Is It Too Much To Fix Septum, Hump, and Tip In One Surgery?

Since rinoplasty is the hardest facial surgery there is & the more you want 2 fix, the more risk there is: Is/could a septum,tip & hump correction be 2 much (in 1 time)? Quick details: septum bit out of line (not noticable frontside/only from underview - 60:40 max. slightly annoying;allergies). Litle hump + 2 pointed tip/2 much projection; lateral view. The more U want 2 fix the more risks/chances of: discommunication,complications,not satisfide with the final result. What would be wise?

Doctor Answers 6

Reconstructive rhinoplasty

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A complete rhinoplasty including hump reduction, septoplasty and tip correction can all be performed in one comprehensive operation. It is common to see multiple structural issues in the nose which require improvement which us why each patient's treatment is individualized.

Fine to do all at once

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Every procedure you mentioned is fine to do during the same surgery, and actually preferable to doing multiple surgeries.

Babak Larian, MD
Beverly Hills Facial Plastic Surgeon

Septum, hump, and nasal tip SHOULD be addressed at single operation!

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You are correct in stating that nose surgery is the hardest surgery to perform, but the cosmetic and reconstructive surgeries are almost ALWAYS performed together. Doing them separately DOUBLES whatever (minimal) risks there are with either operation, not to mention having to take off work, exercise, and activities for a second time! Since all of the nasal elements work together as a unit, all experienced rhinoplasty surgeons not only are comfortable with doing all of these together, but recommend it!

Since the septal work is reconstructive, insurance reimbursement is common (at least in the US), and separating the cosmetic from the reconstructive surgeries can have financial impacts outside the actual surgical recommendations. You should know clearly who pays for what, and if there are any "hidden" or "sent-later" bills from anesthesia providers, for example. it may actually cost less to have two separate operations, but that is the ONLY reason that anyone might recommend two procedures.

In the US, I perform only elective cosmetic procedures in our accredited office surgical facility, including rhinoplasty. If there is an easily-correctable breathing problem (septum or turbinates), I do so without any additional charge above and beyond the cosmetic surgery charges already assessed. I do not bill insurance for any "extra," nor do I reduce the bill since some of the "problem" is functional or reconstructive in nature.

You should check with your insurance provider, or your health coverage provisions to determine the best course of action. But an experienced board-certified plastic surgeon or ENT specialist is the first step, and he or she will know how best to advise you on the rest. Best wishes!


Fixing multiple things in a rhinoplasty

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in rhinoplasty there is a starting point and a destination.  a surgeon needs to carefully evaluate the problems and design a plan to correct them.  the combination you mentioned is a very typical.  i would be more concerned if those problems existed and a surgeon wanted to address them in more than one setting.

Rhinoplasty Palm Beach

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It is typically optimal to perform surgical correction of the nasal hump, nasal tip and septum at the same time. It is not too much at all. Since the structures of the nose and its function are intertwined, correction of any one component such as a nasal hump, deviated septum and tip often impacts the other component. In order to achieve a balanced nose and facial appearance and maintain optimal nasal function, all elements of the nose are most often addresses simultaneously.

Anita Mandal, MD
Palm Beach Facial Plastic Surgeon


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All of the items you mention are not only safe to accomplish in one procedure, but preferable to perform at once.  To reshape the nose and its components, the general protocol is to surgically isolate the portion you desire to change.  This allows the surgeon to visualize the component and repair or reshape it accurately.  Because the component has been separated from surrounding tissue (mobilized), upon re-draping of that tissue on the corrected structure, the new shape will influence the contour of that surrounding tissue, rather than surrounding tissue, if unmobilized, returning the corrected structure back to its original shape.  It is easier, once parts of the nose are exposed, to mobilize and fix everything at the same time rather than go back later through scar tissue and isolate and correct a single part.  Rhinoplasty is not necessarily the "hardest" facial surgery, but because millimeters make a difference and every nose is truly unique, the procedure demands precision, judgment, and appropriate expectations from both physician and patient.

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.