When people hear the term “rhinoplasty,” they often think of cosmetic surgery to change the appearance of the nose. While that is a common reason for the procedure, rhinoplasty can also be performed to improve nasal function. Understanding the distinction between cosmetic and functional rhinoplasty is key to determining the right path for your needs.
What is Cosmetic Rhinoplasty?
Cosmetic rhinoplasty is performed primarily to enhance the aesthetic appearance of the nose and improve its harmony with other facial features. The goals are entirely driven by the patient’s desire to change how their nose looks.
Common reasons for cosmetic rhinoplasty include:
- Altering the size or width of the nose
- Smoothing a hump on the bridge
- Refining a bulbous or drooping nasal tip
- Changing the size or shape of the nostrils
- Correcting asymmetry
The focus of this procedure is to create a nose that is more balanced and proportional to the rest of the face, boosting a patient’s self-confidence.
What is Functional Rhinoplasty?
Functional rhinoplasty is performed to correct structural issues within the nose that cause breathing difficulties. This procedure is considered medically necessary, as it aims to restore proper nasal airflow.
The most common reason for functional rhinoplasty is to correct a deviated septum—the wall of bone and cartilage that divides your two nostrils. When the septum is crooked, it can block one or both nostrils, leading to chronic congestion, snoring, and even sleep apnea. Other structural problems, such as enlarged turbinates or nasal valve collapse, can also be addressed with this surgery.
Can They Be Combined?
Many patients have both aesthetic concerns and functional problems. In these situations, a surgeon can perform both a cosmetic and functional rhinoplasty during the same operation. This allows the surgeon to improve breathing by correcting the internal structure while also enhancing the external appearance of the nose.
Whether you need a functional, cosmetic, or combined procedure, the first step is a thorough consultation with a board-certified plastic surgeon. They can evaluate your nasal anatomy, listen to your concerns, and recommend the best approach to help you breathe better and feel more confident.
