Dr. Moustafa Mourad of Mourad NYC explains what a septoplasty is, who would be a good candidate for a septoplasty, and how it is performed.

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There's a lot of confusion surrounding septoplasty, and whether it should be performed in conjunction with a rhinoplasty. To start off, a septoplasty refers to surgically altering the middle part of the nose, the cartilage that separates the left and the right side. Now a septoplasty usually should be performed, especially if you have an obstruction. So the septum's deviated to one side to both sides and it's causing you breathing problems. So right off the bat, if you can't breathe secondary to a septal deviation, you should definitely have that addressed at the time of the rhinoplasty. Other times that a septoplasty should be done at the same time as a rhinoplasty is any time that you need to use septal cartilage to reconstruct the nose. What we found over the years is that people that did not have septal grafting during a rhinoplasty, their noses generally got weaker and increased their chance of needing a revision surgery.

A lot of times patients ask me, "Should I have the septoplasty and then a rhinoplasty at a different time?" I advise against that, because when you remove the septum, you're really burning a bridge, and you need that septal cartilage during the rhinoplasty in order to reconstruct whatever you're doing on the inside of the nose. And if you're missing that septal cartilage because you've had a surgery before, then the surgeon has less options for that grafting material and they're forced to go to either ear grafts or rib grafts inside the nose. So when I do a rhinoplasty, I often do it in conjunction with a septoplasty simply because it allows me access to grafting material so that the nose is very stable after the surgical alteration of the rhinoplasty.
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