Does a Deviated Septum Surgery Change Your Nose?

Does a Deviated Septum Surgery Change Your Nose? Deviated septum surgery, also known as septoplasty, is a medical procedure performed to correct a misaligned septum. The septum is the thin wall between your nostrils, and when it deviates, it can cause breathing difficulties, frequent sinus infections, and other complications. Septoplasty aims to alleviate these symptoms by straightening the septum, improving both function and comfort.

One common concern about this procedure is whether it will alter the appearance of the nose. While septoplasty’s primary goal is to restore proper nasal function, it may cause subtle changes in the nose’s shape or size. However, any significant cosmetic alterations are typically a result of a rhinoplasty, which may sometimes be performed alongside septoplasty if the patient wishes to change their nose’s appearance. It’s important to discuss these considerations with your healthcare provider before undergoing surgery.

Deviated Septum and Septoplasty

A deviated septum is a common condition where the thin wall that separates the two nostrils, known as the septum, is not in the middle of the nose where it should be. Instead, it’s tilted or shifted to one side. This can be a result of an injury, or it may be something a person is born with. A severely deviated septum can block one side of your nose and reduce airflow, causing difficulty breathing through one or both sides of the nose. The condition can also lead to sleep apnea, recurrent sinus infections, postnasal drip, and noisy breathing during sleep.


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Septoplasty is a surgical procedure designed to correct a deviated septum. During this surgery, the surgeon works within the nostrils, making incisions to remove excess bone or cartilage and reposition the septum in the middle of the nose. This operation doesn’t involve breaking or cutting any facial bones; therefore, there’s typically no bruising or external signs of surgery. The main goal of this procedure is to improve breathing function by balancing the airflow through each nostril.

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However, it’s worth noting that not everyone with a deviated septum needs surgery. Mild cases often don’t cause noticeable symptoms and don’t require treatment. In more severe instances where symptoms are bothersome or health complications occur, septoplasty becomes an important option to consider. It’s crucial to have an open discussion with your healthcare provider about your symptoms and treatment options to make an informed decision.

The impact of a deviated septum on nasal structure varies significantly depending on its severity. In minor cases, there might not be any noticeable impact on a person’s appearance. However, in more severe cases where one side of the nostril is visibly smaller than the other due to the deviation, corrective surgery can result in noticeable changes in symmetry and appearance. Remember, though septoplasty can subtly alter your nose’s shape or size, its primary purpose is to improve function rather than form.


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Impact on Nasal Structure

Deviated septum surgery, or septoplasty, can bring about changes in the nasal structure, primarily due to the rearrangement of the septum. The procedure involves the surgeon making incisions in the lining of the septum to reach the cartilage and bone causing obstruction. The offending pieces are then removed or reshaped to straighten the septum. This surgical alteration directly impacts the structure of the nose internally.

These modifications to the nasal structure primarily aim to improve functional issues like breathing difficulties. However, patients may notice subtle alterations in the appearance of their noses post-surgery. For instance, if a person had a severely deviated septum that resulted in visible asymmetry, septoplasty could lead to noticeable improvements in symmetry. Likewise, if the deviation caused one nostril to be significantly smaller than the other, correcting this could also change the nose’s appearance.

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It’s important to note that while these changes can occur, they are usually minimal and often go unnoticed by others. Furthermore, since septoplasty is performed through incisions inside the nostrils, there are no visible scars left on the outside of the nose. Any swelling or bruising that occurs after surgery typically subsides within a few weeks, leaving no lasting external signs of surgery. Ultimately, any changes septoplasty makes to the nasal structure are primarily internal and focused on improving respiratory function rather than altering appearance.

Does a Deviated Septum Surgery Change Your Nose?: Addressing Cosmetic Concerns

Understandably, many patients considering septoplasty have concerns about potential cosmetic changes to their nose after the surgery. While septoplasty’s main goal is to correct a deviated septum and improve breathing, it’s critical to clarify that this procedure is not meant to alter the nose’s external appearance like rhinoplasty (a nose job). The primary focus of septoplasty is to adjust the internal structure of the nose for better function.

However, in cases where the deviation is severe enough to cause noticeable asymmetry or distortion, septoplasty can result in subtle cosmetic changes. For example, if one nostril was significantly smaller than the other due to a deviated septum, correcting this might alter the nose’s overall shape slightly. But these changes are typically minimal and often not obvious to others. If you have specific aesthetic concerns or objectives, it’s crucial to discuss these with your surgeon before the operation.

In some cases, patients may choose to have a rhinoplasty performed concurrently with their septoplasty if they wish for more significant cosmetic alterations. This combined procedure is often referred to as a septorhinoplasty. However, adding a rhinoplasty to the mix does increase the complexity of the surgery, recovery time, and potential risks involved. Therefore, it’s essential to consider all aspects and consult thoroughly with your healthcare provider before deciding on this approach. Remember, while enhancing physical appearance can boost self-confidence, health and functional improvement should always be the primary goal of any surgical intervention.

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Frequently Asked Questions

Will septoplasty change the shape of my nose?

Septoplasty primarily focuses on correcting the internal structure of the nose to improve breathing and alleviate symptoms associated with a deviated septum. While it can cause subtle changes in the appearance of the nose, such as improving symmetry or addressing asymmetry caused by the deviation, significant cosmetic alterations are not typically associated with septoplasty alone.

How long does it take to recover from septoplasty?

Recovery time can vary from person to person, but most individuals can expect a week or two of initial recovery. You may experience some swelling, congestion, and minor discomfort during this time. It's important to follow your surgeon's post-operative instructions, including any recommended medications and care routines, to ensure proper healing. Full recovery and return to normal activities usually take several weeks.

Is septoplasty a painful procedure?

Septoplasty is performed under anesthesia, so you won't feel any pain during the surgery itself. However, it's common to experience some discomfort or soreness in the days following the procedure. Your surgeon will prescribe pain medications or recommend over-the-counter pain relievers to manage any post-operative discomfort effectively.

Are there any risks or complications associated with septoplasty?

As with any surgical procedure, there are potential risks involved with septoplasty. These can include bleeding, infection, adverse reactions to anesthesia, scarring, or a recurrence of the deviated septum. However, serious complications are relatively rare. It's important to discuss any concerns with your surgeon and carefully follow their pre and post- operative instructions to minimize these risks.

Will insurance cover the cost of septoplasty?

Insurance coverage for septoplasty varies depending on your specific insurance plan and the medical necessity criteria established by your insurance company. Some plans may cover the procedure if it is deemed medically necessary to improve breathing function. It's best to consult with your insurance provider directly to understand your coverage and any pre-authorization requirements prior to undergoing septoplasty.


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