A deviated septum is more common than you might think. It happens when the wall that divides your nasal passages — called the septum — is off-center or crooked. This can cause trouble breathing, frequent sinus infections, snoring, and even facial pressure.
So if you’re thinking about getting a nose job, you might wonder:
Can rhinoplasty fix a deviated septum?
The answer: Yes — but it depends on the type of surgery.
In this article, we’ll explain what a deviated septum is, how rhinoplasty can help, and what you need to know if you’re considering surgery for both cosmetic and functional reasons.
What Is a Deviated Septum?
The nasal septum is the thin wall of cartilage and bone that separates the left and right nostrils. Ideally, it sits in the center. But in many people, it leans more to one side — this is called a deviation.
Some people are born with a deviated septum, while others develop it from:
- Injury or trauma (such as a broken nose)
- Aging changes in the structure of the nose
- Past surgeries
Symptoms may include:
- Blocked or stuffy nose (especially on one side)
- Difficulty breathing through the nose
- Nosebleeds
- Sinus pressure or infections
- Snoring or noisy breathing at night
How Can Surgery Fix a Deviated Septum?
There are two main types of nasal surgery used to fix a deviated septum:
1. Septoplasty (Medical Procedure)
Septoplasty is a functional surgery that straightens the septum to improve airflow. During the procedure, the surgeon adjusts or removes pieces of cartilage and bone inside the nose. The goal is to make breathing easier — not change the outer appearance.
2. Rhinoplasty (Cosmetic Procedure)
Rhinoplasty, or a “nose job,” is performed to change the shape or appearance of the nose. It can:
- Refine the tip or bridge
- Reduce bumps or humps
- Adjust size and symmetry
However, when combined with septoplasty, it becomes what’s known as a septorhinoplasty — a surgery that improves both function and appearance.
So… Can Rhinoplasty Fix a Deviated Septum?
Rhinoplasty alone usually won’t fix a deviated septum.
To correct breathing problems caused by a deviated septum, you need septoplasty. But if you’re also concerned about the shape of your nose, combining both procedures is often the best solution.
A skilled surgeon can:
- Straighten your septum to improve airflow
- Refine your nasal shape for better facial harmony
- Perform both procedures in one surgery and one recovery period
Will Insurance Cover It?
Here’s the good news:
Septoplasty is often covered by health insurance, especially if your breathing is affected. On the other hand, cosmetic rhinoplasty is typically not covered.
If you’re combining both (septorhinoplasty), insurance may cover the functional part of the surgery, reducing your overall out-of-pocket cost. Be sure to check with your provider and surgeon for details.
Recovery and Results
After a combined septorhinoplasty, most people can return to light activities in about 7–10 days. Swelling and congestion are normal, but breathing usually improves significantly within a few weeks.
Final results — both cosmetic and functional — can take several months to fully develop. Be patient and follow your surgeon’s aftercare instructions for the best outcome.
Choosing the Right Surgeon
To get the best of both worlds — better breathing and a nose you love — look for a board-certified facial plastic surgeon or ENT specialist with experience in:
- Septoplasty
- Cosmetic rhinoplasty
- Functional nose surgeries (septorhinoplasty)
During your consultation, make sure your surgeon understands both your aesthetic goals and your breathing concerns.
Final Thoughts
Yes — rhinoplasty can fix a deviated septum, but only when combined with septoplasty. This combined procedure can improve how you breathe, how you look, and how you feel.
If you’re struggling with nasal congestion or unhappy with the shape of your nose, a septoplasty might be the perfect solution. Talk to a qualified surgeon, ask the right questions, and take the first step toward clearer breathing and greater confidence.
For more reading
