Rhinoplasty for Breathing: Function Meets Aesthetics
For many people, the purpose of rhinoplasty is primarily to create aesthetic changes of the nose; however, for those suffering from chronic nasal obstruction or disturbances during sleep, the procedure can offer far more than cosmetic improvements. Functional rhinoplasty, usually incorporating septoplasty, is a powerful way to correct anatomical issues that impede airflow, improving both breathing and quality of life. Many patients request aesthetic refinements at the same time as functional repairs so they only have to undergo anesthesia one time and have a single recovery process.
What is Functional Rhinoplasty?
Functional rhinoplasty refers to techniques designed to improve the function of the nose, especially airflow and warming/humidifying the air. Rhinoplasty is frequently performed in conjunction with septoplasty, a procedure that straightens a deviated nasal septum (the wall between the nostrils) to enhance airflow through the nasal passages. Common causes of nasal obstruction that may indicate whether you would benefit from functional septorhinoplasty include:
- Deviated septum
- Collapsed nasal valves
- Turbinate hypertrophy
- Prior nasal trauma or surgery
When these structural issues obstruct normal airflow, patients may experience chronic congestion, mouth breathing, difficulty exercising, or sleep disturbances due to nasal blockage. While septoplasty alone can improve airflow by realigning the septum, many patients have additional anatomical problems (such as weak or narrow nasal valves) that require more advanced intervention. This is where functional rhinoplasty can play a critical role using techniques designed to strengthen the nasal framework, support the airway, and prevent future collapse.
Aesthetic Improvements are Still Possible with Functional Rhinoplasty
Although the primary goal of functional nose surgery is to restore proper breathing, procedures can also affect the appearance of the nose. For many patients, this provides a unique opportunity to refine nasal contours and achieve better facial balance. Common aesthetic benefits include:
- A straighter nose profile
- Improved nasal symmetry
- More refined tip projection and shape
- Better integration of nasal shape with other facial features
A skilled facial plastic surgeon would take a dual-approach, balancing internal reconstruction with external refinement to create a nose that not only functions better, but also appears more proportionately to your surrounding features.
Is Functional Rhinoplasty/Septoplasty Right for Me?
You may be a candidate for septoplasty or functional septorhinoplasty if you:
- Struggle with chronic nasal obstruction or mouth breathing
- Have difficulty breathing during sleep or physical activity
- Have a history of nasal trauma or deformity
- Are dissatisfied with the shape or alignment of your nose
- Want to address both functional and cosmetic concerns in a single surgery
An in-depth consultation, nasal endoscopy, and possibly a CT scan can help identify the root cause of your breathing difficulties and guide a customized surgical plan.
At OC Facial Plastic Surgery, Dr. Ali Sepehr specializes in functional and cosmetic rhinoplasty tailored to your unique anatomy and goals. If you’re struggling with breathing issues or you simply want to feel more confident in your appearance, schedule a consultation to learn about how rhinoplasty can help you breathe easier and live more comfortably.
