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Overview
Functional rhinoplasty focuses on restoring healthy airflow by correcting structural issues such as a deviated septum, enlarged turbinates, valve collapse, or post-traumatic deformity. When appropriate, functional steps can be combined with subtle aesthetic refinements for a balanced outcome that looks and feels natural.
Goals of Functional Rhinoplasty
- Improve nasal breathing at rest and during exercise
- Correct deviated septum and reduce turbinate hypertrophy
- Reconstruct internal/external nasal valves to prevent collapse
- Stabilize the nose with cartilage support for durable function
- Option to coordinate with cosmetic refinements for harmony
Candidates for Functional Rhinoplasty
- Chronic nasal obstruction, mouth breathing, snoring, or exercise intolerance
- Prior injury, nasal bone fractures or prior surgery with persistent airflow problems
- Objective findings on exam consistent with structural blockage
- Good health and realistic expectations
Dr. Slamin’s Approach to Functional Rhinoplasty
Consultation & Planning
Evaluation includes history, targeted exam, and review of prior treatments. We’ll discuss which structures contribute to obstruction and design a plan that restores airflow with the least invasive, durable methods.
Treatment Approach
- Septoplasty: Straighten the septum to open central airflow.
- Turbinate Reduction: Reduce tissue bulk while preserving function.
- Valve Reconstruction: Spreaders/strut grafts to support internal/external valves.
- Cartilage Grafting: Septal/ear/rib cartilage as needed for structure.
- Combination Care: Option to add cosmetic refinements when suitable.
Day of Procedure
On the day of surgery, you’ll check in, review your plan, and meet the anesthesia team. After gentle marking, surgery typically takes 2-3 hours. A nasal splint and bandages (and nasal packing if indicated) will be placed at the end and remain until your follow-up. You’ll recover and go home the same day with comprehensive aftercare instructions provided in advance.
Recovery Timeline
Days
1–3
1–3
Congestion/pressure; saline rinses begin
~1
Week
Week
Splints (if used) removed; breathing improves gradually
2–3
Weeks
Weeks
Most social downtime resolves; light exercise resumes with clearance
4–6
Weeks
Weeks
Ongoing improvement in airflow and energy
3–6
Months
Months
Final functional outcome as tissues settle
Pain & Comfort
Generally well-tolerated; pressure and congestion are more common than sharp pain.
Frequently Asked Question
What’s the difference between septoplasty and functional rhinoplasty?
Septoplasty straightens the septum; functional rhinoplasty may also address valves, turbinates, and support for comprehensive airflow.
Can this be combined with cosmetic rhinoplasty?
Yes—when appropriate we can safely combine goals in one operation.
Will external scars be visible?
Many cases are internal only; if an external incision is needed, it typically fades well.
How soon will breathing improve?
Some relief can be early; congestion/swelling continue to improve over several weeks.
Do I need allergy treatment too?
Structural surgery improves airflow; allergy/inflammation management can further optimize results.
Is packing required?
Modern techniques usually avoid traditional packing; internal splints may be used temporarily.
Can prior trauma or surgery be corrected?
Yes—valve reconstruction and grafts can restore support and function.
When can I return to exercise?
Light activity resumes in 1–2 weeks; higher intensity at ~4–6 weeks with clearance.
What are the risks?
Potential risks include bleeding, infection, persistent obstruction, septal perforation, or need for revision. Thorough planning, gentle technique, and attentive follow-up help reduce risk.
