I need an ENT? I already have a large nose that I am not happy with and would like to have it corrected at the same time if possible. Please help!

Steven M. Denenberg, MD · Answer

The rhinoplasty is an intricate, complicated operation, and should not be done at the same time as sinus surgery. A septoplasty is often part of a rhinoplasty, so combining those two is perfectly okay.

Do you know whether you *must* have the sinus cysts corrected? If that's an optional procedure -- in other words, if it's something you can just watch and maybe never have operated on -- then you could have the septorhinoplasty and postpone thinking about the sinus surgery. If the sinus surgery is mandatory, you should have that done first, and *then* do the septorhinoplasty. Let the surgeon performing the rhinoplasty do the septoplasty. It's less than ideal to have the sinus surgeon do the septoplasty and then have another doctor do the rhinoplasty.

Lexie Wang, MD · Answer

You should go to a FACIAL plastic surgeon, which are ENT doctors who are trained to do facial plastic surgery. A general plastic surgeon does not get any training in sinus surgery. ENT/facial plastics do. Alternatively, you could also have them treated separately (sinus/functional work to be covered by insurance by ENT and the cosmetic to be done by a plastic surgeon), but why not get the best of both worlds?

Jeffrey H. Spiegel, MD · Answer

This is a situation where you will want a facial plastic surgeon specifically.  These doctors typically also trained in ENT and are experts in airway and sinus disorders as well as in making your nose look the way you want.

William Portuese, MD · Answer

It is certainly possible to do sinus surgery, breathing surgery, such as a septoplasty, and cosmetic rhinoplasty all in one setting. It's going to be best to seek out a double board-certified ENT/facial plastic surgeon who can accomplish both functional and cosmetic nasal surgery under one anesthesia with one recovery. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so start by searching for a rhinoplasty specialist first. Your prospective surgeon will also want to take a look at the CAT scan images themselves, and the report, so make sure you forward that over to them for review. If the cysts are in your maxillary sinus, that's addressed with sinus surgery simultaneously as the rest of the function of breathing surgery. If your cysts are located within the molar teeth, that will need to be addressed separately by an oral surgeon.

Would it be possible to have deviated septum and sinus surgery all in one? (Photo)

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Answer: Would it be possible to have a deviated septum and sinus surgery all in one?

Answer: Would it be possible to have a deviated septum and sinus surgery all in one?

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Everything you need to know about Septoplasty

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Would it be possible to have deviated septum and sinus surgery all in one? (Photo)

Answers (4)

Answer: Would it be possible to have a deviated septum and sinus surgery all in one?

Answer: Would it be possible to have a deviated septum and sinus surgery all in one?

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Recommended reading

Everything you need to know about Septoplasty

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