Op. Dr. Ayşe Öznur Akidil

The Differences Between Septoplasty and Rhinoplasty Surgeries

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Aesthetic surgery and functional surgery usually serve different purposes from one another. However, some nose operations can serve both purposes. Septoplasty and rhinoplasty are two of the most commonly performed surgical procedures related to the nose. However, understanding the differences between these two procedures plays an important role in deciding which procedure is suitable for you. In this article we will address in detail the differences between septoplasty and rhinoplasty.

011. What Is Septoplasty?

Septoplasty is a surgical procedure performed to correct the cartilage and bone structure called the septum, which divides the nose in two. The septum is the structure that regulates the airway in the nose, but it can be crooked congenitally or as a result of trauma. A crooked septum can lead to nasal congestion and difficulty in breathing. Septoplasty is applied to correct this problem and enable the patient to breathe more comfortably.

02The Septoplasty Procedure:

• Aim: To correct the crooked septum inside the nose, to eliminate respiratory problems.

• Application: It is usually carried out with incisions made inside the nostrils, so no visible scar remains from the outside.

• Recovery Process: After septoplasty patients usually go through a fast recovery process, but mild swelling and nasal congestion can continue for a while.

• Results: Septoplasty provides only a functional improvement; no aesthetic change is aimed for.

03Who Is Septoplasty Suitable For?

• Nasal Congestion: It is suitable for people who experience congestion and difficulty breathing caused by the crookedness of the septum.

• Sinus Problems: If a crooked septum leads to sinus problems, septoplasty can correct this situation.

• Snoring: It can be beneficial for those who experience a snoring problem due to breathing problems.

042. What Is Rhinoplasty?

Rhinoplasty is an aesthetic surgical intervention performed to change the shape of the nose. This procedure can be applied to reduce, increase or shape the size of the nose. Rhinoplasty pursues only an aesthetic aim, but it can also be combined with septoplasty to solve functional problems as well. Rhinoplasty is usually used to make changes in areas such as the nasal tip, nasal bridge, nostrils and nasal dorsum.

05The Rhinoplasty Procedure:

• Aim: To change the shape of the nose; to correct aesthetic disorders in the nasal structure.

• Application: It can be carried out with incisions made inside or outside the nose. Open or closed rhinoplasty techniques are used.

• Recovery Process: The recovery process after rhinoplasty can be a little longer. Swelling, bruising and nasal congestion usually last a few weeks.

• Results: The shape and size of the nose are corrected aesthetically, but a functional change is usually not aimed for.

06Who Is Rhinoplasty Suitable For?

• Those Who Want Aesthetic Improvement: It is suitable for people who are not satisfied with the shape of their nose, who want their nose to be symmetrical or who want to change its appearance.

• Congenital Nose-Shape Problems: It is an effective solution for those who want to correct congenital aesthetic problems of the nasal shape.

• Nose Trauma: Rhinoplasty can also be done to correct shape deformities that form after nasal traumas.

073. The Differences Between Septoplasty and Rhinoplasty

Although both surgeries are related to the nose, they fundamentally carry different aims and different techniques are used. Here are the main differences between these two operations:

08Differences According to Their Aim:

• Septoplasty: It is a functional surgery, and its basic aim is to correct the deviations that form in the septum in the nose and facilitate breathing. This procedure does not provide an aesthetic change.

• Rhinoplasty: It is an aesthetic surgery and aims to change the shape of the nose. It is related to aesthetic problems (for example, a nasal-bone protrusion, drooping of the nasal tip or the width of the nostrils). Rhinoplasty can also lead to functional changes, but its main aim is improvement in appearance.

09Technique and Application Method:

• Septoplasty: It is carried out with incisions made inside the nose. No scar is left on the outside, and after the crookedness inside the nose is corrected, the patient's breathing usually becomes more comfortable.

• Rhinoplasty: It can be applied with incisions made both inside and outside the nose. If large changes are to be made in the nasal shape, the open rhinoplasty technique is preferred. In this procedure done for aesthetic purposes, the nasal bone or cartilage structure is reshaped.

10Recovery Process:

• Septoplasty: The recovery time is usually short, and one can return to normal life within a few weeks. However, some patients may experience nasal congestion and swelling.

• Rhinoplasty: The recovery time can usually be longer. In the first few weeks, swelling and bruising can be seen. The full results become apparent within 1-2 years.

11Results:

• Septoplasty: It provides functional results. The shape of the nose does not change, but the breathing capacity improves significantly.

• Rhinoplasty: It provides aesthetic results. The shape of the nose is changed and a more symmetrical appearance is obtained.

124. Can Septoplasty and Rhinoplasty Be Combined?

Yes, septoplasty and rhinoplasty procedures can usually be combined. In this case, both functional and aesthetic results can be obtained at the same time. While the shape of the nose is changed, the breathing problems in the nose are also solved. This kind of combined surgical procedure is called "septorhinoplasty."

Septorhinoplasty is usually an ideal solution for patients who experience nasal congestion and are at the same time not satisfied with the shape of their nose. In this way, both an aesthetic nasal appearance and comfortable breathing can be provided.

13Which Surgery Should You Choose?

The choice between septoplasty and rhinoplasty depends on your personal needs and expectations. If your aim is only to eliminate breathing problems, septoplasty may be sufficient. However, if you want to make aesthetic changes in the shape of your nose, rhinoplasty should be preferred.

Sometimes the septorhinoplasty procedure, which is a combination of both surgeries, can also give the best result. By having a detailed consultation with a good nose surgeon, it is possible to determine the most suitable solution for you.

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