Category Archives: Deviated Septum

Correcting a Deviated Septum and the Shape of Your Nose

For many patients a deviated septum is a blessing in disguise. The deviated septum is an interior portion of your nose that is out of alignment making sinus infections more likely and in some cases making it hard to breathe normally through your nose. If you’re considering surgery to repair a deviated septum, it is also an excellent opportunity to repair the shape of your nose as well.

Nose Jobs and Deviated Septum

A nose job scheduled along with a septoplasty to repair a deviated septum just makes good sense. After all, much of the surgery is the same procedure, and adding a few extra elements to the deviated septum procedure makes it possible to come out of your surgery with a new means of breathing, reduced infections and allergies and a straightened nose as well.

The Deviated Septum Surgery

In the deviated septum procedure, the surgeon makes a small incision to reach the cartilage partition between the nostrils. The surgeon then trims and straightens the area to make it flush and straight. The surgeon then closes the incision again and the deviated septum procedure is complete.

This is essentially the same procedure that the surgeon would use as part of a nose job procedure. With the nose job, however, the surgeon will take the extra steps of breaking the nose or shaving down bone to reduce humps while also trimming away cartilage to make the nose shapelier. Best of all, the deviated septum surgery is covered by insurance, leaving patients just a bit left over to cover out of pocket for the rhinoplasty procedure.


Signs of a Deviated Septum

A deviated septum is a condition where the cartilage of the nose between the two nostrils grows to be off center. Many patient grow up with a deviated septum and in a full eighty percent of humans, the septum, or wall between the nostrils, is at least a little off center. For those whose septum is more severely off center, symptoms of a deviated septum may be more dramatic and troublesome.


  • Blockage of the nostrils is the most prominent sign of a deviated septum. One or both of the nostrils may be blocked if you suffer from a deviated septum. The blocked nostril will be obvious to the patient as he won’t be able to breathe properly through that part of the nose and he may also have difficulty blowing his nose properly from that side as well.
  • Nasal congestion is common as well for patients with a deviated septum. The congestion may be isolated on one side of the nose if that is the area where the most blockage is present.


  •  Frequent nosebleeds occur with more severe cases of a deviated septum. Those who grew up with the condition may have more bleeding throughout all years of life.


  •  Frequent headaches and facial pain can be symptoms of a deviated septum as well. The pressure that can build up behind the blockage is the frequent cause of this discomfort.


  •  Sinus pressure is also caused by the pressure that can build up behind the nose. Many times those with a deviated septum will also experience post nasal drip and other signs of what appears to be a cold or sinus infection.


  •  Sinus infections, severe hay fever and frequent cold like symptoms are all signs of a deviated septum as well.


  • Finally, noisy breathing and even snoring for children and some adults may stem from the deviated septum as well.


Should My Child Have Surgery for a Deviated Septum?

A deviated septum can occur in different degrees of severity. While it may seem severe to hear that your child has a deviated septum, there may not be a rush to fix the condition surgically for several more years. Discuss the following symptoms with your pediatrician to see if intervention is necessary in your child’s unique condition.


There are several impacts on natural breathing caused by a deviated septum. In some cases, babies and young children are simply unable to breathe at all through the nose. In milder cases, they may have a harder time getting a deep breath through the blocked nostrils. In both cases, it’s likely that your baby will be a “mouth breather.” If this is the case, it will make it very difficult for your little one to eat properly, to remain latched for nursing or to sleep well.


While a deviated septum is simply a membrane in the nose being out of alignment, there are some cases where the shape and size of the nose makes the baby’s face somewhat disfigured. If the nose is unattractive or disfigured in a dramatic way due to the deviated septum, it may be worthwhile to correct the deformity early on in your child’s life when he will have little or no memory of the surgery and recovery.


If your child is born with a deviated septum, the severity of the injury will determine what is best in regards to surgery. If your child was injured in the nasal area and now has a deviated septum, surgery to correct the problem may be done very quickly to correct the nose while it is still broken to avoid additional surgery down the road.


Rhinoplasty Basics and Terms

Rhinoplasty may be a term you know already – it’s a nose job after all – but during discussions with your surgeon, it’s very likely that you’ll hear or read other words about the surgery and what you can expect that you’re not already familiar with. If this is the case, you’ll want to be sure to ask the surgeon for a less formal explanation or to, perhaps, tell you more about the terms he’s using. The following words are a good start to understanding the sorts of terms that are commonly used with rhinoplasty however.

Rhinoplasty – This is the most common term. Rhinoplasty is simply the formal name for a nose job or a surgery used to reshape or redefine the nose.

Anesthesia – This can be either a general or a local anesthesia. A general anesthesia is a pain killer that renders the patient unconscious during surgery. A local anesthesia is a less powerful pain killer that is given to a patient as shot during the surgery. The local anesthesia can be of varying strength.

Cartilage – Cartilage is the movable areas of the nose that give it structure. The tip of the nose and the top of the ears are made from the connective tissues called cartilage, for example.

Deviated Septum – Cartilage in the nose that is crooked or misaligned. The crooked cartilage can partially block or totally obstruct one or both nostrils from the inside of the nasal cavity.

Columella – The small bit of skin and tissue that is found between the two nostrils.

Hematoma – This is a possible side effect of most surgeries where the blood pools under the skin creating dark splotches.

Sedation – Intravenous sedation are shots that are administered into a vein to help you relax before anesthesia or during various parts of the procedure.

Important Considerations of a Nose Job

You may have stared at your nose in the mirror for years and hated it, but before you rush out for a nose job, be sure that you’re stopping to consider not only the process you’re about to undertake, but your reasons for choosing the rhinoplasty as well.

Why are you looking for a nose job?

The most important consideration for a nose job is why you’re actually getting the new nose. Are you looking for a new image? Are you hoping that the nose will change your life in some way? If your new nose is more about a desire to feel better than a desire to change your life, you’re on the right path. If you’re hoping that having Kim Kardashian’s nose will make you as pretty and popular as she is, a rhinoplasty may not be the wisest choice for you right now.

Who’s performing the nose job surgery?

More than any other surgery, a nose job is a work of art. The surgeon performing the surgery must not only do the medically necessary steps, but he will be constructing the shape of the new nose as well. Surgeons with a great deal of experience are easily the best choice for rhinoplasty, but they can be the most exclusive and expensive as well. Be sure to see plenty of pictures from a surgeon’s portfolio as you’re consulting with the doctor.

What will I look like?

As you’re consulting with surgeons, be sure to ask for images or models of what you can expect following the surgery. It’s important to know and understand what you’ll look like following the surgery as major changes to the nose will make dramatically different changes to your appearance. Preparing yourself ahead of time will make the healing process go more smoothly.


Fixing a Deviated Septum in Childhood

A deviated septum is not a medical condition that exists solely for adults. The deviated septum is a condition that affects many children from birth or from the time they experience their first childhood accident with a broken or injured nose. For young children, however, the decision to correct a deviated septum is not always an easy one for parents to make. The surgery requires an invasive procedure as well as a lengthy recovery process. For many children, correcting the deviated septum isn’t entirely necessary or practical.

The Dangers of a Deviated Septum

A deviated septum is a condition where the wall inside the nose that separates the nostrils isn’t entirely straight. It can be bent to one side so much that it blocks an entire nostril making it hard to breathe at times or encouraging sinus infections and congestion.

Many babies and children who suffer from a deviated septum are mouth breathers. It is for this reason that the deviated septum isn’t considered a life threatening condition. There are normally many different ways that children and adults can compensate for the deviated septum and for many, there are few – if any – frustrating symptoms other than the occasional stuffiness.

Waiting to Correct a Deviated Septum

Parents who elect to wait to correct a deviated septum often do so to give the children a choice. As the body grows, the nose grows as well and with this growth, it’s hard to predict what will happen to the nose and the membrane inside it. Most doctors prefer to wait to operate on the nose until it stops growing in the mid to late teen years, and at that point the young patients have a greater voice in the procedure and the recovery.

Some may opt to allow the deviated septum to stay as it is while others may choose to enjoy the procedure so that they can also enjoy a nose job and a new look. This is especially true if the deviated septum stems from an injury as a child that left the nose crooked or with a hump where the bones did not heal together ideally.

Rhinoplasty and Facial Changes

While rhinoplasty makes changes only to the nose, it’s impressive the amount of change the shape of the nose can have on the entire face. Often, a rhinoplasty procedure makes the nose smaller, more symmetrical and can fix bumps and unusual shapes through surgery. While the rest of the face remains unchanged, it is often perceived differently after surgery.

Facial Symmetry

The face is not symmetrical on any patient. Only dolls have perfectly symmetrical faces and understanding how the dimensions of the face can change from one side to the other helps explain why a face may appear unbalanced or crooked. Since facial symmetry is highly correlated to the way we perceive beauty, the face that has a crooked nose isn’t normally considered to be beautiful in the traditional sense.

Normally these faces are considered unusual or unconventional. By making the nose straight and no longer crooked, it evens out facial symmetry and this makes the face more attractive overall.

Child-Like Features

When researches compiled the most attractive woman in the world, they discovered that beauty is often found in childlike features. Large, round eyes and a small pert nose are cited as two of the most remarkable features along with a small chin and forehead. While it’s hard to change the shape of your forehead, rhinoplasty allows patients to achieve a smaller, more pert nose.

Rhinoplasty that reduces the size of the nose brings into better proportions with the rest of the face. Once a prominent nose is reduced, the beauty of the actual patient is able to be showcased.

Understanding how the rhinoplasty affects not just the nose but the entire face is critical for patients as otherwise they may find themselves surprised when they look into the mirror for the first time following surgery.

Jennifer Aniston and a Deviated Septum

Jennifer Aniston recently revealed her new and improved nose to her adoring fans. While most celebrity watchers identified the changes to her nose’s shape as rhinoplasty, Jennifer has gone on the record as stating that her first surgery was not actually entirely cosmetic in nature, but rather a procedure to correct a deviated septum. The same cannot be said for the second rhinoplasty procedure.

Jennifer Aniston had plastic surgery twelve years ago as a procedure to correct a deviated septum. The issues were obvious in her facial features with her nose being offcenter and slightly bulbous. Once she had that deviated septum repaired, we were pleased with her new nose. It was straighter than the old version and it was a bit narrower, too. Since Jennifer is famous for her girl-next-door good looks, it looked as though she was done with the various surgery procedures.

Jennifer Aniston Revision Rhinoplasty

It turns out that Jenn wasn’t quite as pleased with her looks as we might have assumed. She is among the fifteen percent of rhinoplasty patients who went on to pursue additional rhinoplasty procedures to correct issues remaining from the first. While it’s unknown if she still had any symptoms of a deviated septum, we do know that she opted to shave down the bridge of her nose even more to make it even more narrow, defined and even turned up a bit at the end.

Jennifer Aniston’s rhinoplasty procedures have been stunning both times she’s gone under the knife and we couldn’t be more impressed with the end results.

We just hope that Jenn realizes that her new nose is as perfect as it will probably ever get and there is absolutely no need to make any additional adjustments. It would be devastating if Jenn became addicted to plastic surgery as so many other stars have – using it not to enhance her good looks, but to create an unrealistic depiction of themselves.

Is a Deviated Septum Visible?

A common reason for rhinoplasty, a deviated septum is a medical condition inside of the nose. The septum is the wall of cartilage that separates the two nostrils from one another. If the membrane leans to one side or the other or is bent over completely, the resulting condition is called a deviated septum.

Degrees of Deviated Septum
There are various degrees of a deviated septum. The least problematic problem is the septum that is only slightly off center. The ideal situation is when the septum, or wall, is perfectly straight allowing air and mucus to move through the nose correctly. As the septum shifts further away from this ideal, the greater the degree of the problem. A very off center septum can cause numerous health concerns including persistent sinus infections and difficulty breathing.

The Visible Deviated Septum

Most degrees of a deviated septum are not at all visible to the casual observer. Of course a doctor can see the difference when they look up into the nose through the nostrils. A deviated septum of a middle or severe degree may be visible to others if they choose to look straight up the nose with a light. But the only type of visible problem with a deviated septum is if the nose itself is actually broken previously or otherwise misshapen.

A nose that is bent or humped from a previous injury or birth defect will be obvious to others. It is for this reason that so many patients considering septoplasty to straighten out the membrane between the two nostrils also consider rhinoplasty to reshape the nose as well during the process – in essence fixing the nose both inside and out.


Deviated Septum and Rhinoplasty

For many patients, a deviated septum is the catalyst that finally spurs them on to seek out rhinoplasty as well as septoplasty, or the surgery to repair a deviated septum. In rhinoplasty, the deviated septum can be repaired and then additional modifications can be made to create symmetry and balance on the outside of the nose as well as inside it.

The deviated septum may be caused by a broken nose in the past, and if this is the case, rhinoplasty can help to fix or resolve any of the humps or bumps left behind by the break. If the deviated septum is simply a remnant of childhood and is not visible on the outside of the nose, the patient has the option of how much revision to consider for resolving the appearance of the nose.

With rhinoplasty, patients usually opt for small changes in order to make a big impact on the face without dramatically changing the facial shape or structure. Often with rhinoplasty, small changes are all that are necessary to improve facial symmetry. And, of course, since the rhinoplasty includes a septoplasty to correct the deviated septum inside the nasal cavities, the patient is able to enjoy the results of the procedure with a nose that is attractive from the inside and out.

One additional consideration for a septoplasty and rhinoplasty together is the reduced cost since insurance usually covers the portion of the surgery used to repair the deviated septum at least. This won’t cover all of the costs of a rhinoplasty, but it does help to offset some of the costs of the procedure. All told, the procedure is usually more affordable than patients initially realize as many costs are covered by insurance that wouldn’t have been if the patient opted solely for the rhinoplasty procedure separately.