Can a nasal septum deviation be corrected at the same time as maxillary orthognathic surgery?

Question

I'm hoping to get orthognathic surgery in the next couple of years to correct a bite issue, which I believe I would need my maxilla moved slightly forward and downward for. My nose is off-center and I have some septal deviation to that side as well, which has partially occluded that nostril. I'm wondering if this will be even more apparent in photos than it already is (it's quite noticeable, unfortunately) after orthognathic surgery, so would like to consider having both done at the same time.

William Portuese, MD · Answer

It is probably best to separate these 2 procedures out in time. Best to have the orthognathic surgery performed first. The orthognathic surgery is typically performed by oral surgeon and and the nasal surgery is performed by an ENT facial plastic surgeon.

Michael Elam, MD (retired) · Answer

While I perform a lot of septoplasty surgeries I personally do not perform orthognathic surgery.  I do a lot of rhinoplasty, septoplasty and chin augmentations on patients who have already undergone maxillary orthognathic surgery. If it was my patient I would have them do the orthognathic procedure first and then any cosmetic procedures secondary so you can best judge the aesthetics needs based on their post operative result. Best regards, Michael V. Elam, M.D.

Can a nasal septum deviation be corrected at the same time as maxillary orthognathic surgery?

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