23 doctors weighed in:
Difficulty breathing through nose. Deviated septum. Is rhinoplasty required?
23 doctors weighed in

Dr. Clark Schierle
Surgery - Plastics
8 doctors agree
In brief: Rhinoplasty Options
You need a septoplasty.
This procedure is covered by insurance. A rhinoplasty to reshape the nose can be performed at the same time but this is considered cosmetic and would not be covered.

In brief: Rhinoplasty Options
You need a septoplasty.
This procedure is covered by insurance. A rhinoplasty to reshape the nose can be performed at the same time but this is considered cosmetic and would not be covered.
Dr. Clark Schierle
Dr. Clark Schierle
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Dr. Tito Vasquez
Surgery - Plastics
4 doctors agree
In brief: No
Difficulty breathing may be structural or not.
A structural problem can usually be corrected with surgery, which should help with your breathing problems. Most people have a deviated septum, but most do not have a severe enough problem to warrant rhinoplasty to correct this. However, they may be cosmetic concerns which could correct a deviated septum at the same time.

In brief: No
Difficulty breathing may be structural or not.
A structural problem can usually be corrected with surgery, which should help with your breathing problems. Most people have a deviated septum, but most do not have a severe enough problem to warrant rhinoplasty to correct this. However, they may be cosmetic concerns which could correct a deviated septum at the same time.
Dr. Tito Vasquez
Dr. Tito Vasquez
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Dr. Suzanne Galli
Facial Plastic Surgery
2 doctors agree
In brief: Deviated septum
If you are having symptoms of nasal obstruction- difficulty breathing through nose, snoring or perhaps other issues like recurrent sinusitis, you may consider surgical correction.
Be sure to have your nose evaluated by a board certified otolaryngologist.

In brief: Deviated septum
If you are having symptoms of nasal obstruction- difficulty breathing through nose, snoring or perhaps other issues like recurrent sinusitis, you may consider surgical correction.
Be sure to have your nose evaluated by a board certified otolaryngologist.
Dr. Suzanne Galli
Dr. Suzanne Galli
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Dr. Brock Ridenour
Surgery - Plastics
2 doctors agree
In brief: Not always
Sometimes a deviated septum is the sole cause of nasal airway obstruction.
Other times however, the cause of obstruction is multifactorial. A crooked nose, weak nasal cartilages, enlarged turbinates, worn out nasal ligaments, and specific anatomic variants can all cause obstruction. Sometimes a septoplasty is all you need. Sometimes a more comprehensive septorhinoplasty is required.

In brief: Not always
Sometimes a deviated septum is the sole cause of nasal airway obstruction.
Other times however, the cause of obstruction is multifactorial. A crooked nose, weak nasal cartilages, enlarged turbinates, worn out nasal ligaments, and specific anatomic variants can all cause obstruction. Sometimes a septoplasty is all you need. Sometimes a more comprehensive septorhinoplasty is required.
Dr. Brock Ridenour
Dr. Brock Ridenour
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Dr. David Sherris
Facial Plastic Surgery
2 doctors agree
In brief: Sometimes
If the external nose is bent, collapses on inspiration or has other deformities rhinoplasty may be necessary in addition to septoplasty to get an optimal result.
See a facial plastic surgeon for a consultation.

In brief: Sometimes
If the external nose is bent, collapses on inspiration or has other deformities rhinoplasty may be necessary in addition to septoplasty to get an optimal result.
See a facial plastic surgeon for a consultation.
Dr. David Sherris
Dr. David Sherris
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Dr. Mike Bowman
ENT - Head & Neck Surgery
1 doctor agrees
In brief: Maybe
It depends a lot on the nose, without pictures it is hard to say.
If the deviated septum is the only problem causing the breathing, rhinoplasty is not required. However, if you have a crooked nose and deviation is only part of the problem, a functional rhinoplasty might be necessary to straighten the nose and fully improve breathing. This might be covered by insurance. D/w your doctor.

In brief: Maybe
It depends a lot on the nose, without pictures it is hard to say.
If the deviated septum is the only problem causing the breathing, rhinoplasty is not required. However, if you have a crooked nose and deviation is only part of the problem, a functional rhinoplasty might be necessary to straighten the nose and fully improve breathing. This might be covered by insurance. D/w your doctor.
Dr. Mike Bowman
Dr. Mike Bowman
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Dr. John Hoffmann
Surgery - Plastics
In brief: It depends
Sometimes the only problem is that the internal cartilage and bone - the septum- is crooked or deviated.
Sometimes however there is also a problem with the cartilage of the bridge or tip of the nose which can block the nasal "valve". This may require more extensive reconstruction. You should be evaluated by an experienced nasal surgeon to determine what you you need.

In brief: It depends
Sometimes the only problem is that the internal cartilage and bone - the septum- is crooked or deviated.
Sometimes however there is also a problem with the cartilage of the bridge or tip of the nose which can block the nasal "valve". This may require more extensive reconstruction. You should be evaluated by an experienced nasal surgeon to determine what you you need.
Dr. John Hoffmann
Dr. John Hoffmann
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Dr. Shervin Naderi
Facial Plastic Surgery
In brief: Occasionally....yes
Hi, if the external nasal structure is also deviated then correcting just the septum will not fully straighten it.
Conversely if you went in for a rhinoplasty to correct a crooked nose and your septum was also deviated then both have to be corrected otherwise the deviated septum can force the external nose to remain deviated. The two go hand in hand like a support wall of your house and its roof.

In brief: Occasionally....yes
Hi, if the external nasal structure is also deviated then correcting just the septum will not fully straighten it.
Conversely if you went in for a rhinoplasty to correct a crooked nose and your septum was also deviated then both have to be corrected otherwise the deviated septum can force the external nose to remain deviated. The two go hand in hand like a support wall of your house and its roof.
Dr. Shervin Naderi
Dr. Shervin Naderi
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