Do Plastic Surgeons Fix a Deviated Septum? Understanding the Role of Rhinoplasty
Do plastic surgeons fix a deviated septum? The answer is a nuanced yes, particularly when combined with rhinoplasty. While not all plastic surgeons specialize in septoplasty, the procedure to correct a deviated septum, many can address it during cosmetic rhinoplasty to improve both aesthetics and breathing.
The Deviated Septum: A Structural Overview
A deviated septum is a common condition where the nasal septum, the cartilage and bone that divides the nasal cavity, is significantly displaced to one side. This displacement can narrow one nasal passage, reducing airflow and causing difficulty breathing. While some people are born with a deviated septum, others develop it due to injury, like a blow to the nose.
Here’s a quick breakdown:
- What is it? Displacement of the nasal septum.
- Causes: Congenital or acquired (e.g., injury).
- Symptoms: Difficulty breathing, nosebleeds, sinus infections, facial pain.
The Role of Rhinoplasty
Rhinoplasty, commonly known as a nose job, is a surgical procedure that reshapes the nose. While often performed for cosmetic reasons, rhinoplasty can also address functional issues, including a deviated septum. When plastic surgeons perform rhinoplasty, they can often correct a deviated septum simultaneously, leading to improved breathing and a more aesthetically pleasing nasal appearance. This combined procedure is often referred to as a septorhinoplasty.
Septoplasty vs. Septorhinoplasty
It’s crucial to understand the difference between septoplasty and septorhinoplasty:
- Septoplasty: Aims solely to correct the deviated septum and improve breathing. It doesn’t focus on altering the external appearance of the nose. Usually performed by ENT specialists (otolaryngologists).
- Septorhinoplasty: Addresses both the deviated septum and the external shape of the nose. This combined procedure is frequently performed by plastic surgeons with expertise in both functional and cosmetic nasal surgery.
| Feature | Septoplasty | Septorhinoplasty |
|---|---|---|
| Primary Goal | Improve Breathing | Improve Breathing & Aesthetics |
| Focus | Nasal Septum Only | Septum & External Nose |
| Typical Surgeon | ENT Specialist (Otolaryngologist) | Plastic Surgeon |
| Cosmetic Changes | Minimal/None | Often Significant |
The Surgical Process: What to Expect
Whether undergoing septoplasty or septorhinoplasty, the general surgical process is similar:
- Anesthesia: The patient is typically placed under general anesthesia or local anesthesia with sedation.
- Incision: The surgeon makes an incision inside the nose to access the septum. In some cases, an external incision may be necessary for septorhinoplasty to reshape the nose.
- Correction: The deviated portion of the septum is repositioned, removed, or reshaped to create a straighter nasal passage.
- Reshaping (Rhinoplasty component): If it’s a septorhinoplasty, the surgeon reshapes the nasal bones and cartilage to achieve the desired cosmetic outcome.
- Closure: The incisions are closed, and a splint or packing may be placed inside the nose to support healing.
Choosing the Right Surgeon
If you’re considering surgery to correct a deviated septum, it’s essential to choose a qualified and experienced surgeon. Consider the following:
- Board Certification: Ensure the surgeon is board-certified in plastic surgery or otolaryngology.
- Experience: Look for a surgeon with extensive experience in both septoplasty and rhinoplasty procedures.
- Before & After Photos: Review before-and-after photos of the surgeon’s previous patients to assess their aesthetic skills.
- Consultation: Schedule a consultation to discuss your goals, concerns, and medical history.
Common Mistakes to Avoid
- Ignoring Breathing Problems: Focusing solely on cosmetic concerns during rhinoplasty without addressing a pre-existing deviated septum.
- Choosing an Inexperienced Surgeon: Opting for a surgeon who lacks adequate experience in functional nasal surgery.
- Not Discussing Expectations: Failing to clearly communicate your desired outcome to the surgeon.
- Neglecting Post-Operative Care: Ignoring the surgeon’s instructions for post-operative care, which can compromise healing and results.
Do Plastic Surgeons Fix a Deviated Septum?: A Final Thought
While not all plastic surgeons specialize in septoplasty, many are skilled in septorhinoplasty, offering both functional and aesthetic improvements. By understanding the nuances of these procedures and choosing a qualified surgeon, patients can achieve optimal results for both breathing and nasal appearance. If you suspect that you have a deviated septum, consult with a plastic surgeon or ENT specialist to explore your treatment options.
Frequently Asked Questions
Can a deviated septum cause headaches?
Yes, a deviated septum can contribute to headaches in some individuals. The restricted airflow and pressure within the nasal passages can lead to sinus congestion and inflammation, which can trigger headaches. However, it’s important to rule out other potential causes of headaches with a medical professional.
Is septoplasty painful?
While discomfort is expected after septoplasty, the pain is typically manageable with prescribed pain medication. Many patients describe the sensation as pressure or congestion rather than sharp pain. Following the surgeon’s post-operative instructions is crucial for minimizing discomfort and promoting healing.
How long does it take to recover from septoplasty or septorhinoplasty?
The initial recovery period typically lasts 1-2 weeks. During this time, patients may experience swelling, bruising, and congestion. However, the full healing process can take several months, as the nasal tissues gradually settle. It is important to be patient and follow all post-operative care instructions to ensure optimal results.
What are the potential risks of septoplasty or septorhinoplasty?
Like all surgical procedures, septoplasty and septorhinoplasty carry potential risks, including bleeding, infection, numbness, changes in sense of smell, and nasal septal perforation. However, these complications are relatively rare when the surgery is performed by a qualified and experienced surgeon.
Will insurance cover septoplasty or septorhinoplasty?
Insurance coverage for septoplasty is typically available when the procedure is performed to correct a deviated septum and improve breathing. For septorhinoplasty, the portion of the procedure that addresses the deviated septum is often covered, while the cosmetic component may not be. It’s essential to check with your insurance provider to determine your specific coverage.
Can a deviated septum cause snoring?
Yes, a deviated septum can contribute to snoring. The narrowed nasal passage can increase resistance to airflow during breathing, leading to turbulent airflow and vibrations in the throat, which manifest as snoring. Correcting the deviated septum can often reduce or eliminate snoring.
How do I know if I have a deviated septum?
Common symptoms of a deviated septum include difficulty breathing through one or both nostrils, frequent nosebleeds, sinus infections, facial pain, and snoring. If you experience these symptoms, consult with a doctor for a diagnosis. A physical examination of your nasal passages can help determine if a deviated septum is present.
Can a deviated septum worsen allergies?
Yes, a deviated septum can potentially worsen allergy symptoms. The narrowed nasal passage can trap allergens and irritants, leading to increased inflammation and congestion in the nasal passages.
What happens if I don’t fix my deviated septum?
If left untreated, a deviated septum can lead to chronic nasal congestion, difficulty breathing, recurrent sinus infections, and sleep disturbances. These issues can significantly impact your quality of life.
Can a non-surgical treatment correct a deviated septum?
No, non-surgical treatments like nasal sprays and decongestants can help manage the symptoms of a deviated septum but cannot correct the underlying structural issue. Surgery (septoplasty or septorhinoplasty) is the only way to permanently correct a deviated septum.
What questions should I ask during a consultation with a surgeon?
Important questions to ask include:
- How many septoplasties/septorhinoplasties have you performed?
- What are the potential risks and complications?
- What type of anesthesia will be used?
- What is the expected recovery time?
- Can I see before-and-after photos of your previous patients?
Is there an age limit for septoplasty or septorhinoplasty?
There isn’t a strict age limit, but it’s generally recommended to wait until the nasal structures are fully developed, usually around age 15 or 16 for girls and 17 or 18 for boys. Older adults can also undergo the procedure if they are in good health. The suitability of the surgery depends on the individual’s overall health and the severity of their symptoms.