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Deviated nasal septum

I am suffering from deviated nasal septum.

But no symptoms , no problem. Only cosmetic problems.

Should i go for a surgery or not???
Poster
  • Male | 19 years old
July 19, 11:35 AM

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Featured Answer

2 UpVoted this answer
Deviated nasal septum is common and not necessarily a functional problem, unless there is occlusion of the nasal airway. Nasal deviation or a crooked nose can be a cosmetic indication for the correction of the septum. The nasal tip follows the septum, therefore to straighten the nose in a rhinoplasty can entail a septoplasty. Harvesting a septal cartilage graft for cosmetic purposes can also help with a deviated septum. Silent nasal airway issues can often come to light after having a cosmetic rhinoplasty with septoplasty. Following through with the procedure would only be based on whether the nose needed a correction.
Andrew P Trussler
Andrew P Trussler, MD
Plastic Surgeon in Austin, TX
Level: Master Contributor (67)
Website: Andrew P. Trussler MD
February 26, 04:00 AM
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1 UpVoted this answer
To answer your question of "Should I go for surgery or not?"

- We first have to determine if the septum is actually the deviated part or other nose structures

- If you sit down with a surgeon to discuss the area that is a cosmetic concern, you will likely learn that the area is not just a septal issue.

-The nose can be complicated but with the right discussion, your concerns can be made more clear.

-With that new information, you can make the decision with your surgeon and your family.

Best Wishes
Travis T. Tollefson
Travis T. Tollefson, MD, MPH, FACS
Facial Plastic Surgeon in Sacramento, CA
Level: Contributor (18)
Website: UC Davis Facial Plastic and Reconstructive Surgery
July 20, 08:17 PM
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1 UpVoted this answer
The presence of a 'deviated septum' by itself is not an indication for surgery, The septum, along with several other cartilaginous and mucosal structures of the nose contribute to the anatomical and functional nasal airway. When a deviated septum alone or in combination with other factors results in a bonafide airway compromise, septal and nasal airway surgery may be indicated. Oftentimes, the degree of airway obstruction is hard to quantify and results from airway surgery largely subjecitive.

In addition to its role in breathing, the deviated septum can contribute to cosmetic issues particularly with regard to whether or not the nose appears straight. While surgery to correct appearance may also result in functional improvement and visa versa, there must be an airway problem to justify the surgery as a medical necessity. While cosmetic surgery by definition is not medically necessary, whether or not to consider aesthetic nasal surgery must be based on a number of factors including but not limited to your goals/expectations, the skill/experience/aesthetic judgement of your surgeon and your appetite for risk.
Richard M. Winters
Richard M. Winters, MD, FACS
Plastic Surgeon in Maywood, NJ
Level: Contributor (9)
Website: Richard M. Winters MD FACS, Aesthetic & Reconstructive Surgeons
July 19, 06:29 PM
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1 UpVoted this answer
A deviated nasal septum depending on the severity may not cause any symptoms or it may cause difficulty breathing through the nose and also be associated with a deformity of the nose. Since the deviated septum is a structural problem medical treatment in the form of nasal sprays, drops or decongestants at best will bring temporary relief. If you have cosmetic concerns, depending on how much the deformity bothers you surgical corrections is the only choice.
Gurmander S. Kohli
Gurmander S. Kohli, MD, FACS
Plastic Surgeon in Newburyport, MA
Level: Top Contributor (35)
Website: Kohli Plastic Surgery
July 19, 05:02 PM
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1 UpVoted this answer
This would be a cosmetic procedure. Depends on your culture. In 1912, men with facial scars in Germany were considered sexually attractive, they were the macho men who fought fencing duels.

Some years ago, hollywood only wanted gorgeous men. Then they wanted men ugly criminal looking. Not sure what they are looking for today.

Usually fixing a septal deformity is not an unusual operation and can be done with minimal nasal bone procedure; however yours is individual.

Any surgery has risks, no matter how minor.

One thing you can be sure of: your thoughts about having this surgery will be different ten years from now as your tastes and experiences change.

For a cosmetic procedure there is no harm in waiting.

Your doctor or your computer geek can make up pictures with and without the deviated septum. That should help you decide too.

Personally i turn away patients where the cosmetic change won't be that noticeable.
Poster
July 19, 04:50 PM
If you don't like the way your nose looks, you can get it fixed. Dont concentrate on the septum. We can take care of that.
William B. Rosenblatt
William B. Rosenblatt, MD
Plastic Surgeon in New York City, NY
Level: Master Contributor (58)
Website: Lenox Hill Plastic Surgery Center
September 23, 08:15 PM
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A deviated septum can be asymptomatic which means, as you say, the patient has no breathing problems. The septum is the basic spine or supporting structure of the nose and if it is crooked you may have a crooked or deviated nose. Correction of a crooked nose is a personal choice for cosmetic reasons and in the end only you can answer your question. In other words, does the deviation bother you enough to have surgery and take on the expense and the risk?

I hope that helps.
Brian H. Windle
Brian H. Windle, MD
Plastic & Reconstructive Surgeon in Kirkland, WA
Level: Contributor (19)
Website: Dr. Brian Windle, Plastic Surgery
September 22, 08:00 PM
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Thank you for your question. If you are asymptomatic, that means if the deviated septum does not cause a breathing disturbance than there is no medical reason to have surgery to correct the deviated septum.

However if the deviated septum is causing a cosmetic problem such as a deviation or crookedness of your nose or nasal tip in cosmetic surgery to correct the crooked nose by correcting the deviated septum and possibly other elements that are causing the crooked nose would be indicated.

I would suggest a consultation by a board certified plastic surgeon. There may be a physiological abnormality caused by your deviated septum that your plastic surgeon can discover by doing a Cottle test. In this case there may be a medical indication to correct your deviated septum.
Brooke R. Seckel
Brooke R. Seckel, MD
Plastic Surgeon in Boston, MA
Level: Top Contributor (28)
Website: Dr. Brooke Seckel
September 14, 12:38 PM
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If your problem is a cosmetic issue, then it comes down to how much does it bother you? Does your nose seem twisted or do you see the septum extending into one of your nostrils? If these cosmetic issues are a concern than consider a rhinoplasty consultation to see if there are other elements that would maximize the cosmetic look for your face. If none of these things bother you and someone happened to mention this to you, no action is needed.
Samir Pancholi
Samir Pancholi, DO
Cosmetic Surgeon in Las Vegas, NV
Level: Contributor (5)
Website: Cosmetic Surgery of Las Vegas
August 28, 06:10 PM
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This is a very personal decision. If you do not have breathing issue then septal surgery is not needed. However, if you have unwanted cosmetic issues, then a cosmetic nose re-shaping may be a good option. Good Luck
Miguel A. Delgado
Miguel A. Delgado, MD
Plastic Surgeon in San Francisco, CA
Level: Candidate (4)
Website: http://www.dr-delgado.com/
July 25, 05:08 PM
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