Rhinoplasty with septoplasty

Septoplasty with Rhinoplasty

I agree with the other docs, if you want all 3 procedures done, you may want to see another surgeon.

We can often bill the insurance for the functional portion, but you may need to pay a little extra for the rhinoplasty part.

I would shop around a bit and see what you can find. (Nima Shemirani, MD, Beverly Hills Facial Plastic Surgeon)

Cosmetic Rhinoplasty and Septoplasty with Turbinectomy

There is no reason that both procedures cannot be done together.

I have, in fact, done these together numerous times, always with excellent cosmetic and functional results. (Robert T. Buchanan, MD, Highlands Plastic Surgeon)

Can’t Have Rhinoplasty with Septoplasty?

Although every surgeon has his/her comfort zone &/or technique for surgical procedures, it is very typical to have both septoplasty and rhinoplasty done at the same time.

Getting a second consult wouldn’t hurt. (Ryan Stanton, MD, Beverly Hills Plastic Surgeon)

We routinely perform these operations together, because many patients that have a cosmetic agenda for their noses also have some functional concerns.

Rhinoplasty surgery with septoplasty

A well trained facial plastic surgeon has the skill set to perform both of these operations together and not compromise any nasal function.

Occasionally bump reduction and tip refinement can lead to nasal obstruction. However, if you are going in with these concerns, your surgeon should be able to prevent the adverse effects of the maneuvers that provide cosmetic improvement with proper techniques (i.e. grafting, suturing, conservative resection of cartilage). (Sumit Bapna, MD, Columbus Facial Plastic Surgeon)

Septoplasty Combined With Cosmetic Nose Reshaping

Mike, as some of the plastic surgeons here have indicated, it really comes down to experience and comfort with doing both of these surgeries combined. There are countless numbers of patients who have undergone cosmetic rhinoplasty in conjunction with septal reconstruction, or septoplasty.

Rhinoplasty with septoplasty image

The only real concern is if the rhinoplasty surgeon has to break your nose (called osteotomies) to narrow it after reshaping the bridge. In rare cases, doing so may impinge on your nasal passage in an adverse manner. I would recommend you get a second opinion from a board certified facial plastic surgeon who has a practice focusing on rhinoplasty. (John M. Hilinski, MD, San Diego Facial Plastic Surgeon)

Rhinoplasty CAN be done with a Septoplasty

There is NO medical reason why your Septoplasty / Turbinectomies cannot be combined with a cosmetic Rhinoplasty. The reluctance MAY be based on your surgeon’s personal preference OR unwillingness to combine insurance based surgery with cosmetic (patient charged) surgery. (Peter A. Aldea, MD, Memphis Plastic Surgeon)

Rhinoplasty with septoplasty recovery after

Septorhinoplasty for breathing and looks!

These are normally done together by most experienced rhinoplasty surgeons. Get another consultation. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)

Septorhinoplasty

Find another competent surgeon. Septoplasty, turbinate work and rhinoplasty are done together very frequently. The septal cartilage can be used to support the internal valve and improve on the breathing. (Samir Shureih, MD, Baltimore Plastic Surgeon)

Rhinoplasty with Septoplasty = Septorhinoplasty

There is no specific reason that you can not have a septoplasty and rhinoplasty at the same time. In the right hands, you should still be able to have an improvement in nasal breathing, even if the nose is made smaller by a cosmetic reductive Rhinoplasty. Correcting deviations, structural grafts (such as spreader grafts) and turbinate reduction are some of the ways you can enhance internal nasal space more then with a standard septoplasty alone. My advice is to find a plastic surgeon who is well versed in doing functional nasal surgery. That way you will be able to have the best of both worlds. Best of luck (Richard W. Westreich, MD, Manhattan Facial Plastic Surgeon)

You can have both a septoplasty and rhinoplasty

In the far majority of my cosmetic rhinoplasties, I am performing a septoplasty at the same time, either for the harvesting of cartilage to use in the rhinoplasty or to straighten a crooked septum for breathing.

In fact, for S-shaped septal deviations, it is easier to correct the deflection during a rhinoplasty than to just do the septoplasty alone.

I would say the vast majority of experienced rhinoplasty surgeons in the country would perform a septoplasty at the same time as a rhinoplasty. I really see no reason why we wouldn’t. (Andrew Campbell, MD, Milwaukee Facial Plastic Surgeon)

Rhinoplasty and Septoplasty

I don’t think that the advice you got is necessarily accurate. We often perform a septorhinoplasty and turbinate reduction operation together.

As a matter of fact many times a septoplasty is necessary to harvest cartilage to use for the rhinoplasty portion of the operation. The cartilage is needed for grafts that maybe necessary.

There are instances when a rhinoplasty can worsen breating. This is especially true when a rhinoplasty is done where a lot of cartilage is removed without regard for the strength of the residual framework of the nose.

Often this can lead to breathing difficulties. I recommend that you seek additional consulations from experienced surgeons who do rhinoplasty. (Shashidhar Kusuma, MD, Plantation Plastic Surgeon)

Can Rhinoplasty Worsen Breathing?

When performed correctly, improving the external appearance of your nose does not have to worsen the function of your nose. In less experienced hands scar contracture during the healing process can lead to nasal obstruction, but this isn’t a standard effect from rhinoplasty. It is important to realize that not all otolaryngologists (ENTs) perform rhinoplasty surgery. Most do internal septoplasty or turbinate work as it is an extensive part of our training.

It is quite useful to have the rhinoplasty done at the same time as your septoplasty as cartilage from your septum can be used during the rhinoplasty portion (let alone the fact that you’ll already be recovering from nasal surgery). If you are interested in pursuing concurrent improvement to the outside of your nose I would recommend visiting with a board certified facial plastic surgeon who has experience treating both the internal functional issues along with the cosmetic concerns that you have. A well performed septo-rhinoplasty can lead to both a better looking and better functioning nose. (Thomas A. Lamperti, MD)

I am a doubly board certified surgeon – ent and plastics and do both septal work, turbinate work and cosmetic work at the same time. It is physician experience and preference. (William B. Rosenblatt, MD, New York Plastic Surgeon)