By Daniel Givens MD FACS | Dubuque ENT, Dubuque, Iowa
When it comes to improving the function and appearance of the nose, two common procedures often come up: septoplasty and rhinoplasty. While they may sound similar and can sometimes be performed together, they serve very different purposes. At Dubuque ENT, we believe that understanding your options is the first step toward achieving both better breathing and your ideal appearance.
What Is Septoplasty?
A septoplasty is a surgical procedure that corrects a deviated septum—the thin wall between the nostrils that can block airflow when misaligned. This surgery is performed entirely through internal incisions, with no visible scars, and is done strictly to improve nasal breathing.
Septoplasty does not change the external appearance of the nose. Because it is medically necessary for breathing, septoplasty is typically covered by insurance.
What Is Rhinoplasty?
A rhinoplasty, often referred to as a “nose job,” is a more comprehensive procedure that can address both functional issues and cosmetic concerns.
At Dubuque ENT, Dr. Givens performs open rhinoplasty, which involves a small incision between the nostrils and hidden internal incisions. This approach allows greater visibility and access to the internal structures of the nose, making it possible to correct more complex causes of nasal obstruction—such as caudal septal deviation and nasal valve collapse—that may not be fully addressed with septoplasty alone. Functional components aimed at improving breathing are typically covered by insurance.
Importantly, rhinoplasty also allows for refining the shape of the nose—smoothing a bump, narrowing the bridge, reshaping the tip, or improving overall symmetry. These aesthetic enhancements are considered cosmetic and are not covered by insurance. However, patients who have both cosmetic concerns and breathing problems may have the functional portion of their surgery covered by insurance.
Ultrasonic (Piezo) Rhinoplasty: Advanced Technology for Better Results
Dr. Givens is proud to offer the latest in surgical innovation: ultrasonic rhinoplasty, also known as piezo rhinoplasty or the Piezotome technique. Unlike traditional methods that rely on manual rasps, hammers, and chisels, this technology uses a precise powered dissector to sculpt the nasal bones with minimal trauma to surrounding tissue.
Benefits of ultrasonic rhinoplasty include:
- Greater precision in bone reshaping
- Reduced bruising and swelling
- Faster recovery
- More refined results
This advanced approach is especially effective when combined with aesthetic and functional goals, providing a safer and more predictable outcome.
Which Procedure Is Right for You?
If you’re experiencing chronic nasal obstruction due to a deviated septum and are not concerned with the look of your nose, septoplasty may be the right choice.
If you’re looking to improve both nasal function and appearance, or have more complex structural issues, a rhinoplasty—potentially combined with septoplasty—could be ideal.
At Dubuque ENT, Dr. Givens combines medical expertise, artistic precision, and cutting-edge technology to deliver functional and beautiful results. Whether your priority is to breathe better, look better or both, we’re here to guide you every step of the way.
Contact us today to schedule a consultation and explore your options for septoplasty, rhinoplasty, or both.
Dr. Givens is a facial plastic surgeon at Dubuque ENT in Dubuque, Iowa, offering advanced surgical techniques and personalized care for patients seeking improved breathing and refined nasal aesthetics