What is a Combination Rhinoplasty: Septoplasty and a Nose Job

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The nose does more than just shape your profile; it’s also central to how you breathe and feel each day. But for many, it doesn’t work or look the way they’d like. Some struggle with a deviated septum or constant congestion, while others feel self-conscious about bumps, asymmetry, or overall shape.

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A combination rhinoplasty, which pairs a septoplasty with a rhinoplasty, can address both concerns in a single surgery. Wanting to learn more? We’ve got you covered… 

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What Is Combination Rhinoplasty?

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For many people, the nose affects both how they breathe and how they feel about their appearance. You might have ongoing breathing issues from a deviated septum, while also wishing your nose looked more balanced or refined. 

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Combination rhinoplasty addresses both concerns in one procedure, improving function and appearance at the same time for a more complete result.

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That being said, let’s break it all down so you can better understand: 

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Septoplasty

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Septoplasty is a functional surgery used to straighten a deviated septum, which is the cartilage wall that separates the nasal passageways. A deviated septum can obstruct airflow, resulting in breathing issues, snoring, and sinus infections.

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Rhinoplasty

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Rhinoplasty is a cosmetic procedure that reshapes or refines the nose to improve facial symmetry. Patients usually seek rhinoplasty to correct lumps, asymmetry, broad nostrils, or drooping tips.

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In all, combination rhinoplasty improves nasal function and appearance simultaneously. Patients choose this strategy since it is effective, complete, and allows for a single recovery period.

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Benefits of Combining Septoplasty with Rhinoplasty

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If you decide to go with both procedures at once, it offers several advantages, such as:

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• Improved Breathing and Corrected Septum: Patients often notice dramatic improvements in airflow, reduced congestion, and better sleep.
• Enhanced Facial Balance and Aesthetics: Cosmetic changes bring harmony to the nose and overall facial profile.
• Single Surgery and Recovery: Combining procedures means less time under anesthesia, fewer overall costs, and just one recovery period instead of two separate ones.

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This “best of both worlds” approach makes combination rhinoplasty a popular choice for those who want functional and cosmetic improvements together.

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Who Is a Good Candidate for a Combination Rhinoplasty?

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You could be an excellent candidate if you:

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• Have trouble breathing due to a deviated septum or other structural nasal abnormalities.
• Have cosmetic concerns about the size, shape, or proportion of your nose. 
• Are in good overall health and a non-smokers.
• Have complete nasal growth.

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All that being said, the best way to find out is to consult with a board-certified facial plastic surgeon. They can evaluate both your airway function and aesthetic goals to see if combined rhinoplasty is right for you.

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The Procedure: What to Expect

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Combination rhinoplasty is usually performed under general anesthesia to keep you comfortable throughout surgery. In some cases, sedation with local anesthesia may be an option. Here’s what you can expect:

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• #1. Small incisions are made inside the nose (and sometimes across the base of the nose if open rhinoplasty is performed).
• #2. The surgeon corrects the deviated septum by repositioning or removing obstructive cartilage.
• #3. Cosmetic reshaping is performed; this might involve refining the nasal bridge, adjusting nostril width, or reshaping the tip.
• #4. Incisions are carefully closed, and internal supports may be placed temporarily to help with healing.

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The procedure typically lasts two to three hours, depending on the complexity. Most patients go home the same day.

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Risks and Considerations

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There are a few risks associated with surgery, such as:

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• Bleeding, infection, or scars.
• Prolonged swelling or numbness.
• Breathing issues may occur if healing does not go as intended.
• And the possibility of revision surgery if the results don’t meet expectations.

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To reduce any risks, choose a skilled, board-certified surgeon who specializes in both functional and cosmetic nose jobs.

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Finding the Right Surgeon for a Combination Rhinoplasty

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At Bliss, our goal is to match you with the right facial plastic surgeon for your needs. We emphasize a patient-centered approach, ensuring your concerns, both functional and aesthetic, are heard and addressed in a personalized surgical plan.

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With expert guidance, you’ll feel confident knowing you’re in skilled hands. From the initial consultation to recovery, your care team will walk you through each step so you know exactly what to expect.

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Start Your Journey Today With Bliss

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Ready to explore whether combination rhinoplasty is right for you? Complete your questionnaire with your information, and our team will connect you with a board-certified surgeon. We’ll answer your questions, review your goals, and guide you through the next steps toward better breathing and a balanced, confident look.