Rhinoplasty and a Deviated Septum


If you suffer from a deviated septum and you want to change the shape of your nose, your doctor would have suggested a combination of septoplasty and rhinoplasty i.e. septorhinoplasty. Septoplasty will cut the deviated part of the septum and fix it to the right position; rhinoplasty on the other hand will change the overall look of your nose and make it more appealing.

Rhinoplasty & Its Types

Before & After of a woman who had a septoplasty and rhinoplasty for her deviated septum.

Rhinoplasty is a surgery which depending on the patient, can be performed under general anaesthesia, Local anaesthesia or under general sedation. Initially, a local anaesthetic such as lidocaine and epinephrine will be injected in the nasal area to numb it and reduce its vasculature.

After this is done, the surgeon has two options or approaches to choose from. The first which is known as closed rhinoplasty involves the use of incisions which are made inside the nose. The second known as open rhinoplasty, involves the same incisions as the above procedure but an additional incision is made across the skin which separates the nostrils (also known as the columella).

After making the incisions, your surgeon will then separate the skin, soft tissue of the nose from the underlying structure. He or she will then re-shape the bones and cartilage to make the nose look appealing. Finally sutures will be used to close the incisions. At times, a stent or packing may also be placed to provide structural support to the nose.

Sometimes if required your own cartilage or bone may be used as a graft to change the shape of the nose. The cartilage will usually be harvested from the septum which separates the two nostrils. However if relapse occurs and the surgery has to be repeated, there may not be enough cartilage, in this case the cartilage will be harvested from either the concha of the ribs or ears. In rare cases, when bone is required for the graft, it will be harvested from the hip, cranium or the ribs.

Now that you know what a rhinoplasty is and why it is done for a deviated septum, you can make an informed choice.

Author: Perumal G.

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