What is the different between septorhinoplasty and functional rhinoplasty for crooked nose ?

Multiple fractures to nose after two closed reduction done and now the nose is deviated and deformed on the left what procedure to seek closed or open and this closed help to keep nose almost like before without changing?

Doctor Answers 5

Rhinoplasty explained

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Dear Margaret22,

  • They are generally the same thing
  • A functional rhinopasty refers to changing the nose to make it breathe better
  • A septorhinoplasty corrects a deviated septum, as well as changing the outside look of the nose
  • As we straighten the nose, it usually corrects breathing problems at the same time
  • Whether it is open or closed depends on your exam and your goals, we use the approach that better suits your goals

Nima Shemirani

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 84 reviews

What is the difference between septorhinoplasty and functional rhinoplasty for crooked nose ?

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   The septum and all functional aspects of the nose can be addressed with a closed septorhinoplasty.

Kenneth Hughes, MD

Los Angeles, CA


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A septoplasty is the functional portion of the surgery. An open vs. closed approach would depend on the complexity of the surgery, and this would need to be decided after your prospective surgeon examines you in person. I would recommend a consult with a board certified revision rhinoplasty specialist. He/she will examine your nose in person and advise you on what would be best. I hope this helps, and I wish you the best of luck. 

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

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Septoplasty, rhinoplasty, and functional rhinoplasty for crooked nose

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A septoplasty is performed for a deviated septum which involves removing the obstructing cartilage and bone in the back of the nose for improvement of airflow. This is done for medical necessity and is billed to the patient's medical insurance. Co-pays and deductibles still apply for medical insurance.
A rhinoplasty is performed for cosmetic purposes to narrow or widen nasal bones, to narrow or widen the nasal tip, to shave  a hump down, or any other changes to the nose. The rhinoplasty procedure must be paid for by the patient.
A functional rhinoplasty for a crooked nose involves osteotomies to the nasal bones and sometimes a spreader graft placed underneath the concave side. This is usually the result of a nasal fracture, which must be documented. The twisted nose and concave upper lateral cartilages must be causing nasal obstruction  to consider it a medical necessity billed to a patient's insurance. Medical necessity must be documented at time of examination/ consultation and pre- authorization with your medical insurance is also performed prior to the surgery. For many examples of crooked nose repair our practice, please see the link below to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

Functional rhinoplasty for a crooked nose

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A functional rhinoplasty for a crooked nose often necessitates cartilage that can be harvested from the nasal septum, ear cartilage, or costal (rib) cartilage. The reason for the deviation has to be ascertained - is it boney, mid vault, or does it involve the tip. All of these can be addressed to improve breathing and aesthetics.

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
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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.