I cannot breath out of one nostril and I dislike the appearance of my nose. Do I need Rhinoplasty or Septoplasty? (photo)

Hi, I highly dislike the appearance of my nose because it does not fit my face. I cannot breathe out of one nostril about 98% of the time. I don't think I broke my nose but I have a hump on it. Also, I have noticed my face is not symmetrical, I have braces for an overbite and over jet. My question is that do I need rhinoplasty or septoplasty as well? And will my facial symmetry be fixed after braces? Could my nose be ONE of the causes of my facial asymmetry? What else do you recommend? Thank you!

Doctor Answers 7

Septo-Rhinoplasty & Chin Implant

Thank you for your question and photos. Congratulations on your braces.  Orthodontia will help with your bite and jaw position.  It may correct some of your facial asymmetry but not all.  Facial asymmetry is a very common finding in the population.  My recommendation would be to wait until you have completed your orthodontic correction.  Once completed, a septo-rhinoplasty to reduce the hump, lift the tip and decrease the size of the nose while fixing the breathing problem with cartilage would be very beneficial. A conservative chin augmentation with an implant would put both your new nose  and jaw into better balance with the rest of your face.  The results would be dramatic!  Best wishes!

Fairfax Plastic Surgeon
4.6 out of 5 stars 54 reviews

Septoplasty VS Rhinoplasty

In general terms a procedure is referred to as a septoplasty if it is performed to straighten the inside of the nose while a Rhinoplasty is performed to modify the outside appearance of the nose.  The two are often interrelated. The nasal septum is the midline partition that separates the nose into two distinct airway passages.   A septal deviation can occur from a trauma that breaks the nasal bones or even from birth.  When the septum is deviated it blocks airflow and restricts breathing on the respective side.  Aside from the septum there are also bony turbinates lined with mucosa inside each passageway of the nose.  If these anatomically protrude into the nasal passageway to a significant degree or the mucosa is enlarged as can occur with allergies these can also restrict nasal breathing. 
If you want to address the nasal bump or external appearance of the nose then a Rhinoplasty can be perfomed.  A rhinoplasty can straighten a crooked nose, narrow a wide nose and remove a bump on the nose all which are very common cosmetic rhinoplasty changes.

Jill Hessler, MD
Palo Alto Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Rhinoplasty and breathing

First if  you are unhappy with the appearance of your nose, a rhinoplasty wouild probably help. As for breathing issues they may or may not be related to an anatomic issue( i.e septal deviation, turbinate hypertrophy etc..) It may be allergic, inflammatory , etc..  Best to be seen in person to be properly evaluated.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breathing Problems and Cosmetic Concerns about the Nose

   If you have unilateral nasal obstructive symptoms, then you may be a candidate for septoplasty.  However, the septum is not the only cause of breathing problems, and you would need an exam to determine the most likely causes.  As far as your cosmetic concerns, the hump can be removed.  If you think your nose is wide that can be reduced as well. 

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Cosmetic and Functional Rhinoplasty

Nasal obstruction can result from a variety of anatomic and inflammatory causes.  Nasal septal deviation, inferior turbinate hypertrophy, and internal valve collapse are just a few anatomic causes of nasal obstruction.  Seasonal allergy can result in inflammation of the nasal lining causing congestion.  Careful intranasal examination will help to determine the cause of your nasal obstruction.  If a deviated septum or enlarged turbinate is causing the problem, these issues can easily be addressed at the time of cosmetic rhinoplasty.  From a cosmetic standpoint dorsal hump reduction, correction of tip ptosis, and tip refinement will help to create a nose which is in balance with your other facial features.  I might also suggest a small chin implant to better balance your profile.  Good Luck!

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
4.9 out of 5 stars 34 reviews

Rhinoplasty to Correct Facial Asymmetry

A septorhinoplasty will improve nasal asymmetry, breathing,  and the deviated nose but it will not change the asymmetry of the surrounding facial features. Your braces may help. A full set of pictures of your face, as described on my website, will help us make recommendations for you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews


A rhinoplasty is performed to improve the cosmetic appearance of the nose, such as decreasing the projection of the nose, removing a hump, and refining the tip.  Breathing difficulty out of the nose come from a variety of factors including a deviated septum, turbinate hypertrophy, or valve collapse.  This component is billed to the patient's medical insurance for medical neccessity.  Both procedures can be performed at the same time

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.