Is it necessary to have a septoplasty and a SMR turbs surgery? Why do I need the SMR turbs done?

If you have breathing problems but don’t need anything done for the appearance. Septoplasty and turbs should suffice. If you need external work done to improve the appearance you likely need those other Items done as well.

From what you’ve written, it appears you have significant nasal obstruction. The septoplasty, spreader grafts, and turbinates are all procedures done to improve your nasal airway.

There are many issues that can cause nasal obstruction on the inside of the nose. The turbinates are enlarged usually from allergies, so it is best to try medical management first with nasal sprays and antihistamines and decongestants before making them surgically smaller. a septoplasty is performed to straighten a deviated septum which is usually the result of trauma. The septum is usually pushed over to one side causing unilateral nasal obstruction. Turbinate hypertrophy usually causes bilateral nasal obstruction. Osteotomies are performed to straighten the Nasal bones. Bilateral spreader grafts are placed for valve collapse in the midportion of the nose where there are concave upper lateral cartilages. If you are trying to change the shape of your nose, that is considered a rhinoplasty which is cosmetic and must be paid for by the patient. Functional breathing related surgeries are billed to the patient's medical insurance once medical necessity has been documented at the time of the examination.