Many patients seek a nose job for aesthetic reasons. They may be unhappy with the size or shape of their nose. However, the surgery can also address functional issues. Many patients confuse a nose job performed for breathing problems with one purely for appearance. Rhinoplasty falls into two distinct categories, each with different goals and outcomes. A skilled plastic surgeon will assess your nasal anatomy and concerns. From there, they can determine which rhinoplasty procedure is right for you. Below you will find the differences between functional vs. cosmetic rhinoplasty.
Functional vs. Cosmetic Rhinoplasty
Functional rhinoplasty addresses breathing problems and structural nasal issues. Cosmetic rhinoplasty focuses on the size, shape, and appearance of the nose. Some patients need one approach, while others may benefit from combining both goals into one procedure. Your surgeon will determine the right course of action after a detailed evaluation and consultation. This should include an assessment of your nasal anatomy and a discussion about your goals.
What is Functional Rhinoplasty?
Functional rhinoplasty corrects issues that affect the way you breathe through your nose. The procedure repairs structural problems that are inside the nasal passage. It restores proper airflow and improves overall nasal function. Patients consider this procedure after an injury or due to conditions present since birth. Before getting functional rhinoplasty, a surgeon will evaluate your nasal anatomy through a physical examination. In some cases, imaging may be necessary.
Common Causes of Nasal Dysfunctions
Several conditions can lead to breathing difficulties.
Some of these require surgical correction to address the issue.
- A deviated septum that shifts the wall between the nasal passages
- Enlarged turbinates that block airflow inside the nose
- Nasal valve collapse that narrows the breathing pathway
- Chronic sinus congestion caused by underlying structural issues
- Prior injury that altered the internal structure of the nose
Insurance Coverage for Functional Rhinoplasty
Insurance may cover functional rhinoplasty. This is often the case when there is a documented medical condition. Coverage often requires evidence of breathing problems that have not gotten better with conservative treatment options. Conservative options often include nasal sprays, allergy medication, or breathing strips. It is important to work with a skilled surgeon so they can help you document your symptoms. This is necessary for the insurance review process.
Insurance companies generally do not cover costs for purely cosmetic changes. This is true if it is performed separately or in the same surgery as a functional rhinoplasty. Before surgery, confirm your specific coverage details with your insurance provider. A pre-authorization letter from your surgeon may be necessary.
What is Cosmetic Rhinoplasty?
Cosmetic rhinoplasty reshapes the nose to improve facial balance and your overall appearance. This type of plastic surgery does not correct breathing function on its own. It is focused purely on aesthetic refinement, based on your unique personal goals. Many patients pursue cosmetic rhinoplasty to address the size, shape, or overall appearance of their nose. During the consultation, you can share your aesthetic goals and concerns with the surgeon. From there, they will create a customized treatment plan based on your unique needs.
Common Aesthetic Goals
Patients pursue cosmetic rhinoplasty for a wide range of reasons.
Common goals for patients include one or more of the following:
- Reduce visible bump(s) along the bridge of the nose.
- Refine a wide or bulbous nasal tip.
- Narrow the width of the nostrils.
- Straighten a crooked or asymmetrical nose.
- Improve overall facial symmetry and balance.
Cosmetic Rhinoplasty Surgical Techniques
Depending on your unique goals and concerns, there are several rhinoplasty techniques. Open rhinoplasty allows for detailed reshaping in complex cases. This is done through the use of small incisions across the columella, which is the small strip of skin and cartilage that separates the nostrils. Closed rhinoplasty involves an incision inside the nose, which also results in less visible swelling. The surgical technique will be addressed at your consultation.
Can Functional and Cosmetic Rhinoplasty Be Combined?
Many patients wonder if they can combine functional and cosmetic rhinoplasty. The approach addresses breathing problems and appearance concerns in one surgery. Some patients are qualified for both surgeries. In fact, it can be extremely beneficial as it is efficient. It also reduces costs and the overall recovery time.
Candidacy Requirements for Combined Rhinoplasty
Good candidates are in good overall health and do not smoke. They also have realistic expectations about the results of surgery. The process begins with a thorough consultation. The surgeon will review your medical history and assess your current health. They will also examine your nasal anatomy to determine the functional issues. They will also assess your cosmetic concerns. Once it has been determined that you are a good candidate for the procedure, you can move forward with the process.
Recovering From Combined Rhinoplasty
Recovery from combined rhinoplasty takes roughly two weeks. Each patient is unique, so that recovery times can vary. You will notice swelling, bruising, and discomfort the first few days after surgery. This is completely normal and not a cause for concern. These symptoms will naturally subside as you heal. Medication and a cold compress are beneficial for symptom management. Keeping your head elevated is also important. This is necessary even when you sleep. It not only reduces swelling, but it also helps preserve your results.
After the first few days, you can incorporate gentle movement into your routine. Light walking can help with blood circulation and promote the healing process. Attend all of your follow-up appointments after surgery. The surgeon can evaluate your recovery progress and make any necessary modifications. Avoid strenuous exercise, heavy lifting, and bending over for at least one month after surgery. Your surgeon will clear you for these activities when you are ready.
You will notice your results right away. However, it can take time for the swelling to fully go down. Your results will settle within six months to one year. Each patient heals differently, so it is important to be patient throughout the process.
Rhinoplasty Procedure
Rhinoplasty can address both functional and aesthetic concerns. If you are considering rhinoplasty, contact Dr. Brent and his team today to schedule your consultation!
