Can You Get Rhinoplasty with a Deviated Septum?

Can You Get Rhinoplasty with a Deviated Septum? Rhinoplasty, often colloquially referred to as nose surgery, is a cosmetic intervention focused on enhancing the aesthetics and functionality of the nose. This surgery can have tremendous benefits for individuals who are dissatisfied with their nose’s appearance or who struggle with respiratory issues due to structural abnormalities. One such abnormality that can impact both the look and function of the nose is a deviated septum.

A deviated septum is a common condition where the thin wall dividing your nasal passages is displaced to one side. This displacement can cause breathing difficulties and lead to frequent sinus infections. When it comes to rhinoplasty, this condition introduces another layer of complexity. The relationship between rhinoplasty and a deviated septum is intricate, with potential benefits for both appearance and breathing if managed correctly.

What is Rhinoplasty?

Rhinoplasty, also known as nose surgery, is a specialized type of cosmetic surgery that alters the shape or function of the nose. This procedure is typically sought after by individuals who are dissatisfied with their nose’s appearance or have difficulty breathing due to inherited or injury-induced structural issues. The primary goal of rhinoplasty is to create a more aesthetically pleasing nasal contour while maintaining or improving nasal functionality.


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Rhinoplasty involves precise surgical modifications to the bone, cartilage, and soft tissues that make up the nose’s structure. It can be tailored to address a wide range of concerns, from reducing the size of the nose, reshaping the nostrils, removing humps, correcting asymmetry, and even enhancing overall facial harmony. It’s crucial to remember that while rhinoplasty is primarily seen as a cosmetic surgery, it also plays an essential role in resolving several breathing issues.

One such condition that may require rhinoplasty for its correction is a deviated septum. This condition refers to the displacement of the thin wall dividing your nasal passages to one side, leading to nasal obstruction and breathing difficulties. Rhinoplasty can correct this imbalance and restore free airflow through both nostrils. If you’re considering rhinoplasty for aesthetic reasons but also happen to have a deviated septum, your surgeon might recommend a combined procedure for optimal results.

Deviated Septum and Nasal Obstruction

A deviated septum is a prevalent condition where the thin wall (septum) between your nasal passages is displaced to one side. In severe cases, this displacement can lead to nasal obstruction, significantly impacting airflow and causing breathing difficulties. This condition may be present at birth (congenital) or result from an injury to the nose. While a minor deviation in the septum is common, noticeable symptoms generally don’t appear unless the deviation is significant.


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Nasal obstruction due to a deviated septum can manifest in several ways. Common symptoms include frequent nosebleeds, facial pain, recurrent sinus infections, noisy breathing during sleep (especially in children), and preference for sleeping on a particular side to optimize breathing comfort. However, the most noticeable symptom is usually difficulty breathing through one or both nostrils. This difficulty can be more prominent when you have a cold or allergies that cause your nasal passages to swell and narrow.

While nonsurgical treatments like medications can help manage the symptoms, they do not correct a deviated septum. In cases where the deviation leads to persistent symptoms or affects quality of life, surgery might be recommended. Rhinoplasty, combined with a procedure called septoplasty, is often performed to correct the deviated septum and alleviate associated nasal obstruction. By realigning the septum to a more central position, rhinoplasty can restore normal airflow through the nostrils.

Rhinoplasty and Deviated Septum: The Connection

The connection between rhinoplasty and a deviated septum is significant and noteworthy. Although rhinoplasty is primarily known as a cosmetic procedure, it often also serves a functional role in correcting issues like a deviated septum. This condition, which results in the misalignment of the wall dividing the nasal passages, can cause breathing difficulties and contribute to a less symmetrical appearance of the nose.

When an individual with a deviated septum elects to have rhinoplasty, surgeons often perform a combined procedure that includes septoplasty, specifically designed to correct the deviation. This combination allows for the correction of the deviated septum — thus alleviating the associated breathing difficulties — while simultaneously making desired cosmetic alterations to the nose’s shape or size. This dual-purpose approach not only improves the nose’s appearance but also enhances its functionality.

The benefits of combining these procedures are manifold. From a practical standpoint, undergoing one surgical procedure instead of two separate ones reduces overall recovery time and potential complications associated with surgery. More importantly, it addresses both the functional and aesthetic concerns of the patient, leading to improved self-confidence and quality of life. If you’re considering rhinoplasty and have a deviated septum, discussing this combined approach with your surgeon could lead to optimal outcomes.

Frequently Asked Questions

Can rhinoplasty correct a deviated septum?

Yes, rhinoplasty can indeed correct a deviated septum. During a rhinoplasty procedure, the surgeon can address both cosmetic concerns and functional issues like a deviated septum. This involves reshaping the nose to improve its appearance while also realigning the septum to restore proper nasal airflow.

How long does it take to recover from rhinoplasty with septoplasty?

Recovery time can vary depending on individual factors, but generally, it takes about one to two weeks for initial healing after a combined rhinoplasty and septoplasty procedure. Complete recovery and final results may take several months as swelling subsides and the tissues fully heal.

Will my insurance cover rhinoplasty for a deviated septum?

Insurance coverage for rhinoplasty procedures varies depending on your insurance provider and policy. Some insurance plans may cover a portion of the costs if the surgery is deemed medically necessary to correct a deviated septum that causes significant breathing difficulties. It is best to consult with your insurance company to understand your coverage options.

Is rhinoplasty painful?

The level of discomfort experienced after rhinoplasty can vary from person to person. While some individuals may experience mild pain or discomfort, it is typically well-managed with medication prescribed by your surgeon. Most patients find that any discomfort diminishes within the first week or two after surgery.

Can I expect perfect symmetry in my nose after rhinoplasty with septoplasty?

Achieving absolute perfect symmetry in the nose is challenging due to various factors such as individual anatomy, healing response, and surgical limitations. An experienced surgeon will strive to create improved symmetry and balance that enhances your overall facial harmony while addressing both functional and cosmetic concerns. It's important to have realistic expectations and open communication with your surgeon about your desired outcomes.


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*The information on our website is not intended to direct people to diagnosis and treatment. Do not carry out all your diagnosis and treatment procedures without consulting your doctor. The contents do not contain information about the therapeutic health services of ACIBADEM Health Group.