Looking to improve both the function and appearance of your nose? Learn how combining rhinoplasty and septoplasty in a single procedure can help you breathe better while enhancing your facial harmony. Discover the benefits, recovery process, and what to expect from this dual-purpose nose surgery.
Rhinoplasty, commonly known as a “nose job,” is a surgical procedure designed to reshape the external structure of the nose for aesthetic purposes. This cosmetic surgery can address various concerns including reducing or increasing nose size, changing the shape of the tip or bridge, narrowing the nostrils, or correcting asymmetry.
Rhinoplasty aims to create better facial harmony and proportion while maintaining natural-looking results. The procedure can involve reshaping bone, cartilage, and soft tissue to achieve the desired appearance.
Septoplasty is a functional surgical procedure that corrects a deviated nasal septum – the wall of cartilage and bone that divides your nasal cavity into two nostrils. When the septum is significantly crooked, displaced, or malformed, it can block one or both nasal passages, leading to breathing difficulties, chronic nasal congestion, frequent sinus infections, nosebleeds, or sleep disturbances including snoring. Unlike rhinoplasty, septoplasty is purely functional and focuses on improving airflow and breathing rather than changing external appearance.
When performed together, septoplasty corrects internal structural problems that impede breathing, while rhinoplasty reshapes the external nose structure to improve facial balance and address cosmetic concerns.
This combination allows surgeons to coordinate changes to ensure optimal functional and aesthetic outcomes – for instance, reducing nasal size while maintaining or improving proper airflow patterns.
Performing both procedures together offers several advantages. You’ll undergo anesthesia only once and have a single recovery period rather than two separate healing processes.
The surgeon can also coordinate changes to ensure optimal functional and aesthetic outcomes – for instance, reducing nasal size while maintaining proper airflow patterns.
From a cost perspective, combining procedures typically costs less than having them separately, as you’ll pay for one surgical facility fee, one anesthesia session, and consolidated pre-operative care.
The combined procedure typically takes 2-4 hours, depending on complexity. Your surgeon begins with the septoplasty, accessing the septum through internal incisions to avoid external scarring.
They carefully reposition or remove obstructive cartilage and bone while preserving structural support. The rhinoplasty portion follows, with techniques varying based on your goals – closed rhinoplasty uses only internal incisions, while open rhinoplasty includes a small external cut across the columella for more extensive reshaping.
Modern surgeons often use computer imaging to preview potential results and plan the surgery with precision. Ultrasonic rhinoplasty, or piezo rhinoplasty, uses ultrasonic energy to sculpt bone more precisely while minimizing trauma to surrounding soft tissues. This can reduce swelling and bruising compared to traditional methods.
Endoscopic techniques allow surgeons to visualize internal nasal structures more clearly during septoplasty, leading to more precise corrections and better functional outcomes.
Week 1: Expect significant swelling, possible black eyes, and mouth breathing due to nasal packing. Pain is typically mild to moderate and well-controlled with prescribed medications. You’ll sleep with your head elevated and avoid strenuous activities.
Weeks 2-4: External splints and most sutures are removed. Swelling begins noticeably reducing, though your nose will still appear larger than the final result. You can gradually resume light exercise and normal activities.
Months 2-6: Continued subtle improvements as swelling subsides. Internal healing progresses, and breathing typically improves significantly during this period.
One Year: Final results emerge as all swelling resolves and tissues fully settle into their new positions.
Recovery involves initial swelling and bruising around the eyes and nose area, which peaks around day three and gradually subsides over 2-3 weeks. You’ll likely have nasal splints or packing for the first week to support healing structures. Most patients return to work within 7-10 days, though complete healing takes several months.
Breathing may initially feel more congested due to swelling, but as inflammation reduces, you’ll typically notice significant improvement in airflow – often better than before surgery.
While generally safe, combined surgery carries risks including bleeding, infection, adverse reaction to anesthesia, and temporary or permanent changes in sensation. Specific to nasal surgery, there’s a small risk of septal perforation, persistent breathing difficulties, or need for revision surgery.
Some patients experience temporary dry mouth, changes in smell or taste, or tooth numbness that typically resolves within weeks to months.
This combined approach works best for patients who have both functional breathing problems and aesthetic concerns. Your surgeon will evaluate your nasal anatomy, medical history, and goals to determine if you’re a good candidate for the dual procedure.
Board certification in facial plastic surgery or otolaryngology (ENT) is essential. Look for surgeons with specific experience in both functional and aesthetic nasal surgery, as this combination requires specialized expertise. Review before-and-after photos, patient testimonials, and ask about revision rates.
During consultation, your surgeon should thoroughly examine your nasal anatomy, discuss realistic expectations, and explain how functional improvements will be balanced with aesthetic goals.
Combined rhinoplasty-septoplasty typically ranges from $8,000-$15,000, varying by geographic location, surgeon experience, and procedure complexity. Insurance may cover the septoplasty portion if it’s medically necessary, but rhinoplasty is considered cosmetic. Some practices offer financing options to make the procedure more accessible.
Most patients report significant satisfaction with both breathing improvement and aesthetic enhancement. Functional results from septoplasty are typically permanent, while rhinoplasty results mature over 12-18 months as swelling completely resolves. The key to lasting satisfaction is having realistic expectations and choosing an experienced surgeon who understands the intricate relationship between nasal function and appearance.
Combining rhinoplasty and septoplasty offers a comprehensive solution for patients seeking both improved breathing and enhanced facial aesthetics. The key is working with a surgeon experienced in both functional and cosmetic nasal surgery to ensure the best possible outcome for both breathing and appearance. With proper planning, realistic expectations, and appropriate aftercare, this dual procedure can significantly improve both your quality of life and confidence.
Each of the contents on this site has been prepared for informational purposes. Do not apply any of the treatment methods described on the site without the supervision of a doctor. Otherwise, the site management and Assoc. Prof. will not be responsible in any way for any problems that may arise. Dr. Osman Halit Çam is not responsible.
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Last Updated: 25.07.2025
