Rhinoplasty vs. Septoplasty – Which Do I Need?

What is Rhinoplasty?

Rhinoplasty and septoplasty are both procedures that can reshape nasal cartilage to change a patient’s nasal-facial balance and structure.

But while procedures both focus on the nose, the desired results of each can differ drastically.

This begs the question: do you need a rhinoplasty or a septoplasty?

A rhinoplasty, also known as a nose job, is a cosmetic procedure performed to reshape or resize the nose and improve nasal-facial balance and proportion.

The personalized nose job procedure is tailored to the patient’s aesthetic goals and can address a range of cosmetic and airflow concerns, including nasal asymmetry, bridge bumps, a large nasal tip, wide nostrils, and other size and shape issues, to achieve a more balanced appearance. In addition, the surgery can address breathing and airflow problems in the nose and may also include a surgical repair of the septum (the internal nasal partition), called a septoplasty. The rhinoplasty is usually done for cosmetic improvement, and a septoplasty for airway and breathing function.

TPS offers both female and male rhinoplasty and septoplasty at our state-of-the-art facilities.

Benefits for Having Rhinoplasty

• Improved facial symmetry by correcting aesthetic nasal-facial imbalances.
• Eliminates unsightly bridge bumps.
• Reduces excessively broad nasal bones that make the nose look large.
• Straightens a crooked nose.
• Reduces a bulbous tip to better harmonize with other facial features.
• Can reduce nostril flare
• Can reduce a “plunging tip”
• Can reduce an over-projected nose, or one that is too long

Open vs. Closed Rhinoplasty

Open Rhinoplasty (also called external rhinoplasty) involves making a small incision on the columella—the tissue between your nostrils—allowing the surgeon to lift the nasal skin and fully expose the bone and cartilage. This approach provides the surgeon with maximum visibility and control, making it ideal for more complex cases requiring precise adjustments. The procedure is performed under general anesthesia or twilight sedation, providing unparalleled access to reshape the nasal tip and underlying structures.

Closed Rhinoplasty (or internal rhinoplasty) is a less invasive technique where all incisions are made inside the nostrils, leaving no visible scarring. This method is typically used for minor corrections, such as addressing a bump on the nasal bridge or refining the nasal tip. It’s best suited for patients who need subtle changes and want a quicker recovery, as it involves less disruption to the nasal structure.

What Is Septoplasty?

Septoplasty is a surgical procedure to correct a deviated septum, the wall of cartilaginous tissue between your nasal passages.

A deviated septum can result from hereditary factors, developmental predispositions, or injury. If the septum is deviated or crooked, it can interfere with breathing and cause recurring problems such as sinusitis and nosebleeds. Those who have difficulty breathing through one or both nostrils may require a procedure called septoplasty to correct a deviated septum, thereby improving breathing.

Benefits for Having Septoplasty

• Straightens and repositions the septum in your nose.
• It improves breathing and helps with other symptoms.
• Correcting a crooked septum can improve sleep quality.
• It doesn’t usually change the appearance of your nose.
• Resolves impaired sense of smell or taste.

What Are the Main Differences Between Rhinoplasty & Septoplasty?

Although both procedures alter the nose, the main differences lie in the types of changes they make.

Rhinoplasty reshapes the external components of the nose to improve the size, symmetry, and shape, creating a better-balanced facial appearance. Conversely, the sole purpose of a septoplasty is to straighten the septum inside the nose to improve breathing.

As such, the effects of the two procedures are very different. With a rhinoplasty, patients see visible improvements to the nose, whereas with a septoplasty, the improved nasal function is experienced and perceived only by the patient.

Although the two procedures can be performed independently, there are circumstances where elements of both are used in tandem. Indeed, the main purpose of a septoplasty is to repair a deviated septum; however, it can also be useful to address aesthetic concerns, such as a bulbous tip or dorsal hump, during the same procedure. Also, during a reductive rhinoplasty, where the nose is made smaller, the air passages are often enlarged to prevent airflow obstruction.

For example, if a patient has a visibly crooked nose with a deviated septum, a septoplasty with elements of rhinoplasty can address both functional and aesthetic issues in a single surgery.

Can You Combine Septoplasty and Rhinoplasty?

Yes, you can have both procedures done together, and it’s actually quite common! When a septoplasty (to correct a deviated septum) and rhinoplasty (for cosmetic changes) are performed in the same surgery, it’s referred to as septorhinoplasty. This approach allows patients to address both functional and aesthetic concerns in a single procedure, offering the benefits of improved breathing and a refined nasal shape simultaneously.

Which Surgery is Right for Me?

A rhinoplasty is generally the procedure of choice for those looking to adjust the appearance of the nose and address breathing issues. However, a septoplasty is better suited for those seeking to correct a deviated septum that is compromising airflow.

The best way to decide which is right for you is to discuss options with a specialist.

The skilled and experienced team at Toronto Plastic Surgeons Wellness Centre is here to provide expert advice on which procedure suits your circumstances. You’ll get personalized advice on your options, which could involve a procedure that combines elements of rhinoplasty and septoplasty.

Schedule a consultation with us today to learn how our skilled techniques deliver outstanding results.

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Dr. Stephen Mulholland, Md

Dr. Stephen Mulholland has been practicing plastic surgery for over 20 years. He is one of Canada’s most renowned and best plastic surgeons in Toronto with his wealth of experience, artistry, and humbleness towards his patients.

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