I am planning for septoplasty (deviated septum) but should I consider rhinoplasty? (Photos)

Question

I first investigated non-surgical rhinoplasty. It was at this time it was identified I had a deviated septum. Therefore, I investigated a correction of deviated septum with my medical provider and now am planning for a septoplasty. However, I know it will not change the actual shape or look of my nose. Breathing through my nose is the priority, but I wanted to know the opinion of other Dr.'s if I should actually consider rhinoplasty? I have a small hump on my nose and its downturned.

Jeffrey Joseph, MD, FACS · Answer

While a septoplasty is a surgical procedure intended to improve breathing, a rhinoplasty is a cosmetic procedure based on appearance.  If you are displeased with your nose’s appearance, proceed with the rhinoplasty as well!

Nima Shemirani, MD · Answer

Hi @shobogen2! Thank you for sharing your photos. A septoplasty is a procedure to improve the airway.  Removal of a dorsal hump and reduction of the size of the nasal tip are part of a cosmetic rhinoplasty. The two procedures are often performed simultaneously in people who wish to improve both the appearance of their nose and the airway. Best of luck, Dr. Nima!

Caner Kacmaz, MD · Answer

Yes you can Consider.
Thank you for you for your question. I would recommend Rhinoplasty with the latest Ultrasonic Rhinoplasty device Piezo®:

In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient. our question.

Behrad Brad Aynehchi, MD · Answer

Thank you for taking the time to share your question and photos.
The best option for you is to find a surgeon that is board certified in both facial plastic surgery and otolaryngology in order to properly address your aesthetic and functional needs. There are many advantages to doing rhinoplasty at the same time as septoplasty, including combining the downtime, possible cost reduction of the operating room fees, and being able to use grafts from the septum during rhinoplasty. The enhancement you are looking for can potentially be addressed with a closed scarless rhinoplasty. In the hands of a properly experienced surgeon, this technique is beneficial because of the avoidance of a scar on the outside of the nose, much more rapid and comfortable recovery compared to an ‘open’ rhinoplasty, and less disruption of the nasal tissues. Additionally, if you have nasal breathing issues, you may be able to use your health insurance to offset a significant portion of the cost.

Good luck!
Behrad Brad Aynehchi, MD

Ronald J. Edelson, MD · Answer

It’s entirely up to you if you want cosmetic changes as well as correction of breathing problems. However, don’t take it for granted that the surgeon who dies the septoplasty is also experienced with cosmetic rhinoplasty. Make sure you go to someone who dies both.

Toby Mayer, MD · Answer

Rhinoplasty with a septoplasty for a more feminine and attractive nose. Yes, your hump can be removed and your nose straightened and slight tip refinement etc. which should be done by a very experienced rhinoplasty surgeon. Don’t rely on imaging but rather actual results that don’t look like a nose job!

Jeremy B. White, MD · Answer

Fixing a deviated septum is a pretty routine part of my rhinoplasty procedure, especially when it helps me to get the cartilage grafts that I need to finish the job. If the aesthetics of your nose bother you, it is best to get the rhinoplasty done at the same time as the septoplasty so that that cartilage material doesn’t go to waste.

Samir Shureih, MD · Answer

Most normal people have a deviated nasal septum.
If there are no breathing issues related to the nasal septum then there is no reason to do any surgery.
If you want and desire rhinoplasty for cosmetic reasons then see a Board Certified Plastic Surgeon for cosmetic rhinoplasty which may include septoplasty for many reasons

William Portuese, MD · Answer

A septoplasty is performed in the back of the nose to improve airflow dynamics, and is only performed for medical necessity. A  septoplasty will not change the shape of the nose. If you're trying to change the shape of the nose, then consider a cosmetic rhinoplasty performed at same time. A closed rhinoplasty approach can accomplish straightening the nose, refining the nasal tip, and shaving down the dorsal hump with all the incisions placed on the inside of the nose. No external incisions are required. Rhinoplasty is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience

Robert Singer, MD · Answer

The areas that concern you can be realistically improved with an artistically performed rhinoplasty at the time of the septoplasty.
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Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

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