septoplasty and rhinoplasty procedure
A septoplasty and a rhinoplasty procedure are two completely separate procedures, however both can be performed at the same time. Medical necessity must be documented for the septoplasty in order to bill that to a patient's medical insurance. It's best to have that pre-authorized ahead of time. A rhinoplasty is performed for cosmetic purposes and must be paid for by the patient. Both procedures can be performed together. Rhinoplasty can accomplish reducing the hanging columella. For more information and many examples, please see the link and the video below
Adding rhinoplasty to septoplasty surgery
Adding rhinoplasty to septoplasty surgery has variable increased in complexity and recovery time. If it's just a "hanging columella", then possible cast not required, so recovery is more similar to septoplasty alone. However, patients with a bump or deviated noses who have rhinoplasty then are more likely to have some more external swelling and bruising. Typically, plastic surgeons will recommend combining septoplasty and rhinoplasty for many reasons. If you haven't already, then speak with your ENT or rhinoplasty surgeon to review options.Best,Dr. Chaboki
Cosmetic rhinoplasty and septoplasty
If you have aesthetic concerns about your nose and are planning to undergo a septoplasty for breathing difficulty, I would strongly recommend consulting with a board-certified facial plastic surgeon to discuss your aesthetic goals. We often combine a septoplasty to address nasal obstruction with a cosmetic rhinoplasty and it makes the most sense to do both at the same time. If your septum is severely deviated, you may actually require an "open" or external rhinoplasty approach to adequately correct the septal deviation. If you undergo a septoplasty alone (without the rhinoplasty approach) and you have a severe deviation, it may not be possible to fully correct the septum. Additionally, by having a cosmetic rhinoplasty at the same time as your septoplasty, you will likely have sufficient cartilage to use for grafting or reshaping your nose if needed. On the other hand, if you undergo a septoplasty now and decide to have a cosmetic rhinoplasty in the future, you may not have enough cartilage to use, and would likely require additional cartilage from your ear or rib cage at that time. Take the time now to think through all of these options and be sure to consult with an experienced rhinoplasty surgeon so you can make the best informed decision. Good luck!
Septoplasty and Rhinoplasty
Septoplasty in conjunction with Rhinoplasty is very commonly performed. In fact, I tell my patients that if they have a desire for cosmetic changes to the nose then the perfect time to do it is when we are going to do a septoplasty to help them breathe better. The benefit is that the physician can use the harvested cartilage from the septum to help with the rhinoplasty if needed. However, doing a rhinoplasty is vastly different that a septoplasty and you need to make sure that the physician is capable and trained in rhinoplasty surgery and it isn't just something they want to add on to your planned septoplasty. The hanging columella is variable (depending on how much it's hanging), but a competent well trained rhinoplasty specialist should be able to help you with that.
Rhinoplasty with septoplasty
It is very common to have rhinoplasty in conjunction with septoplasty and have a successful and beautiful outcome. The mistake is in assuming that "adding a little cosmetic work" is simple and can be done by anyone. Firstly it should be something you really want not an afterthought. Once its done you can't easily reverse it. Secondly you need to choose a surgeon that regularly does rhinoplasty and not someone who primarily does septums and turbinates and will dabble a bit with some cosmetic work for you. They are different skill sets and not all surgeons have both. That's the best way for you to be sure it will come out the way you want functionally and aesthetically.