In addition to the aesthetic result, the nose should “function properly”, which is why it is described as an “aesthetic and functional” rhinoplasty.
Causes that can cause breathing problems are:
Α. The crooked nasal septum
Β. The nasal valves
Γ. The hypertrophic niches
Α. Causes of a crooked diaphragm:
⁃ A hit (in sport, childhood, etc.).
The patient complains about
⁃ Difficulty in breathing consistently and always on the same side (of the scoliosis).
⁃ Fatigue during exercise.
⁃ Feeling of dryness in the mouth, throat.
The plastic surgeon should carefully examine the patient (rhinoscopy etc.) to diagnose possible malfunctions. The septum is the cartilaginous membrane that divides the nasal cavity into two nasal chambers that are covered by mucous membrane and as air enters the nose they are moistened, heated and cleaned of foreign particles.
The septum very often deviates to one side or the other causing nasal obstruction. This deviation sometimes affects the aesthetic appearance of the nose (it turns to one side) and sometimes not. The correction of the nasal septum is often done by using special cartilage grafts (spreader grafts) that support the septum like beams while at the same time improving the internal nasal valve (the point where the septum meets the upper lateral cartilage and should be >15).
Hypertrophic niches can be reduced by various techniques such as cautery, microfractures, etc.