Can Someone Get ENS Just from Having a Rhinoplasty/septoplasty?

Hi Rayah. One of the most impressive areas of plastic surgery that I have seen in terms of growth of consistent diagnosis and treatment is in in the area of nasal surgery over the past 20 years. In my career we have seen the advancement of the open technique as a reliable and advanced procedure with the numerous ways the we can create a nice tip with less risk of revision procedures with this. this has led to improvements in the closed technique. I am grateful to those surgeons during my training who have contributed to making the procedure more systematic and predictable and have warned us of the pitfalls. What is most interesting, is that we are now doing more conservative and less destructive procedures with less risk of compromising function. There are less "done" looking noses out there.The septo-rhinoplasty and the management of the turbinates with more conservative techniques has little or no risk of the issue you bring up as a result of these advancements. You have very little to worry about here, particularly with no turbinate surgery. In experienced hands you have little to worry about with modern turbinate surgery, 

   Empty nose syndrome should not occur even with turbinate management along with septoplasty and rhinoplasty.  This is largely the result of paradigm changes in surgical technique that have evolved over the past several decades.  This is largely of historical interest and should not occur on a primary nose.  Kenneth Hughes, MD Los Angeles, CA

I remove turbinates commonly and have never had a patient with ENS.  The literature also says that this problem is quite rare.  I think it is very unlikely.