Causes of structural obstruction Breathing may be limited by a deviated septum, narrow internal or external nasal valves, weak sidewalls, previous injury, previous surgery or a combination of problems. Medication may reduce swelling but cannot correct every structural cause.
Evaluation Assessment includes symptom history, examination inside and outside the nose, response to breathing manoeuvres and sometimes nasal endoscopy or imaging. The surgeon considers both airflow and how structural changes may affect appearance.
Procedure Treatment may include septoplasty, valve repair, cartilage grafts, turbinate management or reshaping of the bony and cartilaginous framework. The exact plan is individual rather than one standard operation.
Recovery and outcomes Congestion is common in the early weeks. Improvement may appear gradually as swelling settles. Risks include bleeding, infection, persistent obstruction, asymmetry, graft movement, scarring and need for further surgery.
Patients should understand that functional and cosmetic goals can overlap, and both should be discussed before consent.
Frequently Asked Questions
Is functional rhinoplasty the same as septoplasty?
No. Septoplasty focuses on the septum, while functional rhinoplasty may address several supporting structures.
Can nasal sprays correct structural collapse?
No. They may reduce swelling but cannot strengthen weak cartilage.
Will appearance always change?
Not necessarily, although structural correction can sometimes alter shape.
Is breathing improvement immediate?
Early swelling may delay noticeable improvement.
