A septorhinoplasty is a hybrid surgical procedure combining the aesthetic benefits of rhinoplasty with functional alterations to the nasal cavity to improve airflow and breathing (septoplasty). The plastic surgeon will straighten and refine the septum to improve air flow. With the internal structures still exposed, the plastic surgeon will further alter the nasal bone and cartilage for aesthetic improvements.
- avg. recovery
About the Procedure
A septorhinoplasty is a hybrid surgical procedure combining the aesthetic benefits of rhinoplasty with functional alterations to the nasal cavity to improve airflow and breathing (septoplasty). During a septorhinoplasty, a plastic surgeon will utilize an open rhinoplasty technique to expose all internal nasal structures by making small incisions and lifting the skin/mucosa off the cartilage and bone. The septum is composed of bone towards the top of the nose (near the brow) and cartilage towards the base. The plastic surgeon will straighten and refine the septum to improve air flow. With the internal structures still exposed, the plastic surgeon will further alter the nasal bone and cartilage for aesthetic improvements.
The goal of a septoplasty is to simultaneously improve the appearance of the nose (rhinoplasty) and also ease airflow through the nasal cavity to improve breathing (septoplasty).
What to Expect
A septorhinoplasty can effectively alter the appearance of the nose and improve nasal function. Here is a quick guide for what to expect before, during, and after a septorhinoplasty.
- Stop taking blood thinning medications two weeks prior to surgery. Blood thinners may include, Advil, Tylenol, Aspirin, and prescription anticoagulants.
- Stop smoking and drinking alcohol two weeks prior to the procedure and continue cessation for two weeks post op
- General anesthetic is administered
- Incisions are made and soft tissue is retracted towards the top of the nose to expose the internal nasal structures
- Alterations to the nasal septum, nasal bone, and nasal cartilage
- Sutures are used to close the wounds
Most patients who have undergone septorhinoplasty are able to resume most normal activities within one to two weeks. Swelling, bruising, and tenderness generally resolve within a week or two. Makeup can be worn after one week.
A septorhinoplasty is an ideal procedure for individuals experiencing difficulties breathing due to structural nasal problems (like a deviated septum) who are also seeking to improve the size and shape of their nose. Those with airway obstruction, recurrent rhinitis, or chronic sinusitis may also benefit.
Not Recommended For
Septorhinoplasty is not recommended for individuals with acute nasal or sinus infections, or those with certain chronic conditions.
Possible side effects from a septorhinoplasty procedure include bruising, bleeding, swelling, numbness, scarring, and difficulties breathing. Less common side effects include reduced sense of smell, adhesions within the nasal cavity (collections of scar tissue), and septal perforations.