Functional Rhinoplasty: Restoring Your Breath and Improving Your Quality of Life

By Dr Chris Oosthuizen, ENT Surgeon from Brisbane, Australia 

Functional rhinoplasty is a surgical procedure that aims to improve the function of the nose and alleviate breathing difficulties. It is often performed on patients who experience nasal obstruction, congestion, or other breathing problems that can significantly impact their quality of life. Unlike cosmetic rhinoplasty, which focuses on reshaping the nose for aesthetic reasons, functional rhinoplasty prioritises restoring proper nasal airflow and improving respiratory function.

Common Causes of Nasal Breathing Problems

Numerous factors can contribute to nasal breathing problems, including:

• Deviated Septum: The septum is the cartilaginous wall that divides the nasal cavity into two passages. When the septum is deviated, it obstructs one or both nasal passages, leading to difficulty breathing.
• Nasal Turbinates: The turbinates are bony structures within the nasal cavity that help warm, humidify, and filter the air we breathe. When they are enlarged, they can impede airflow and cause breathing obstructions.
• Nasal Fractures: Injuries to the nose can cause fractures in the nasal bones, which can disrupt the natural structure of the nose and lead to breathing difficulties.
• Nasal Polyps: Polyps are soft, noncancerous growths that can form in the nasal passages and interfere with breathing.

Benefits of Functional Rhinoplasty

Functional rhinoplasty offers a range of benefits, including:

• Improved Breathing: This is the primary goal of functional rhinoplasty. By addressing the underlying causes of nasal obstruction, the procedure can significantly improve breathing function and alleviate symptoms such as congestion, snoring, and sleep apnoea.
• Reduced Sinus Infections: Proper nasal airflow helps clear mucus and prevent sinus infections. Functional rhinoplasty can reduce the frequency and severity of sinus infections, improving overall health and well-being.
• Enhanced Quality of Life: Improved breathing can have a profound impact on a person’s quality of life. Patients who undergo functional rhinoplasty often report increased energy levels, better sleep, and reduced fatigue.

Procedure Overview

Functional rhinoplasty is typically performed as an outpatient procedure under local or general anaesthesia. The specific techniques used will vary depending on the patient’s individual anatomy and the underlying cause of their breathing problems. However, some common procedures include:

• Septoplasty: This procedure involves straightening the deviated septum to restore balance and airflow within the nasal passages.
• Turbinate Reduction: When enlarged turbinates are causing obstruction, they can be surgically reduced to improve airflow.
• Grafting: Grafting may be used to rebuild or support the nasal structures, such as the septum or the turbinates.

Recovery and Expectations

Following surgery, patients can expect some swelling, bruising, and discomfort around the nose. These symptoms typically subside within a few weeks. Nasal packing may be used to support the nasal structures during healing and prevent bleeding. Most patients can resume their normal activities within a week to two weeks, although strenuous activities should be avoided for several weeks.

Choosing a Qualified Surgeon

The success of functional rhinoplasty depends on the expertise and experience of the surgeon. It is crucial to choose a surgeon who is board-certified in facial plastic surgery and who has extensive experience performing functional rhinoplasty procedures.

Functional rhinoplasty can be a life-changing procedure for individuals struggling with chronic nasal breathing problems. By restoring proper nasal function, the procedure can alleviate symptoms, improve overall health, and enhance quality of life. Patients considering surgery should consult with a qualified facial plastic surgeon to discuss their individual needs and expectations.