Introduction:
Understanding the difference between rhinoplasty and septorhinoplasty is one of the most common areas of confusion for patients considering nose surgery. While both procedures can change the appearance of the nose, they are not the same – particularly when it comes to breathing and function.
In this part of our Q&A series, Professor Ilankovan answers some of the most common questions about how these procedures differ, what they can address, and what that means for recovery and results.
What’s the difference between rhinoplasty and septorhinoplasty?
Rhinoplasty focuses on the shape and appearance of the nose. It’s usually carried out to refine size, adjust proportions, or correct visible irregularities.
Septorhinoplasty includes those same cosmetic changes but also corrects structural issues inside the nose, particularly a deviated septum, to improve airflow and breathing.
Can rhinoplasty improve breathing?
Rhinoplasty on its own is not primarily designed to improve breathing. In some cases, small functional improvements can occur, but if there is an underlying structural issue, it won’t address the root cause.
If breathing is a concern, this is usually where septorhinoplasty is the more appropriate procedure.
What causes breathing problems in the nose?
Breathing issues are often linked to internal structural problems rather than the outer shape of the nose.
Common causes include a deviated septum, narrowing of the nasal valves, or previous injury. These issues can restrict airflow and lead to ongoing congestion or difficulty breathing through the nose.
How does septorhinoplasty improve breathing?
Septorhinoplasty corrects the internal structure of the nose while also allowing for cosmetic refinements.
Straightening the septum and supporting the nasal passages can improve airflow, making breathing feel clearer and more comfortable. At the same time, any external changes can be planned to keep everything balanced and natural-looking.
Will I notice a big difference in breathing after surgery?
This depends on the extent of the underlying issue, but patients often notice a clear improvement once healing has progressed.
It’s important to be aware that swelling in the early stages can temporarily make breathing feel blocked before things begin to settle.
Is recovery different between the two procedures?
The recovery process is broadly similar, but septorhinoplasty can feel slightly more involved due to the internal work being carried out.
You may experience more congestion in the early stages, and it can take a little longer for breathing to feel fully clear. That said, most patients follow a similar overall recovery timeline.
Are there additional risks with septorhinoplasty?
Because septorhinoplasty involves both cosmetic and functional correction, it is a more complex procedure.
As with any surgery, there are risks to consider, including bleeding, infection, or ongoing breathing issues. However, in experienced hands, these risks are carefully managed and discussed in detail beforehand.
How do I know which procedure is right for me?
This depends on whether there is a functional issue within the nose, as well as your concerns about appearance.
If your concern is purely how your nose looks, rhinoplasty may be suitable. If you also have difficulty breathing, or a known structural issue, septorhinoplasty is often the better option.
A detailed consultation allows for a proper assessment, so the most appropriate procedure can be recommended for both appearance and function.
Choosing the right procedure
Choosing between rhinoplasty and septorhinoplasty is not just about how the nose looks it is about how it functions day to day.
Understanding the difference early on helps set realistic expectations and ensures the right procedure is chosen from the outset.
If you are considering surgery or would like to discuss your options, you can find out more about our Rhinoplasty treatments for Men and Women, or speak with the Wentworth Clinic team for personal advice.
You can also read our previous Q&A posts on rhinoplasty, including Part 1: Recovery, Risks and What to Expect, and Part 2: What’s Normal and What’s Not
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