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Its always difficult to predict with 100% certainty how much your breathing will change once you narrow any part of your nose. In fact, its often difficult to predict how much your breathing will improve with a septoplasty! But typically those trained in both cosmetic nasal surgery and ENT - Head and Neck surgery have considerable experience dealing with both issues. Here in Ottawa, Canada its something we see commonly. Most times the surgery is highly successfully, both cosmetically and breathing wise. When you breath, airflow is actually along the floor of your nose so theoretically reducing the size of your "wide bridge" shouldn't affect this as this is the upper part of your nose. Unfortunately its a bit more complicated than this. Often times when you narrow the upper part of the nose you also need to tighten the "valve" of your nose. What this does is, prevents the part of your nose above your nostril from collapsing when you breath in. I know, this is alot of info, but hopefully it helps. So, getting to the point this is very possible in the right hands. However, you really have to understand the potential limitations and potential risks of this. You may have a nicer nose, however you may not have an improvement in breathing. Its impossible to predict the outcome with certainty but as mentioned, if you contact the right person, then can at least give you an honest opinion and assessment. Dr Bonaparte
Septoplasty and rhinoplasty are frequently performed together. You should consult with a surgeon experienced in both procedures. During the consultation your surgeon will discuss which parts of the procedure affect nasal function and which are cosmetic.
The bridge can be narrowed at the time of the deviated septum repair. Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
A procedure for nasal obstruction due to a deviated septum does not typically include doing anything cosmetic. However, most facial plastic surgeons will perform the two together, meaning a septoplasty with rhinoplasty. One part may be covered by insurance while the cosmetic aspect will not be covered. I often perform cosmetic rhinoplasty procedures and include repair of the deviated septum if indicated and include it in the one fee.
These 2 procedures are often performed together. Sarah in your area find a surgeon who does both often.
