If you’re considering a nose job (rhinoplasty) and also dealing with a deviated septum, you might be wondering if it’s possible to address both concerns in a single surgery.

The good news is that you can indeed undergo a combined procedure called septorhinoplasty. This dual-surgery approach allows you to enhance the appearance of your nose while also correcting the structural issues of a deviated septum that can lead to breathing problems.

By opting for this combined solution, you can enjoy improved nasal airflow, reduced congestion, and enhanced facial aesthetics all in one procedure.

In this guide, we will discuss why combining these surgeries is beneficial, what you should expect, and how to choose the right specialist for the best outcomes.

What Is A Deviated Septum?

A deviated septum occurs when the thin wall of cartilage and bone that separates the nasal passages, known as the septum, is off-center or crooked.

Ideally, the septum should be positioned in the middle of the nose, dividing the nasal passages evenly so that air can flow freely through both sides. However, in many cases, the septum can be shifted to one side, creating an uneven airway.

This misalignment can lead to various breathing problems, making one side of the nose narrower than the other and causing a reduced airflow that can be uncomfortable and disruptive.

What Is A Deviated Septum

When a deviated septum is severe, it can result in significant nasal congestion, chronic sinus infections, and even sleep apnea, where breathing is interrupted during sleep. Other symptoms of a deviated septum include frequent nasal blockage, facial pain, and headaches, which can impact your overall quality of life. In some cases, the condition may alter the external appearance of the nose, affecting the bridge or projection and potentially leading to a noticeable asymmetry.

If you suspect you have a deviated septum due to persistent congestion or breathing issues, a doctor can perform an assessment, often using fiber-optic nasal endoscopy to examine the nasal structure in detail.

Treatment options vary based on the severity of the deviation, with less severe cases often managed with nasal sprays or decongestants.

However, when the misalignment causes significant problems, septoplasty, a surgical procedure to straighten the septum, can provide relief and restore normal nasal function.

Adding Height to the Nose Bridge

What Makes Septo-rhinoplasty Beneficial For Fixing A Deviated Septum

Septorhinoplasty is a specialized surgical procedure that merges rhinoplasty (surgery to reshape the external structure of the nose) with septoplasty (surgery to correct a deviated septum).

This combined approach offers dual benefits: improving the function of the nasal passages and enhancing the nose’s appearance to create a more balanced, harmonious look that complements facial features.

Opting for septorhinoplasty offers a range of significant advantages for patients seeking both functional and aesthetic improvements:

1. Improved Nasal Function

One of the primary benefits of septorhinoplasty is its ability to enhance nasal airflow. Straightening the deviated septum helps open up blocked nasal passages, which can significantly improve breathing.

This can lead to reduced instances of nasal congestion, fewer sinus infections, and overall better respiratory health. By allowing air to flow freely, this procedure can also alleviate issues like chronic nasal obstruction and sleep apnea, enhancing sleep quality and overall well-being.

2. Enhanced Aesthetic Appearance

Rhinoplasty within a septorhinoplasty procedure allows for the reshaping of the external nose, addressing cosmetic concerns such as a prominent nasal bridge, uneven nostrils, or a bulbous tip.

This not only improves the symmetry of the nose but also enhances the overall balance and harmony of the face. Patients can achieve a natural and more attractive appearance, boosting self-confidence.

3. Single, Streamlined Recovery Period

One of the most appealing aspects of septorhinoplasty is the convenience of a single recovery phase. Since both surgeries are performed at the same time, patients only need to heal once, rather than going through separate recovery periods for rhinoplasty and septoplasty. This approach can save time, reduce stress, and make the overall process more efficient.

4. Relief from Sleep Disorders

A properly aligned septum can be a game-changer for those who suffer from sleep apnea or other sleep-related issues. The procedure helps open up the nasal airway, leading to better airflow and reducing the frequency and severity of sleep disturbances.

This improvement can enhance sleep quality, leading to increased energy levels and better health outcomes.

Who Should Consider Septorhinoplasty?

Septorhinoplasty is typically recommended for individuals who have both functional concerns (e.g. nasal obstruction or chronic sinus issues) and aesthetic desires (e.g. reshaping the nose to enhance facial symmetry). If you often experience:

  • Difficulty breathing through one or both nostrils
  • Frequent nasal congestion or sinus infections
  • Facial pain due to nasal pressure
  • A nose shape that impacts your confidence

then septorhinoplasty could be the solution for you. By addressing both functional and aesthetic needs simultaneously, this combined procedure can provide comprehensive, long-lasting results that improve quality of life and boost self-esteem.

What Are The Factors to Consider Before Undergoing Septorhinoplasty

Below, we are discussing the most important considerations to help guide your decision-making process.

1. Health and Medical History

Before undergoing septorhinoplasty, it is important to assess your overall health and medical history. The surgery requires a certain level of physical fitness, so you should inform your surgeon about any chronic conditions such as asthma, high blood pressure, or other respiratory issues.

2. Expectations and Realistic Goals

Having realistic expectations is essential when considering septorhinoplasty. While this procedure can significantly improve nasal function and appearance, it’s important to understand that results may vary based on individual anatomy and healing.

Discuss your goals with your surgeon to make sure you are aligned on what is achievable. The ideal outcome should be a nose that looks natural and fits well with your facial features while also improving breathing and overall nasal function.

3. Surgeon’s Experience and Credentials

Choosing the right surgeon is a critical factor that can greatly affect the success of your septorhinoplasty. Look for a board-certified facial plastic surgeon or ENT specialist who has significant experience performing both rhinoplasty and septoplasty.

4. Procedure Risks and Complications

Like any surgical procedure, septorhinoplasty comes with potential risks and complications. Some of the most common risks include infection, bleeding, scarring, and adverse reactions to anesthesia.

Additionally, there can be specific complications related to the nasal structure, such as issues with proper healing or the need for revision surgery. It’s important to discuss these risks with your surgeon and understand how they will be managed.

5. Recovery Time and Post-Surgery Care

Recovery is a significant factor to consider when deciding to undergo septorhinoplasty. While a combined surgery can reduce the total time spent recovering compared to having separate procedures, the recovery period still requires patience and care.

You should be prepared for initial swelling, bruising, and some discomfort in the days following surgery. Most people can expect to return to light activities within one to two weeks, but full healing can take several months.

See Also: Does A Nose Job Change Your Face

Frequently Asked Questions

Can Rhinoplasty Alone Fix a Deviated Septum?

No, rhinoplasty alone cannot fix a deviated septum. Rhinoplasty is primarily a cosmetic surgery that alters the external appearance of the nose. It does not address internal structural issues such as a deviated septum. To correct a deviated septum, a septoplasty is necessary.

Do They Break Your Nose When They Fix a Deviated Septum?

No, your nose is not “broken” during a septoplasty procedure. While the surgery involves making an incision inside the nostrils and possibly making small cuts in the cartilage and bone of the septum to straighten it.

How Is a Deviated Septum Diagnosed?

A deviated septum is diagnosed by an ear, nose, and throat (ENT) specialist during a clinical examination. The diagnosis often involves:

  • Physical inspection using a lighted instrument to examine the nasal passages.
  • Nasal endoscopy, where a fiber-optic scope is used to view the internal structures of the nose in detail. This helps the specialist determine if the septum is deviated and assess the extent of the deviation.

What Are The Common Symptoms of a Deviated Septum?

Common symptoms of a deviated septum include:

  • Difficulty breathing through one or both nostrils
  • Frequent nasal congestion
  • Nasal pressure or a feeling of blockage
  • Facial pain or discomfort
  • Frequent headaches
  • Recurrent nasal infections or sinusitis
  • Obstructive sleep apnea (OSA) or loud snoring

Will Insurance Pay for a Nose Job if You Have a Deviated Septum?

In many cases, insurance companies will cover the cost of a septoplasty if it is performed to address a medical condition such as a deviated septum that causes functional problems (e.g., difficulty breathing). However, if the procedure includes cosmetic changes (e.g., reshaping the appearance of the nose), only the functional aspect (septoplasty) may be covered.

If You Have a Deviated Septum, Can You Get a Nose Job for Free?

Getting a nose job for free is unlikely unless it is fully covered by your insurance due to the medical need for correcting a deviated septum. If you have functional issues related to a deviated septum, your insurance may cover the septoplasty portion of the procedure. However, any additional cosmetic changes done during the same surgery (rhinoplasty) are typically not covered and would need to be paid for out of pocket.

The Article is medically reviewed by: Bülent Çatıkkaş

Dr. Bulent is a dedicated and experienced general practitioner at Asli Tarcan Clinic, providing comprehensive medical care focusing on patient well-being. With a strong background in medicine, Dr. Bulent is committed to staying up-to-date with the latest advancements in healthcare to offer the best possible treatment to his patients.