Dr Jennyfer F. Cocco, MD - Plastic Surgery in Dallas, TX

Having trouble breathing through your nose can be frustrating and affect your daily life. Luckily, different types of nose surgery to breathe better are available to correct structural nasal issues like a deviated septum, nasal valve collapse, and other common problems. In many cases, especially when breathing difficulties are caused by trauma or congenital deformities, cosmetic improvements can also be made alongside functional corrections.

In this article, we’ll explore the most common nasal surgeries designed to help you breathe easier and discuss how these procedures can also enhance the appearance of your nose when needed.

Key Takeaways

 

  • 🫁 Nasal surgery improves breathing and appearance: It can correct structural issues like a deviated septum or nasal valve collapse to help you breathe easier, and sometimes also enhance the nose’s look.
  • 🔍 Functional vs. cosmetic surgery: Functional surgery focuses on fixing breathing problems, while cosmetic surgery (rhinoplasty) changes the nose’s appearance. Many patients benefit from combining both.
  • 🏥 Specialist evaluation is crucial: ENT doctors handle complex medical nasal issues, and plastic surgeons focus on reshaping the nose. Often, a combined approach provides the best results.
  • ⚙️ Common surgical types: Septoplasty, turbinate reduction, functional rhinoplasty, and rhinoplasty are among the key procedures used to improve airflow and/or appearance.
  • ⏳ Preparation, risks, and recovery matter: Proper pre-op evaluation, following care instructions, and understanding possible risks like bleeding or infection are essential for successful nasal surgery outcomes.

 

What is Nasal Surgery?

Nasal surgery refers to any surgical procedure performed on the nose to improve its function, appearance, or both. These surgeries can range from correcting issues that block airflow and cause breathing problems to enhancing the shape and symmetry of the nose for cosmetic reasons. The goal of nasal surgery is either to restore proper nasal function, improve the nose’s appearance, or address both concerns simultaneously. Nasal surgeries generally fall into two broad categories: functional and cosmetic.

Functional vs. Cosmetic Nasal Surgery

Functional Nasal Surgery: This type focuses on improving how the nose works, primarily to help you breathe better. Conditions such as a deviated septum, nasal valve collapse, enlarged turbinates, or chronic sinus problems often require functional surgery. Procedures like septoplasty or turbinate reduction aim to open nasal passages, relieve obstruction, and improve airflow.

Cosmetic Nasal Surgery: This type of nose surgery is commonly known as rhinoplasty, it is performed to change the shape, size, or overall appearance of the nose. While it primarily focuses on aesthetics, cosmetic procedures can sometimes improve nasal function as well. Common cosmetic procedures include reshaping the nasal tip, reducing a dorsal hump, or narrowing the nostrils.

Many patients benefit from a combination of both functional and cosmetic surgery, especially when structural problems affect breathing and also alter the nose’s appearance. It’s important to have a thorough evaluation by a qualified specialist who can recommend the best approach based on your individual needs.

 

Common Conditions Treated with Functional Nasal Surgery

Different Types of Nose Surgery to Breathe Better - Septoplasty corrects a deviated septum

It is estimated that up to 80% of the population has some degree of septal deviation, which can cause breathing difficulties by blocking nasal airflow.

Breathing difficulties often stem from structural problems or medical conditions affecting the nose and nasal passages. Functional nasal surgery targets these underlying issues to restore clear airflow and relieve symptoms that can impact your daily life. Below are some of the most frequent conditions that benefit from surgical treatment:

  • Deviated Septum:The nasal septum is the cartilage and bone that divides the nasal passages. When it’s crooked or displaced, it can block one or both sides of the nose, causing difficulty breathing, congestion, and sometimes recurrent sinus infections.
  • Nasal Valve Collapse: The nasal valve is the narrowest part of the nasal airway. Weakness or collapse of this area can significantly restrict airflow, especially during physical activity or when lying down.
  • Enlarged Turbinates: Turbinates are structures inside the nose that warm and humidify the air we breathe. When they become enlarged due to allergies, inflammation, or other factors, they can block airflow and cause congestion.
  • Obstructive Sleep Apnea (OSA): This condition causes repeated pauses in breathing during sleep due to airway obstruction. In some cases, nasal surgery can improve airflow and reduce symptoms, often as part of a broader treatment plan.
  • Chronic Sinusitis: Persistent inflammation or infection of the sinuses can sometimes require surgical intervention to open blocked sinus passages and improve drainage.
  • Nasal Polyps: These are soft, noncancerous growths inside the nasal passages that can obstruct airflow and cause chronic congestion.
  • Congenital Deformities: Some people are born with nasal abnormalities that affect breathing, such as cleft nasal deformities or other structural irregularities.
  • Trauma or Nasal Fractures: Injuries to the nose can cause deformities or blockages that impair breathing. Surgical repair may be necessary to restore both function and appearance.

Functional nasal surgery can improve breathing, reduce snoring and sinus infections, and enhance overall quality of life.

 

The Importance of Professional Evaluation: ENT vs Plastic Surgeon

A thorough evaluation by a qualified professional is essential before undergoing any nasal surgery, as it guarantees that both functional and aesthetic concerns are properly addressed. Two types of specialists commonly involved in nasal surgeries are Otolaryngologists (also known as Ear, Nose, and Throat, or ENT doctors) and Plastic Surgeons, each with distinct expertise.

ENT specialists are experts in diagnosing and treating medical and functional issues of the nose, sinuses, and airway. They manage complex conditions such as severe deviated septum, nasal valve collapse, chronic sinusitis, obstructive sleep apnea, and often perform sinus surgeries to address underlying inflammation or blockages. If your breathing problems are related to these deeper medical issues, an evaluation by an ENT is critical.

Plastic surgeons, particularly those who are Board Certified, and specialize in facial plastic surgery, are experts in reshaping the nose to improve its appearance. They can also address mild to moderate functional problems, especially when cosmetic enhancement is a goal. However, some complex airway issues may be beyond their scope and require collaboration with an ENT.

In many cases, a combined approach works best: the ENT treats the underlying medical condition first to restore proper function, and then the plastic surgeon performs cosmetic refinements to enhance the nose’s appearance.

When choosing a specialist, look for board certification, relevant experience in nasal surgeries, and clear communication. A qualified professional will guide you through your options with honesty and prioritize both your health and aesthetic goals.

 

What Are the Different Types of Nose Surgery to Breathe Better?

The different types of nose surgery vary depending on the specific problem being addressed. Below are some of the most common types of nasal surgeries to breathe better, correct deformities, or improve the appearance, along with who typically performs them:

Septoplasty: This type of surgery focuses on correcting a deviated septum by straightening the cartilage and bone that divide the nasal cavities. Septoplasty is primarily aimed at better breathing by relieving nasal obstruction. Usually performed by an ENT specialist, but some plastic surgeons with functional training also perform this procedure.

Turbinate Reduction: Enlarged turbinates can block airflow through the nasal cavities, causing congestion and difficulty breathing. Turbinate surgery reduces the size of these structures to open the nasal passages and improve airflow. This procedure is typically performed by an ENT surgeon.

Rhinosseptoplasty / Septorhinoplasty: This combined type of surgery addresses both internal nasal structures, like the septum, and the external shape of the nose. It aims to improve breathing while also enhancing nasal appearance. Facial plastic surgeons often perform these surgeries, sometimes collaborating with ENTs in complex cases.

Alarplasty in Dallas, TXFunctional Rhinoplasty: Focused on restoring better breathing, functional rhinoplasty strengthens or reconstructs areas such as the nasal valve to prevent collapse and improve airflow through the nasal cavities. Both ENT specialists and facial plastic surgeons may perform this procedure depending on its complexity.

Rhinoplasty: Often known simply as a “nose job,” rhinoplasty procedures treat cosmetic concerns by reshaping different parts of the nose (such as the bridge, tip, nostrils, and dorsal hump), to improve appearance. While mainly cosmetic, it can also help with breathing when combined with functional corrections. This type of surgery is usually performed by plastic surgeons specializing in facial plastic surgery.

Many patients benefit from a tailored combination of these procedures to address both breathing problems and aesthetic concerns.

 

How Nasal Surgeries are Generally Performed

Nasal surgeries are performed using either an open or closed surgical approach, chosen based on the specific procedure and the surgeon’s evaluation of your nasal anatomy. The open approach involves a small incision across the columella (the tissue between the nostrils), allowing direct visualization of nasal structures. The closed approach uses incisions inside the nostrils, which results in minimal visible scarring.

Anesthesia options vary depending on the complexity of the surgery and patient preferences. Procedures may be done under local anesthesia with sedation or general anesthesia.

Most nasal surgeries are performed in outpatient settings and typically last anywhere from 30 minutes to several hours, depending on the extent of the surgery.

Each surgery is carefully planned to achieve the best functional and aesthetic results, with patient safety and comfort as top priorities throughout the entire process.

 

What to Expect Before, During, and After Surgery

Preparing for nasal surgery begins with thorough pre-operative assessments, including consultations with your surgeon and imaging studies such as CT scans. These evaluations help map your nasal anatomy and identify any functional issues that need to be addressed.

  • Detailed medical evaluations to confirm airway health of your airways
  • Clear post-operative care instructions to support optimal healing
  • An outlined recovery timeline addressing swelling, bruising, and when you can safely resume activities

These steps are crucial to ensure your safety, effectively treat underlying problems, and achieve the best possible results. During surgery, precise techniques are employed. Post-surgery, following care instructions and understanding the recovery timeline will help you heal efficiently and restore normal breathing. Proper preparation and care are key to successful outcomes.

 

Risks and Complications

Undergoing nose surgery carries inherent risks and potential complications that must be carefully considered. Common risks include bleeding, infection, swelling, and scarring, all of which can affect both appearance and nasal function. Specific complications such as septal perforation may lead to persistent breathing difficulties or nasal collapse. Anesthesia also carries its own risks, including adverse reactions.

While most procedures are safe when performed by qualified specialists, dissatisfaction with cosmetic results or unresolved breathing problems can occur—particularly if underlying issues aren’t properly addressed beforehand.

To minimize risks, it’s essential to follow your surgeon’s pre- and post-operative instructions closely and maintain open communication about any concerns before and after surgery.

Thorough evaluations and choosing experienced surgeons are key to safely achieving both aesthetic and functional goals.

 

Expected Improvements and Outcomes

When nasal surgery successfully addresses functional issues, patients often experience significant improvements in breathing and quality of life. You may notice easier airflow, relief from chronic nasal congestion, and improvement in sinus issues and other nasal problems that previously interfered with daily activities.

These improvements can also reduce or even eliminate snoring and obstructive sleep apnea symptoms, leading to more restful, uninterrupted sleep. Better oxygen intake not only supports healthy breathing but also boosts daytime alertness and energy levels.

Beyond physical benefits, many patients report enhanced comfort, improved sleep quality, and increased confidence. Ultimately, the goal of nasal surgery is to restore optimal nasal function, providing lasting breathing improvements and a renewed sense of freedom in everyday life.

Improved breathing can lead to better sleep quality and overall wellness.

Nose surgery can improve breathing by reducing snoring and sleep apnea symptoms, leading to better sleep quality and overall wellness.

 

When to Consider Nasal Surgery

Recognizing when nasal surgery is necessary starts with evaluating persistent symptoms that interfere with breathing, sleep, or daily comfort. If you experience ongoing breathing difficulties, chronic nasal congestion, or trouble sleeping despite trying conservative treatments, it may be time to seek a professional evaluation.

An ENT specialist can diagnose structural issues or airway obstructions that limit airflow. Based on the diagnosis, they can recommend the different types of nose surgery to breathe better that are best suited to your condition. Surgery is typically advised when these problems significantly affect your quality of life.

Consulting a qualified specialist ensures that your condition is accurately diagnosed and appropriately treated before considering any cosmetic procedures. Addressing functional concerns first helps guarantee optimal breathing and safety, laying a strong foundation for any future nasal surgery.

 

Final Thoughts on the Different Types of Nose Surgery to Breathe Better

Nasal surgery offers effective solutions for those struggling with breathing difficulties and related nasal problems. Whether your goal is to improve airflow, reduce chronic congestion, or enhance your nose’s appearance, understanding the different types of nose surgery to breathe better is essential. Always seek professional evaluation by qualified ENT specialists and plastic surgeons to ensure that functional issues are properly addressed before cosmetic enhancements. With the right care and expertise, nasal surgery can significantly improve your quality of life and help you breathe easier every day.

 

 


 

 

Frequently Asked Questions (FAQs)

What nose surgery helps you breathe better?

Several types of nose surgery can help improve your breathing, including septoplasty, turbinate reduction, and functional rhinoplasty. These procedures correct structural problems like a deviated septum or enlarged turbinates that block airflow through the nasal cavities.

Is there a surgery to make you breathe better?

Yes, nasal and sinus surgery can significantly improve your breathing. Procedures such as septoplasty or functional rhinoplasty are designed specifically to open nasal passages and reduce obstruction, helping you breathe easier.

Can I get a nose job if I can’t breathe properly?

You can, but it’s important to first address any functional issues causing breathing difficulties. Many plastic surgeons who perform open rhinoplasty work closely with ENT specialists to ensure underlying problems are treated before cosmetic changes. This approach ensures both better breathing and improved appearance.

How do I know if I need nose surgery to breathe?

If you experience difficulty breathing through the nose, chronic congestion, or nasal obstruction that doesn’t improve with medication, a professional evaluation is recommended. An ENT specialist can diagnose if surgery may be necessary to restore proper airflow.

How long after surgery would I be able to breathe better?

Most patients notice improved breathing within weeks after surgery, although full recovery, including resolution of swelling, can take several months. Following post-operative care instructions helps speed healing and optimize results.

 

About The Author

Jennyfer F. Cocco, MD - Female Plastic Surgeon in Dallas, TX

Jennyfer Faridy Cocco, MD

Board Certified Plastic Surgeon

Dr. Cocco is a Female Plastic Surgeon practicing in Dallas / Fort Worth since 2009. She is constantly refining her skills in cosmetic surgery by training with internationally renowned aesthetic surgeons through various traveling apprenticeships. Dr. Cocco also regularly attends seminars and conventions, both in the U.S. and Europe. She continues her education and stay up-to-date with the latest advances in the medical and cosmetic field.

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