Can Rhinoplasty Cause Deviated Septum?

Can Rhinoplasty Cause Deviated Septum? Rhinoplasty, is a common type of plastic surgery that alters the shape or function of the nose. It’s often performed for cosmetic reasons, but it can also be done to correct breathing difficulties related to the nose. While rhinoplasty can improve the aesthetic appeal and functionality of your nose, you may have questions about potential complications. One concern often raised is whether rhinoplasty can cause a deviated septum a condition where the thin wall between your nostrils is displaced to one side.

A deviated septum can lead to breathing difficulties and recurring sinus infections. Therefore, it’s crucial to understand how rhinoplasty may relate to this condition. This article will focus on explaining what rhinoplasty and deviated septum are, the potential complications associated with rhinoplasty and their impact on the development of a deviated septum. The information in this article aims to provide insight and dispel fears or misconceptions surrounding these topics.

Understanding Rhinoplasty

Rhinoplasty, is a surgical procedure that changes the shape or improves the function of the nose. It’s one of the most commonly performed cosmetic surgeries worldwide. Its primary goal is to create a natural-looking nose that complements the rest of the face and enhances overall facial harmony. It can change several aspects of your nose, including size, shape, width, profile, and nostril symmetry. However, it isn’t just for aesthetic purposes; it can also correct functional issues like breathing difficulties due to structural problems within the nasal cavity.


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The process of rhinoplasty involves careful incisions made by a plastic surgeon to access the bones and cartilage that support the nose. The surgeon can then reshape these structures to achieve the desired look or improve functionality. There are two main types of rhinoplasty procedures: open and closed. Open rhinoplasty involves an incision along the strip of tissue separating the nostrils (the columella), whereas closed rhinoplasty involves incisions inside the nose. The choice between these two depends on the complexity of the operation and the surgeon’s preference.

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While rhinoplasty can provide significant improvements in appearance and breathing function, it’s important to remember that every surgical procedure comes with potential risks and complications. These can range from minor side effects like bruising or swelling to more serious issues such as infection or anesthesia complications. One specific concern in relation to rhinoplasty is whether it can cause a deviated septum – a displacement of the wall between your nostrils. This will be explored in further detail later in this article.

In conclusion, understanding what rhinoplasty entails is a crucial step before deciding to undergo this procedure. It’s not merely a cosmetic surgery but can serve functional purposes too. Being aware of what the operation involves, its types, and potential complications, such as a deviated septum, helps make an informed decision. It’s always important to have a thorough discussion with your surgeon about your goals and concerns before proceeding with rhinoplasty.


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Deviated Septum Explained

A deviated septum is a condition where the nasal septum, the thin wall of cartilage that separates your nostrils, is displaced or deviated to one side. In an ideal scenario, the septum runs down the center of your nose, creating two equal-sized nostrils. However, it’s common for the septum to be slightly off-center. This isn’t usually a problem unless the displacement is severe. A significantly deviated septum can cause difficulties in breathing and recurring sinus infections.

The deviation can be a natural occurrence present at birth (congenital) or can result from an injury to the nose. The symptoms vary based on the severity of the deviation. Mild cases may not present any symptoms, while moderate to severe deviations could lead to noticeable breathing difficulties, especially when you have a cold or allergies that cause your nasal passages to swell. Other symptoms include frequent nosebleeds, facial pain, headaches, postnasal drip, and noisy breathing during sleep (especially in children).

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Treating a deviated septum depends on the severity of your symptoms and whether you’re experiencing discomfort or difficulty with everyday activities. If symptoms are minor, treatment may involve medications to reduce inflammation in the nasal tissues, such as decongestants, antihistamines or steroid sprays. For moderate to severe cases affecting quality of life, surgery may be recommended. The surgical procedure to correct a deviated septum is known as septoplasty. It’s important to understand that while rhinoplasty targets the shape and aesthetics of your nose, septoplasty focuses on improving function by correcting a deviated septum.

Possible Complications

Every surgical procedure, including rhinoplasty, comes with a certain degree of risk and potential complications. While rhinoplasty is generally considered safe, it’s essential for individuals considering this procedure to understand the potential risks involved. These include common surgical risks such as infection, bleeding, and adverse reactions to anesthesia. Specific to rhinoplasty, there can be risks like prolonged swelling, burst blood vessels on the skin’s surface, and dissatisfaction with the aesthetic result.

One particular complication connected to rhinoplasty that raises concern is the development or worsening of a deviated septum. During the surgery, if the septum is not handled correctly or if healing does not occur as expected, it could potentially lead to a deviation. This could result in nasal obstruction or difficulty breathing through the nose. However, it’s important to note that this is not a frequent occurrence and is often associated with complex or revision rhinoplasty procedures.

If you’re considering rhinoplasty and are concerned about developing a deviated septum post-surgery, it’s crucial to discuss this with your surgeon. A skilled and experienced surgeon will take necessary precautions to minimize any risks and complications. They would ensure that they assess your nasal structure thoroughly before surgery and follow precise surgical techniques during the procedure. Furthermore, proper aftercare and follow-up post-surgery also play an integral role in ensuring a successful outcome without complications.

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In conclusion, while there are potential complications associated with rhinoplasty, including the development of a deviated septum, these are minimized when the surgery is performed by an experienced surgeon following meticulous surgical techniques. It’s always recommended to have a thorough discussion about all potential risks and complications with your surgeon before deciding on surgery. By being well-informed about these possible complications, you will be better prepared to make an informed decision about whether rhinoplasty is right for you.

Frequently Asked Questions

Can rhinoplasty cause a deviated septum?

While it is possible for rhinoplasty to result in a deviated septum, it is not a common occurrence. Skilled surgeons take precautions during the procedure to minimize this risk. It's important to discuss your concerns with your surgeon and choose an experienced professional to reduce the chances of developing a deviated septum after rhinoplasty.

How will I know if I have a deviated septum?

Some common signs of a deviated septum include difficulty breathing through one or both nostrils, frequent nosebleeds, chronic sinus infections, facial pain, and headaches. If you suspect you have a deviated septum, it's best to consult with an ENT specialist who can perform a thorough examination and provide an accurate diagnosis.

Can a deviated septum be corrected without surgery?

In mild cases, where symptoms are not severe, non-surgical treatments like medications may help manage the symptoms associated with a deviated septum. However, the only permanent solution for a deviated septum is surgical correction through a procedure called septoplasty.

What is the recovery time after septoplasty?

Recovery time varies from person to person but typically takes about one to two weeks. During this period, you may experience swelling, bruising, and nasal congestion. It's important to follow your surgeon's post-operative instructions and avoid strenuous activities that could hinder the healing process.


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