Rhinoplasty without septum work?

Question

I am considering a cosmetic rhinoplasty. My nasal septum is slighty deviated with no symptoms. I would like to undergo a rhinoplasty without any septum correction. Is it possible ?

Toby Mayer, MD · Answer

Yes a rhinoplasty can be done without any septal work if your septum is straight. If you have any septal deviation that is minor it does not have to be corrected but usually insurance will pay for this portion. The most important thing is choose a very

Nima Shemirani, MD · Answer

Dear Yael1,You can have a rhinoplasty without a septoplastyTypically we do harvest a little septum to support your nose so that your results last your lifetimeIn addition, if you are making the nose smaller from the outside, we should improve the airway on the inside to avoid breathing problems after surgeryWhen you are ready, please see a rhinoplasty specialist who can address all of your concernsBest,Dr. Nima

Eric J. Yavrouian, MD · Answer

A rhinoplasty can be done without a septoplasty. However, depending on the intended cosmetic changes, cartilage grafts may be useful and are usually harvested from the septum. If there is a significant septal deviation, I recommend a septoplasty at the same time to ensure the best breathing outcome as well. It is best to consult with a surgeon is who is experienced both in cosmetic rhinoplasties and septoplasties.

John Layke, DO, FACS · Answer

Sometimes, a deviated septum causes a portion of the nose to appear slightly twisted, depending on the severity.  The first question would be, what is your fear of having your septum straightened?  I would recommend consulting with a Board-Certified plastic surgeon who will accurately assess your nose and offer you options.  A simulation should be created which show you what your nose could look like after surgery, and they will determine whether septal work would be recommended.  Good luck!

Gerald Minniti, MD, FACS · Answer

Hello,Rhinoplasty is a surgery that can correct both functional and cosmetic issues associated with the nose.  The septum is integral to both of these issues. If you are having a cosmetic rhinoplasty and your septum is deviated, it may have a cosmetic impact on the appearance of the bridge and may make your nose look crooked after surgery. If your surgeon is concerned with this potential problem you should heed her warning that a septoplasty is necessary.Best of luck!

William Portuese, MD · Answer

A septoplasty is performed for medical necessity when there is a blockage of air flow through the nose. If there is no blockage of airflow, a septoplasty is not required. A rhinoplasty can be performed as a stand-alone procedure as long as there is no pre-existing nasal obstruction issues, since a rhinoplasty will not improve air flow through the nose, only improve the appearance of the nose.

Jose M. Soler-Baillo, MD, MS · Answer

Thanks for your question. Yes a rhinoplasty can be performed without septal work, but you might want to consider straightening the deviation. All the best,

Afshin Parhiscar, MD · Answer

Dear Yael1The answer is yes unless your septal deviation is high up on your septum and will become noticeable once you have had a dorsal hump reduction.

George Sanders, MD · Answer

Many cosmetic rhinoplasties do not require any septal work. In some cases, however, changing the external appearance of the nose may result in the slight septal deviation producing either a cosmetic deformity and/or a breathing problem. If that is anticipated, it would be prudent to correct the septal deviation at the same time as the cosmetic rhinoplasty is done.Your best bet is to visit with a qualified plastic surgeon and have the doctor examine you and make appropriate recommendations.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and YES it is possible but would require an examination to see if it is desirable Dr Corbin

Rhinoplasty without septum work?

Answers (13)

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