Septorhinoplasty combines both cosmetic rhinoplasty and functional septoplasty in a single procedure, addressing both breathing issues and aesthetic concerns simultaneously.
A deviated septum affects millions of people worldwide, causing breathing difficulties and other complications. Many patients wonder whether rhinoplasty can address both functional breathing issues and aesthetic concerns simultaneously. This comprehensive guide explores how rhinoplasty procedures can effectively treat deviated septums while improving nasal appearance.
A deviated septum occurs when the thin wall separating your nasal passages is displaced to one side, making one nasal passage smaller than the other. This condition can be present from birth or result from injury, affecting up to 80% of people to varying degrees.
When your septum is significantly deviated, it can cause:
● Chronic nasal congestion, particularly on one side
● Difficulty breathing through the nose
● Frequent sinus infections
● Loud breathing or snoring during sleep
● Reduced sense of smell and taste
● Facial pain and headaches
● Sleep disruption and fatigue
For example, athletes may notice decreased performance due to restricted airflow, while others might rely heavily on nasal decongestants for basic breathing comfort.
Understanding the distinction between these procedures is crucial for patients considering nasal surgery.
● Purpose: Enhances nasal appearance and facial harmony
● Focus: Reshaping the external nose structure
● Areas addressed: Nasal bridge, tip, nostrils, and overall profile
● Insurance coverage: Typically not covered as it’s considered elective
● Purpose: Corrects breathing problems caused by structural issues
● Focus: Straightening the nasal septum internally
● Areas addressed: Internal nasal passages and airway obstruction
● Insurance coverage: Often covered when medically necessary
Septorhinoplasty combines both cosmetic rhinoplasty and functional septoplasty in a single procedure, addressing both breathing issues and aesthetic concerns simultaneously.
During this comprehensive procedure, surgeons:
1. Access the nasal septum through internal incisions
2. Remove or reposition deviated cartilage and bone
3. Reshape external nasal structures as desired
4. Ensure optimal airflow while maintaining structural integrity
This combined approach offers several advantages, including single recovery period, coordinated aesthetic and functional results, and potential cost savings compared to separate procedures.
● Improved breathing: Significantly enhanced nasal airflow
● Better sleep quality: Reduced snoring and sleep disturbances
● Enhanced appearance: Customized aesthetic improvements
● Reduced sinus problems: Fewer infections and congestion issues
● Increased confidence: Both functional and cosmetic improvements
Like any surgical procedure, septorhinoplasty carries certain risks:
● Temporary swelling and bruising
● Bleeding or infection
● Changes in sense of smell
● Numbness around the nose
● Need for revision surgery in some cases
● Scarring (though typically minimal with skilled surgeons)
● Nasal splints and packing removal within days
● Significant swelling and bruising around eyes and nose
● Breathing through mouth primarily
● Pain management with prescribed medications
● Gradual reduction in swelling
● Return to light activities
● Improved breathing as internal healing progresses
● Follow-up appointments for monitoring
● Continued improvement in breathing
● Final aesthetic results becoming apparent
● Complete internal healing
● Full return to all activities including contact sports
Healthcare providers typically recommend septoplasty when:
● Conservative treatments (nasal sprays, medications) have failed
● Breathing difficulties significantly impact quality of life
● Chronic sinus infections persist despite medical management
● Sleep apnea or severe snoring affects health
● Professional requirements demand optimal nasal function
Insurance companies often require documentation of failed conservative treatments and objective breathing tests before approving coverage for functional septoplasty.
Choosing septorhinoplasty requires careful consideration of both functional needs and aesthetic goals. Consultation with a qualified facial plastic surgeon or ENT specialist who specializes in both functional and cosmetic nasal surgery is essential for optimal outcomes.
The ideal candidate has realistic expectations, good overall health, and specific functional or aesthetic concerns that can be addressed through surgery. Patients should be prepared for the recovery process and committed to following post-operative care instructions.
A: Traditional cosmetic rhinoplasty focuses on external appearance and doesn't address internal septum deviation. Septoplasty or septorhinoplasty is needed to correct the internal structural problem affecting breathing.
A: Most patients notice improved breathing within 2-4 weeks, with continued improvement over 3-6 months as swelling completely subsides and tissues heal.
A: Insurance typically covers the septoplasty portion when medically necessary, but not the cosmetic rhinoplasty component. Patients pay out-of-pocket for aesthetic improvements.
A: While rare, re-deviation can occur due to trauma, natural aging, or incomplete initial correction. Most patients experience long-lasting improvement in breathing function.
A: Studies show that 70-90% of patients experience significant improvement in nasal breathing after septoplasty, with higher success rates when performed by experienced surgeons.
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At Dr. Osman Halit Çam’s clinic, we offer internationally recognized, patient-centered care with cutting-edge techniques in modern rhinoplasty and facial aesthetics.
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Last Updated: 25.07.2025
