I am looking into getting a rhinoplasty & getting my deviated septum fixed! What is the best way to go about this? (Photo)

Question

I am wanting to fix the appearance of my nose and remove the hump and crookedness from the front. I also want to fix my deviated septum and fix my breathing issues. What's the best fix for this ?

Ramin Behmand, MD, FACS · Answer

To get a septorhinoplasty, start by identifying 2 or 3 surgeons who specialize in nose surgery and whose work you like. Take the time to browse through different surgeon websites, focusing on those with a substantial number of before-and-after rhinoplasty photos. This will help you gauge their expertise. Next, schedule one or two consultations to discuss your goals and ensure you and the surgeon are aligned. Once you decide on a surgeon and schedule the procedure, make sure to set aside enough time for recovery, and arrange for someone to be with you during the first week post-surgery.

Dr. B.

Dr. B.

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and give you opinion based on your needs and expectations. It is better to do septorhinoplasty "inside/outise" in one surgery.

John Michael Thomassen, MD · Answer

A rhinoplasty to remove your dorsal hump, slightly lift and refine your tip would be recommended.  Usually cartilage grafts are used to support your tip and a septoplasty that harvests this cartilage accomplishes this and corrects septal deviation in one step.

Eric M. Joseph, MD · Answer

Do your research, and write down all questions that you may have and what you are looking to achieve. When you meet the right person who makes you feel confident that he will be able to address your functional and cosmetic issues, it should become clear to you. We find the computer Imaging is very helpful for establishing goals.

Ronald J. Edelson, MD · Answer

Research local surgeons in your area. It will be obvious who specializes in noses as opposed to , say, breast surgery. Go on a few consults to get further information

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

Jeffrey H. Spiegel, MD · Answer

Nose surgery with deviated septum will be best treated by a facial plastic surgeon. We train extensively in precisely this.  I can already see from your photos that you have breathing issues related to your lower lateral cartilages and upper lateral cartilages as well.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal, hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. Septoplasty can also be safely performed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Shabnam Ghazizadeh, MD · Answer

Hi great question. The deviated septum and the external appearance of the nose should both be treated during the same surgery for the ideal outcome. I recommend a consultation with a Facial Plastic Surgeon specializing in rhinoplasty. Best of luck, Dr. Ghazizadeh

Thomas Spalla, MD · Answer

In this situation, seek consultation with a rhinoplasty surgeon. 
Septorhinoplasty is a very common operation and correction of both form and function simultaneously is always the best approach.
Expect bandaging afterwards, possible bruising, and be patient with the final results. You'll have a decent idea after a couple weeks, but results will continue to evolve over months and even a couple years.

I am looking into getting a rhinoplasty & getting my deviated septum fixed! What is the best way to go about this? (Photo)

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