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Is a functional rhinoplasty sometimes necessary alongside septoplasty? (Photo)

Eclectic383959Feb 7, 2022
I have a deviated septum which makes my nose look quite crooked. It's genetic & got worse throughout puberty. I was advised by an ENT to get a septoplasty (alongside turbinate reduction & sinus surgery). I can never get any air into my left nostril, unless I do the Cottle Maneuver. Because of this, I'm concerned that straightening the septum isn't going to fix my breathing issues, and that a rhinoplasty would be needed to properly straighten my nose to accommodate for a straighter septum.

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Dr. Ronald J. Edelson, MD
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Dr. Ronald J. Edelson, MD
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Answered on Feb 9, 2022
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Dr. William Portuese, MD
Dr. William Portuese, MD
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Answered on Feb 9, 2022
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Andrew Miller, MD

No respectable plastic surgeon should guarantee any specific result. The human body is always subjective to different types of healing. A well performed septoplasty can certainly give you a good improvement, but other rhinoplasty techniques may be needed in addition to the septoplasty. Be sure...

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Andrew Miller, MD

If you don't want the outside of the nose changed, then a well performed septoplasty would correct the problem. The edge of the septum would be moved back to the middle of the nose, making everything look good.

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Philip J. Miller, MD, FACS

This needs an in-person evaluation. In your case, if you are not breathing well on one side after the incident, it is very likely you will need a revision. Revision rhinoplasty is an option to address these issues of concern. When performing revision rhinoplasty or a secondary nose job, it may...

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Ronald J. Edelson, MD

Your turbinates are huge. I often performed inferior turbinate reduction as part of rhinoplasty and it works very well. You should consult an ENT doctor who specializes in breathing problems. You may need both septoplasty and turbinate reduction.

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Jonathan Kulbersh, MD

Thank you for your question and I understand your frustration. However, your doctors are likely correct - swelling after rhinoplasty can linger for up to one year and interfere with the final outcome of your new nose. If your surgeon believes you are progressing normally in your recovery, my...

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