Zandifar MD – Blog

When repairing deviated septum will that change the shape of your nose (addressing the cosmetic with the functional surgery in one procedure).

White background with ZandifarMD Logo in upper right corner. Depicted logo includes a face with paint brush stroke with a gradient color fade from navy blue to light teal. Logo reads "ZandifarMD" with the tagline that reads "Facial Plastic Surgeon". QUOTE: reads When repairing a deviated septum, will it change the shape of my nose?" Image is a depiction of the inside of a nose showing a normal septum on the left and a deviated septum on the right.

Will fixing my crooked septum change the shape of my nose?

Almost every facial plastic surgeon has been asked this question. The answer, however, isn’t so simple. To better answer this questions let’s first define the terms septoplasty and rhinoplasty.

What is septoplasty?

The middle wall inside your nose that separates the two nostrils into a right and left side is called the nasal septum. This wall extends from the front all the way to the back of the nasal passages. The septum is typically midline meaning it is straight.  In patient’s who suffer from a deviated septum, this wall is crooked to one side or the other.  This deviation can occur anywhere along the length of the septum.  Often times this deviation is inside the nose and no external crookedness is observed.  But sometimes this deviation is at the opening of the nose or along the top part.  When the septal deviation is in these special locations then the crookedness is easily seen on the outside of the nose.  Septoplasty is the surgical procedure that corrects a deviated septum.

What is rhinoplasty or a nose job?

Rhinoplasty, or a nose job, is any surgical procedure that is done to change the external shape of the nose.  This could be done because someone isn’t satisfied with the cosmetic appearance of the nose or it could be done because of trauma or congenital defects.  Regardless of the reason, a rhinoplasty will always result in a change in the appearance of the nose.

And so…

Will a septoplasty change the shape of my nose?

The answer to this question is “it depends”.  In most cases where the septum is deviated inside the nose, with no external deviation, a septoplasty does not change the shape of the nose.  However, depending on the location of the deviated septum, a septoplasty may need to be combined with a rhinoplasty to get the best breathing and cosmetic results.  In these instances, patient will need to undergo a combined procedure called septorhinoplasty.  When we perform a septorhinoplasty (a nose job and a deviated septum repair) then the external shape of the nose is changed to achieve a better functioning nose that looks great.

Will insurance cover my septoplasty and rhinoplasty procedure?

Typically, insurance will cover portions of a septorhinoplasty.  This really depends on the type of insurance and the specific requirements.  Often times, they will cover the septoplasty portion of the surgery but will not cover the rhinoplasty portion.

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