Is It Safe to Both Fix a Very Deviated Septum and Reshape the Nose in One Operation?

I understand fixing a deviated septum can result in a loss of a lot of blood and some Doctors insist on doing two separate operations. My Doctor said it would take 2 and a half hours to do both - How safe is combining both procedures?

Doctor Answers 4

Septorhinoplasty combination

This is a safe and common combination.  Generally it is fine to do both  at the same time.  If there is extensive obstruction and damage as can be seen after severe trauma or cocaine use, the two may be best separated.  Get several opinions.  Get MRI studies.  You will be fine.  Good luck,  Dr Commons

Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

Safe to fix deviated septum and reshape nose at same time

Fixing a deviated nasal septum (septoplasty) and reshaping the nose (rhinoplasty) are commonly performed together safely.  Septoplasty should not result in significant blood loss at all. Both procedures performed together also give you the benefit of one anesthetic exposure and one recovery.

I would consult with another recommended surgeon to discuss what approach they would take. You may want to re-visit your current surgeon to address specific questions you have about blood loss, two surgeries and recovery.

Good Luck!

Anifat Balogun, MD
Seattle Otolaryngologist

Septoplasty with rhinoplasty

Septoplasty, in the right hands, should have negligible blood loss.  Correcting a deviated septum should always be done at the time of rhinoplasty to enhance the nasal airway.  In addition, rhinoplasty requires cartilage for grafting purposes which is easily taken from the deviated portions of the cartilaginous septum.  If your surgeon is uncomfortable performing septoplasty at the same time as rhinoplasty, perhaps a second opinion might be warranted. 

Etai Funk, MD
Houston Facial Plastic Surgeon
4.8 out of 5 stars 62 reviews

Correcting a Septal Deviation (Septoplasty) and a Cosmetic Rhinoplasty are commonly done Together

Correcting a deviated septum (Septoplasty) and improving the appearance of the nose - Cosmetic Rhinoplasty are commonly done together safely. Both operations can be challenging, especially in certain cases of septal injury and deviation, but there are distinct advantages of doing both at the same time. You may want to get a second opinion before going with staged / delayed procedures. Dr.Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 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.