Septoplasty Vs Rhino-septoplasty for Deviated Septum?

I have a deviated septum on the left side and a quite obvious hump on the nose. Is it possible to get rid of both problems with Septoplasty? Or do I have to go for Rhino-septoplasty (Rhinoplasty with Septoplasty) as doctor is suggesting in case hump is bothering me?

But the dual procedure is going to cost me quite a big amount! Please tell me if septoplasty can help reduce the hump just as well. Thanks.

Doctor Answers 11

Septoplasty is not a rhinoplasty and will not generally reduce the hump

No a septoplasty is the internal structure and the hump is the external structure.

Therefore a septoplasty will not likely produce a significant reduction in the hump.

While a septoplasty is intended to straighten the septum and improve breathing, a hump reduction will reduce the size of the nose and potentially make it more difficult to breathe.

To give a simple analogy: moving a wall in a house will not necessarily change the roof line.

Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Rhinoplasty Probably Needed...

Unfortunately, there’s no way to remove a dorsal hump by performing a septoplasty.The treatment of this anatomic deformity always requires a rhinoplasty, which removes the prominent bone and cartilage surgically.A septoplasty only addresses the nasal septum which is an internal structure.This procedure straightens the septum and relieves nasal airway obstruction, but has no significant impact on nasal aesthetics.
Under these circumstances, you will probably need a rhinoseptoplasty.It’s important to consult a board certified surgeon who has experience performing this type of procedure.This surgeon should be able to formulate a treatment plan that addresses both your aesthetic and functional concerns.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Septoplasty vs. Rhinoplasty

Thank you for your question. Septoplasty is a surgical procedure which generally entails modification of the cartilage of the nasal septum. It is undertaken to improve symptomatic nasal airway obstruction when deviation or crookedness of the septum is judged to contribute to those symptoms. In most cases, septoplasty will not change the outside shape of the nose. If you find your nasal appearance to be unsatisfactory, you may be a candidate for rhinoplasty. Rhinoplasty is undertaken to improve the shape and/or size of the nose, and would include improving the appearance of a nasal 'hump.' For individualized advice, consult with a qualified nasal surgeon about your concerns. Good luck to you.

James M. Pearson, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 130 reviews

Septoplasty does not remove a hump

Removal of a hump or bump is part of a rhinoplasty procedure. This is cosmetic in nature. 

Septoplasty is straightening the septum, which is inside the nasal cavity. Septoplasty alone will not help reduce your hump. 


Dr. Zoumalan

Richard A. Zoumalan, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Septoplasty alone will not reduce a dorsal hump

Unfortunately septoplasty alone will not reduce the bump on your bridge (dorsal hump reduction).  The septum can be straightened and your breathing improved without altering the appearance of your bump.  Rhinoplasty with septoplasty (septorhinoplasty) will address both the septum and the dorsal hump.   

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews


Most likely you will need the rhinoplasty in order to rectify the hump. The primary purpose of a septoplasty is to correct a deviated (or crooked) septum to improve the breathing functionality within the nose

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

It depends- is the crooked part of the nose in the bony portion (closest to the face) or in the cartilage?

While correction of a crooked nose may often require both a septoplasty & rhinoplasty, this is not always the case.  Sometimes, for example, after a relatively recent fracture of the nasal bones (within the last several years), it will be a bony deformity that causes the crookedness rather than any deviation of the nasal septum on the inside.  In this case, a rhinoplasty will be required instead of a septoplasty to straighten the crooked nasal bones. 

Commonly in more long-standing nasal deformities, the cartilage of the nasal septum is also involved.  A nasal septum problem may be identified in one of two ways.  One, deviation of the nasal septum inside the nasal airway often contributes to nasal airway obstruction.  While this obstruction, which causes difficulty breathing, may be on both sides of the nose, a deviated septum will often produce obstruction on one side only.  Hence, nasal airway obstruction would be a very good indicator of the need for a septoplasty as well as a rhinoplasty to straighten a crooked nose. 

Secondly, if the crookedness is closer to the tip of the nose, by looking in a mirror you can often quite easily see the crookedness of the cartilaginous divider in the middle of the nose, contributing to that crookedness.  In this case, a septoplasty will certainly need to be combined with a rhinoplasty to correct the problem.  A septoplasty alone, however, will rarely correct a crooked nose all by itself.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Rhino-septoplasty for internal and external

Septoplasty is essentially a procedure that is inside the nasal cavity. This is a procedure to correct deviation or crookedness and/or obstruction related to the cartilage and bone structures of the septum. After Septoplasty is preformed the septum will be straight or straighter and better nasal breathing should be obtained. When doing this Septoplasty the dorsum or bridge of the nose might be affected and straightened a slight amount, but essentially is not a significantly altered.

Rhino-septoplasty will address both issues the septum internally and the bridge and nose externally or that portion of the nose that which we can visualize directly. I would not at all rely on the septoplasty to make any appreciable difference to the dorsum of the nose. When desiring to improve the dorsum or the bridge of the nose or to remove a hump Rhino-septoplasty is essentially required.

David Q. Santos, MD
Bellevue Facial Plastic Surgeon
4.3 out of 5 stars 23 reviews

Septoplasty for Deviated Seputm / Rhinoplasty for Crooked Nose

A septoplasty is a surgery performed to correct a deviated (or crooked) septum. A true "septoplasty" does not involve changing the shape of the nose. The septum is the piece of cartilage that separates one side of the nose from the other. Normally, the septum is straight. When it is crooked, it is termed a deviated septum. A deviated septum can block the nasal passage and contribute to symptoms of nasal obstruction.

Correction of a deviated septum with a septoplasy involves making an incision on the inside of the nose. The skin covering the septum is lifted off the cartilage and the deviated setpum (intranasal part only) is either removed or reshaped to make the breathing passages more open. It is infrequent that a septoplasty alone will correct external crookedness.

For a nose that is crooked on the inside and the outside, a septorhinoplasty (in which both the septum and the nasal framework are corrected) may be required. This involves reconstructing the nasal framework, correcting a deviated septum, and often surgically-breaking the nasal bones (osteotomies).

Your best bet is to visit with one or more rhinoplasty specialists to make sure that your diagnosis is correct

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
4.7 out of 5 stars 146 reviews

Septoplasty alone will not alter the appearance of your nose

A septoplasty would simply improve the breathing functionality within the nose without altering the shape or external appearance of it. A septoplasty will not remove a bump on the nose. A rhinoplasty is a cosmetic procedure designed to remove the bump on the nose, which is not covered under insurance and is typically paid for by the patient. A septoplasty is performed through the nostrils to remove twisted bone and cartilage in the back of the nose blocking air flow.

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.