A septoplasty is designed to address functional issues related to a
deviated septum. Thus, any changes to the appearance of the nose fall outside
the scope of a septoplasty. However, it is not uncommon for patients to undergo
a cosmetic modification at the same time as a septoplasty. This combined
procedure, called a septorhinoplasty, can be an efficient way to correct a
nasal problem and improve the shape of the nose–particularly for those that are
certain that they want a rhinoplasty down the line. It best to discuss your objectives with an
experienced plastic surgeon to get an idea of possibilities.
A lot of patients wonder if a septoplasty will affect the
shape of their nose. The answer is that
it can but only if something went very wrong with the septoplasty. The septum separates the two nostrils and
acts a supporting structure for the nose (a tent pole is one analogy this is
good). If a septum is deviated enough it
will block one side of the nose and cause breathing problems.
A rhinoplasty refers to changing the shape of the outer nose
and is almost always a cosmetic procedure.
That said, the two surgeries are often performed together when a patient
desires nose reshaping and also has breathing problems due to a septal deviation.
I hope that helps.
Hi Harry. Septoplasty will correct for the deviated septum (wall between the two nostrils). It will not address the upper lateral nasal cartilages. This typically requires a rhinoplasty (may be performed at the same time as the septoplasty). Hope this is helpful.
Both of these issues can be addressed at the same time, but an examination would help elucidate your issues.
Kenneth Hughes, MD
Los Angeles, CA
The internal and external
nasal areas that you described and would like improved can be addressed with a
nasal surgery (rhinoplasty) and a septoplasty which are typically done at
the same time. A septoplasty alone will not improve the external appearance. A natural appearing nose can be achieved when the procedures are
performed by an artistic plastic surgeon with extensive experience in nasal
Keep in mind that following
the advice from a surgeon on this or any other website who proposes to tell you
what to do based on a limited two dimensional photo without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
be in your best interest. I would suggest you find a plastic surgeon certified
by the American Board of Plastic Surgery and ideally a member of the American
Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon that
you trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Robert Singer, MD FACS
La Jolla, California
I agree with my colleague, I would seek a Board Certified Plastic Surgeon in your area who does a lot of this surgery.
Stephen M. Davis, MD, FACS
Green Hills Plastic surgery
A septoplasty and a rhinoplasty are 2 completely separate operations. A septoplasty is performed for obstructing bone and cartilage in the back of the nose nose. This is known as a deviated septum and is performed for medical necessity to improve airflow through the nose. A septoplasty will not change the shape of the nose. A rhinoplasty can change the shape of the nose by straightening the nasal bones, straightening the cartilages and making the nose more symmetrical from the outside. Patient's must pay for the rhinoplasty themselves, while a septoplasty is billed to the patient's medical insurance. For more information and many examples, please see the link and the video below