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Septoplasty is a procedure to center the septum, creating two nasal passages that are the same size. This corrects any airflow disturbance caused by a deviated septum. 

A surgeon uses small surgical instruments to make an incision in the tissue lining the septum. He or she straightens or repositions the deviated section of the septum to maximize airflow through the nasal passages. If the septum is damaged in addition to being out of place, doctors may remove small pieces of cartilage or bone.

If an injury such as a fracture is the cause of a nasal obstruction, or if surgery to reposition the septum changes the appearance of your nose, our specialists work with facial reconstructive plastic surgeons to perform septorhinoplasty. During this procedure, ���ϸ����� Langone surgeons eliminate the nasal obstruction and use cosmetic techniques that ensure that the nose looks natural. 

Our surgeons perform septorhinoplasty through the nostrils. They correct the position of the septum and address any other structural problems. For example, if the small area inside the nose between the septum and the bridge of the nose is too narrow, it may restrict airflow. A reconstructive surgeon may widen this area to help you breathe more easily.

Frequently, surgeons remove cartilage from the septum and place it in other areas to improve breathing. They may also do this, if desired, to alter the shape of the nose.

If you have a broken nose, a reconstructive surgeon may perform a more complicated procedure to ensure that the septum and other structures are repaired and positioned properly, so you can breathe after the nose heals. Our experienced surgeons understand that the appearance of the nose is also important and can recreate a symmetrical, natural-looking nose even after serious injury.

If a deviated septum has caused sinus problems in addition to obstructed breathing, the surgeon may perform sinus surgery in addition to septorhinoplasty to prevent sinus infections from occurring. In more complex procedures like these, a plastic and reconstructive surgeon and an otolaryngologist may work together to provide you with the best care.

In submucosal resection, a surgeon removes small sections of the septum, the turbinates, or both to open the nasal passages. 

A surgeon accesses the septum or turbinates through the nostrils, and makes a small incision in the layer of soft tissue lining the nasal passage. This incision allows surgeons to remove portions of the underlying bone structure without disturbing the outer layer of tissue, which plays an important role in keeping the nasal passages hydrated. 

Surgeons may use a laser or a small device called a microdebrider, a powered instrument that removes bone and soft tissue, to reduce the size of turbinates.

In addition to a submucosal resection or laser procedure, surgeons may also permanently reposition the turbinates to provide more space in the nasal passages. This permanent repositioning, called outfracture, involves breaking the thin bones of the turbinates in order to reposition them.