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Combined cosmetic & functional rhinoplasty

Combined Functional & Cosmetic Rhinoplasty: Addressing Aesthetics and Breathing Issues Simultaneously

Combined functional and cosmetic rhinoplasty is a comprehensive surgical approach that addresses both the aesthetic appearance of the nose and underlying structural issues impacting nasal function. By blending the goals of cosmetic rhinoplasty (improving facial harmony) and functional rhinoplasty (restoring proper airflow), this combined procedure can provide patients with a nose that not only looks better but also functions optimally. While this is sometimes performed by 2 different surgeons (1 ENT, 1 Plastic Surgeon), the truth is that the best results are often achieved when one single surgeon is in charge of both aspects of the surgery (functional and cosmetic). He will need to have intimate understanding of the interplay between functional considerations and how this impacts the cosmetic outcome.

Often, certain aesthetic maneuvres have a direct functional impact and vice versa, so the surgeon will have to juggle differently weighted considerations to deliver the most optimal results for the patient, both cosmetically and functionally. This is best achieved with a single-surgeon rhinoplasty. You know what they say about having too many cooks preparing your broth!

What is Combined Functional and Cosmetic Rhinoplasty?

Combined functional and cosmetic rhinoplasty is a single surgical procedure that addresses both the external appearance and internal structures of the nose. This approach allows the surgeon to correct cosmetic concerns, such as the size, shape, or symmetry of the nose, while simultaneously improving breathing function by treating issues like a deviated septum, nasal valve collapse, or enlarged turbinates.
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Benefits of Combined Functional and Cosmetic Rhinoplasty:​

There are several advantages to combining functional and cosmetic rhinoplasty into one procedure:
  1. Efficient Approach: By addressing both aesthetic and functional concerns simultaneously, patients can achieve their desired results in a single surgery, reducing the overall recovery time and costs associated with separate procedures.
  2. Enhanced Aesthetic Outcomes: Correcting functional issues can indirectly improve the appearance of the nose by creating a more balanced and symmetrical structure.
  3. Improved Breathing and Quality of Life: Restoring proper nasal function can lead to better sleep, increased exercise tolerance, and overall improved well-being.
  4. Reduced Surgical Risks: Combining the two procedures into one surgery reduces the risks associated with undergoing multiple surgeries and anesthesia sessions.

Who Should Consider Combined Functional and Cosmetic Rhinoplasty?

Combined functional and cosmetic rhinoplasty can generally help anyone with aesthetic and health concerns over their noses. However, there are certain indications that make a candidate particularly ideal. The list here is only a guide. You should always consult your doctor for a proper assessment.
  1. Overall Health: Patients should be in good overall health and free from any medical conditions that could increase the risk of complications during surgery or hinder the healing process. Your surgeon will conduct a thorough medical evaluation to assess your suitability for the procedure.
  2. Nasal Anatomy: The anatomy of the nose plays a crucial role in determining candidacy for combined rhinoplasty. Patients with structural abnormalities such as a deviated septum, nasal valve collapse, or enlarged turbinates may be ideal candidates for addressing both functional and cosmetic concerns in a single procedure.
  3. Realistic Expectations: It’s important for patients to have realistic expectations about the outcomes of combined rhinoplasty. While the procedure can enhance the appearance of the nose and improve breathing function, perfection cannot be guaranteed. Your surgeon will discuss your goals and expectations during the consultation to ensure they align with achievable results.
  4. Commitment to Recovery: Combined rhinoplasty requires a commitment to the recovery process. Patients should be prepared to follow post-operative instructions provided by their surgeon, including restrictions on physical activity, proper wound care, and attending follow-up appointments. Compliance with these guidelines is essential for achieving optimal results and minimizing complications.

Techniques Used in Combined Functional and Cosmetic Rhinoplasty:

The specific techniques employed in combined functional and cosmetic rhinoplasty will depend on the patient’s unique needs, aesthetic goals, and the structural issues being addressed. Some common techniques include:
  1. Open or Closed Rhinoplasty: Depending on the complexity of the case and the patient’s needs, the surgeon may opt for an open or closed rhinoplasty approach for both functional and cosmetic modifications.
  2. Septoplasty: To correct a deviated septum, the surgeon will reposition or reshape the septum, creating a more open nasal passage and improving the overall appearance of the nose.
  3. Turbinate Reduction: In cases where enlarged turbinates are causing breathing difficulties, the surgeon will remove or reposition the turbinates to allow for better airflow.
  4. Nasal Valve Repair: To address nasal valve collapse or weakness, cartilage grafting, suture techniques, or implants may be used to support and stabilize the nasal valve.
  5. Cosmetic Reshaping: The surgeon may refine the nasal tip, remove or minimize a dorsal hump, or alter the size and shape of the nostrils to achieve the desired aesthetic outcome.

Recovery and Results:

Recovery from combined functional and cosmetic rhinoplasty typically takes about 2 to 3 weeks, with most patients resuming daily activities within 1 to 2 weeks. Swelling, bruising, and discomfort are common during the initial healing process, and patients may need to wear a nasal splint for support.

The results of combined functional and cosmetic rhinoplasty can be both aesthetically pleasing and life-enhancing, providing patients with improved facial harmony and proper nasal function. By addressing both aspects in a single procedure, patients can enjoy the benefits of a more attractive and functional nose, resulting in increased confidence and overall quality of life.

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