A deviated septum is a disorder that impairs our breathing and affects the nasal septum. Our nasal septum is a bone and cartilage divider wall that separates the left and right sides of our nose.
The septum of someone with a deviated septum is crooked or off-center (usually significantly so).
It can be angled to the left, right, or in an S-shape. This frequently leads to a slew of issues that range from inconvenient to life-threatening. While certain differences in the size of our respiratory passageways are quite normal, major differences (especially those that cause breathing issues) should be taken seriously.
Can a septum piercing cause a deviated septum?
Not at all. The fleshy membrane component between your nostrils, not the actual cartilage in your nose, is pierced in a correct septum piercing.
What causes a deviated septum?
There are various reasons for a deviated septum. In some circumstances, a deviated septum develops during fetal development, but in many other cases, a deviated septum develops as a result of an injury as a child, adolescent, or adult, such as a fall, sports injury, vehicle accident, or hit.
An injury that results in a deviated septum can happen to anyone at any age. Infants, for example, may sustain trauma during birthing, leading in a deviated septum. Adults are at risk for a variety of traumatic incidents that can result in a deviated septum, including falls, physical attacks, and car accidents.
- As people age, a deviated septum can worsen; typical aging processes have an affect on the nose, particularly the septum and nostrils.
How to tell if you have a deviated septum?
If you have a deviated septum, you may notice specific signs or symptoms. We’ve listed some of the most frequent signs and symptoms of a deviated septum below. You may learn more about the symptoms of a deviated septum by going there.
Increased facial pain and awareness of the nasal cycle are potentially possible side effects. Our nostrils are obstructed on one side or the other on a regular basis, but with a deviated septum, this process (known as the nasal cycle) can become hyper-obvious.
The problem is that many septal abnormalities go unnoticed. The majority of them, according to Mayo Clinic, do not. It may be difficult to notice a deviated septum when it forms as a result of this.
Can a deviated septum get worse?
A deviated septum might change over time for certain people. The natural aging of our faces and noses has the potential to exacerbate a deviated septum. Even if a person’s deviated septum does not physically deteriorate, their symptoms may change or worsen.
Does insurance cover deviated septum repair?
Yes, most insurance companies will cover a deviated septum correction if surgery is only to change the interior of the nose for breathing or functional reasons and not to change the exterior or cosmetic aspect. However, contacting your insurance carrier is the best method to get an answer to this topic. Many insurance companies, however, cover septoplasty as one of the most prevalent treatments. It is frequently judged medically required because to its tendency to induce sleeping and breathing problems, as well as sinus infections and migraines. Patients must have failed intranasal steroid sprays (i.e. Flonase, Nasacort, etc. ), antihistamines (i.e. Claritin, Zyrtec, etc. ), sinus rinses, and decongestants in order for insurance to fund the operation (i.e. Sudafed etc.).
How can you fix a deviated septum? Can a deviated septum heal on its own?
A deviated septum is unable to repair on its own. Treatment for a deviated septum, on the other hand, differs according on the conditions and severity of the condition. Depending on the severity of the deviated septum, a patient may be a candidate for a simple in-office operation called partial septoplasty, which can be done under local anesthetic. A modest outpatient surgery under general anesthesia is the best technique to repair it in more common and severe cases.
Other precautions that most doctors advise patients to take before surgery include:
Do nasal strips help deviated septum?
They certainly can! It is dependent on your specific circumstances. Nose strips can help elevate and open inflamed nasal and sinus passages for many people.
What is deviated septum surgery?
Septoplasty is the medical term for surgery to correct a deviated septum. A surgeon makes a small incision in the septum through the inside of a patient’s nose. The surgeon can then remove or resculpt extra cartilage or bone to balance out the breathing gaps in both nostrils and nasal passageways after the incision is completed.
In order to maximize your airflow via both nasal passages, your surgeon will usually address any turbinate inflammation, valve collapse, or sinus abnormalities that may be present after deviated septum surgery.
During deviated septum surgery, some individuals may want to change the look of their nose or correct any cosmetic defects.
A rhinoplasty is the medical term for this procedure. Rhinoplasties are sometimes referred to as nose jobs. These aid in the enhancement of the nose’s external look. A septorhinoplasty is the name for the entire procedure.
- Newer methods are being developed; some people may be able to avoid surgery by having a balloon septoplasty or a partial septoplasty performed in the office.
Can a deviated septum return after surgery?
The possibility of redeviation of the septum without future trauma to the nose is less than 3-5 percent in the hands of the most qualified and brilliant surgeon. However, after deviated septum surgery, up to 25% of patients experience nasal congestion or obstruction redeveloping. This is because, aside from anatomical abnormalities with the nose, congestion can be caused by a variety of factors. Severe allergies and/or severe inflammation caused by irritants (smoking, vaping, fumes, etc.) or chronic sinusitis are examples of these reasons. So it’s not so much that a deviated septum may return after surgery as it is that the symptoms of a deviated septum may continue (or return).
How much does deviated septum surgery cost with insurance?
If you aren’t undergoing a rhinoplasty, deviated septum surgery without insurance coverage can cost anywhere from $4,000 to $6,000. The real cost to the patient is determined by copays and deductibles with insurance; so, it could be completely free or a modest cost of $500 to $2500.
How long does deviated septum surgery take?
Septoplasties usually last between 30 and 60 minutes. They aren’t particularly lengthy procedures. When a rhinoplasty is added to the operation, the total time can be between 90 and 180 minutes.
How long does someone’s nose bleed after deviated septum surgery?
After your deviated septum surgery, you’ll be given a drip pad to help collect the blood that flows from your nose. It may seep for up to two days after surgery, but excessive bleeding should be reported to your doctor.
How long does it take to recover from deviated septum surgery?
- Most patients heal completely in 2-3 weeks and return to work after 3-5 days of surgery; also, with uncomplicated deviated septum correction, there is no external bruising or swelling.
- Patients who have septorhinoplasty heal in 3-6 weeks but can return to work in 7-10 days; exterior bruising and swelling can continue up to 3 weeks.
- Some individuals may feel numbness and a minor loss of smell near the tip of their nose, but this usually resolves within 1-2 months.
- Following 7-10 days, exercise is fine after septoplasty, and 3 weeks after septorhinoplasty.
Can you correct a deviated septum without surgery? How can you help a deviated septum without surgery?
Alternatives to septoplasty may be able to alleviate the symptoms of a deviated septum or nasal blockage. Some people benefit from nasal steroids and allergy drugs; others employ nasal strips or nasal irrigation to try to open up their nasal passages.
Can a deviated septum cause snoring or sleep apnea?
It is a relatively prevalent cause of snoring, and deviated septum correction can significantly reduce the loudness and intensity of snoring. It is unlikely, however, to cure sleep apnea. This is a typical misunderstanding. A deviated septum can exacerbate or complicate the treatment of sleep apnea.
What other problems does a deviated septum cause?
- Is a runny nose caused by a deviated septum? Yes, a deviated septum can induce a runny nose and postnasal drip, which are both frequent symptoms of the condition. Stuffy noses and trouble breathing are other common symptoms of deviated septums.
- Is it possible for a deviated septum to induce nosebleeds? Yes, nosebleeds can occur when the surface of the nasal septum becomes dry.
- Can clogged ears be caused by a deviated septum?
- Ear fullness and poor middle ear airflow can be caused by deviated septums.
- Is poor breath caused by a deviated septum? It’s possible! Especially if your breathing patterns are disrupted, causing you to breathe through your lips all of the time.
- Is snoring caused by a deviated septum? Yes, a lot of the time. Snoring is frequently caused by deviated septums. With a deviated septum, many people endure noisy breathing and snoring while sleeping; however, just because you don’t snore doesn’t mean you don’t have a deviated septum.
Does insurance pay for rhinoplasty with deviated septum?
The majority of patients are concerned about whether or not their health insurance will cover the expense of a nose operation. The answer to that query is contingent on two factors: the patient’s insurance company and the sort of rhinoplasty surgery they require. Cosmetic rhinoplasty, or changing the form of the nose on the outside for cosmetic purposes, is usually not covered by insurance. If the inside channels of the nose need to be altered to improve breathing or straighten a deviated septum, the surgery is known as functional rhinoplasty, and insurance may pay the cost. In certain circumstances, men and women seek a nose operation to remedy a functional issue while also addressing cosmetic concerns. We do not accept insurance for medical or cosmetic rhinoplasty treatments at Contoura Facial Plastic Surgery.
Individuals considering rhinoplasty should have an open dialogue with a plastic surgeon like Dr. Robert Garcia to acquire answers, whether it is for a medical need or merely for aesthetic reasons. Dr. Garcia and his staff at Contoura Facial Plastic Surgery in Ponte Vedra Beach, FL, are double board-certified facial plastic surgeons who can help both men and women in the Jacksonville area who are considering a nose job.
How much does it cost to fix a deviated septum with insurance?
The septum is the bone and cartilage that divides the nose into two nostrils. A septum that is off-center is referred to as a deviated septum.
A deviated septum is a rather common issue. It is estimated that up to 80% of the population has one.
The cost of repairing a deviated septum varies. The average cost of correcting a deviated septum in the United States, according to Costaide, is $8,131. A septoplasty (surgical to fix a deviated septum) can cost anywhere from $5,152 to $12,633.
The following factors influence the cost of surgery to correct a deviated septum:
- If the procedure is deemed medically essential and the surgeon and anesthesiologist are in-network, most insurance companies will cover at least a portion of the cost.
Is deviated septum surgery covered?
Septoplasty is a surgical treatment used to rectify a deviated septum, a condition in which the septum is displaced, obstructing the breathing tube and restricting airflow.
Trauma or a congenital condition can also create a deviated septum (compression of the nose during birth). Around 80% of men and women in the globe have a deviated septum, albeit not everyone has the symptoms listed above.
Deviated Septum Surgery / Septoplasty
Many people with deviated septum problems seek deviated septum surgery to fix the condition and enhance their breathing. Septoplasty is an outpatient treatment that is done under general anaesthetic.
The septum is meticulously trimmed and relocated by a qualified rhinoplasty surgeon (the center portion inside the nose dividing the two nostrils). After that, the septum is straightened and adjusted to give a proportionate breathing passage between the two nostrils. Due to the nature of a deviated septum, turbinate reduction may be performed in conjunction with septoplasty to repair the internal turbinate, which may become larger or collapsed.
Incisions are made inside the nose during septoplasty to avoid obvious scarring. Splints and packing may be utilized in rare circumstances to help stabilize the nose during recuperation. A cast is placed over the top of the nose to keep it in place while it heals, and gauze is taped beneath the nostrils to absorb any bleeding that may occur in the first 3-4 days after surgery.
Septoplasty Recovery
After about a week, splints, casts, and packing are usually removed, and a saline irrigation program is recommended for recovery. Swelling and bruising are frequent and usually remain for two to four weeks. Patients who have a septoplasty should not blow their nose for at least two weeks following the procedure and should exercise extreme caution for the first few months, as the nose is quite delicate.
Patients report significant improvements in breathing after septoplasty, as well as better sleeping habits and fewer sinus infections.
Septorhinoplasty
Many individuals seeking septoplasty also contemplate rhinoplasty, a cosmetic treatment that improves the shape, side, and projection of the nose. RHINOPLASTY is a condition that affects women.
Septoplasty with Insurance
One of the most common operations covered by insurance is septoplasty. Because a deviated septum can cause major problems such as chronic sinusitis and sleep apnea, insurance companies consider it a medical necessity, therefore it is frequently covered by insurance policies.
Insurance does not cover aesthetic treatments, however it will cover the septoplasty portion of the cost of a septorhinoplasty, which includes surgeon fees and operating room fees. Please fill out our free insurance verification form on the right to discover whether you qualify for septoplasty with insurance.
Is deviated septum surgery worth it?
Is it worth fixing a deviated septum that only causes minor issues? I have minor sinus problems now and then, but I’d want to avoid surgery. Is surgery something I’ll have to think about in the future?
A deviated septum that causes modest symptoms usually does not necessitate treatment. It’s up to you to decide whether it’s worth fixing.
If your symptoms aren’t unpleasant or affecting your quality of life, the risks of treatment may outweigh the benefits. You might benefit from having your condition assessed to rule out anything other than a deviated septum as the source of your nasal issues.
The septum is a thin cartilage and bone wall that separates the nose’s two airways. When the wall of the nose is pushed to one side, one nasal passage becomes narrower than the other, resulting in a deviated septum. Septal deviations are a regular occurrence. About 70% to 80% of people have a septal deviation that can be detected by an expert. Many people’s conditions don’t create symptoms, or if they do, the symptoms are small, and no treatment is necessary.
Nasal obstruction can be caused by a moderate to severe deviated septum. Some people may experience difficulties breathing through the nose on the side of the obstruction when this happens. Due to a process known as the nasal cycle, others may notice blockage on the side opposite the septal deviation. When you breathe through your nose, more air travels through one nasal passage, while the other allows a less amount of air to pass through. It switches after a while, and the other route takes up the majority of the airflow. Your nose could grow overly dry if it weren’t for the nasal cycle.
The nasal cycle is usually undetectable, though it may be more obvious when you have a cold. When the nasal cycle obstructs the side opposite the septal blockage, breathing through the nose becomes difficult or uncomfortable for those with a deviated septum.
Your modest sinus symptoms could be due to something other than a deviated septum. If you opt to have the problem reviewed, your doctor can look for any underlying issues including allergies, nonallergic rhinitis, or sinusitis. Treatments include saline irrigations, nasal cortisone sprays, antihistamines, decongestants, and limiting allergen exposure can typically help alleviate those symptoms.
Surgical correction is required to correct difficulties caused by a deviated septum (septoplasty). The surgeon repositions the septum to the midline using an incision within the nose to establish two open nasal air passageways during this surgery. There are dangers associated with any surgical procedure. Anesthesia-related complications, hemorrhage, and the necessity for revision surgery are all possible complications of nose surgery.
You can decide whether or not to pursue additional treatment after investigating your symptoms, based on how much those symptoms influence your quality of life.
Does deviated septum get worse with age?
The bone and cartilage in the centre of your nasal cavity is known as the nasal septum. A deviated septum occurs when the middle section of your nose is crooked. This disorder can be inherited or developed as a result of a nose injury (sports injury, car accident, etc.). It’s possible to have a deviated septum and not realize it until later in life. Because your nasal structures alter as you get older, this issue can worsen.
Your nose, like the rest of your body, undergoes changes. Over time, the nasal cartilage might become softer, weaker, and brittle. This, combined with a lack of flexibility in the nasal skin, might cause your nose to become longer, affecting the severity of your deviated septum.
A small nasal misalignment might not have a significant influence on your life. In fact, between 70% to 80% of people do not have absolutely symmetrical noses! However, if your nasal septum has a substantial bend, you may encounter issues and discomforts such as:
- Breathing problems due to a blockage in the movement of air into and out of your nose.
- Snoring occurs when you sleep and breathe through your mouth, causing your palate to vibrate.
- Sinus infections are common as a result of bacteria-filled mucus accumulating in your nasal canal (because the mucus cannot flow out).
Many people adapt to the discomforts of having a deviated septum. However, there are situations when the problems are simply too severe. Others simply dislike the appearance of their crooked nose on their face. To provide relief, a treatment known as septoplasty can be performed to straighten the nasal septum. To produce uniform nose passages, cartilage and/or bone may be removed, relocated, or replaced during the surgery.
Dr. Michael Riesberg, an ENT in Pensacola, can perform septoplasty to restore unobstructed breathing if you suspect you have a deviated septum. Riesberg Institute can be reached at (850) 476-0700 or on our website.
Do they break your nose to fix a deviated septum?
All medications, including nonprescription pharmaceuticals, vitamins, and herbs, that the patient is taking must be disclosed to the doctor. Before surgery, the patient should avoid using anti-clotting medications such as aspirin, ibuprofen, naproxen, and certain herbal remedies. If the patient has allergies or bleeding issues, the doctor should be informed.
How is septoplasty performed?
Septoplasty is commonly done as an outpatient procedure, therefore most patients go home the same day. The patient is usually put under general anesthesia and is sleeping throughout the procedure. Local anaesthetic, which numbs the area of the body that will be operated on, is a possibility.
The entire process takes place within the nose. The doctor removes or elevates the mucosa, a thin membrane that covers and protects the septum, by cutting a wall on one side of the nose. This permits the doctor to alter the bone and cartilage of the septum. Parts of the bone and cartilage are sometimes removed, altered, and repositioned. The mucosa is then repositioned across the septum. During surgery, the nose is not broken. The procedure takes anything from 30 to 90 minutes.
After that, the doctor may use splints or soft packing to keep the nasal tissue in place, prevent nosebleeds, and scar tissue from forming. The splints are usually worn for one or two weeks, and the packing is left in the nose for 24 to 36 hours. Sometimes the doctor will just leave dissolving stitches, which will dissolve over time.
How long should I take off work after septoplasty?
One of the most common surgical procedures I undertake in the operating room is surgical repair of a deviated septum. This treatment is referred to in medical terms as “septoplasty,” says the doctor. “Septo” comes from the Latin word “saeptum,” which means “fence, enclosure, or barrier,” and “plasty” comes from the Greek word “plastia,” which means “to make.” Ear, Nose, and Throat (ENT) doctors and facial plastic surgeons conduct this procedure on a regular basis. It’s frequently done in conjunction with other nose treatments like rhinoplasty, turbinate reduction, and sinus surgery.
Let’s start with the basics. The septum is a cartilage structure that runs through the middle of the nose. It is formed of cartilage and serves as a structural support for the tip of the nose, allowing it to sustain minor blows to the nose without breaking or fracturing. Furthermore, the septum divides the nose into two compartments and humidifies and warms the air that we breathe.
The septum of the majority of people is not precisely straight. The septum does not usually grow in a fully straight line, either as a result of trauma or normal growth. It might grow in one direction or lean to one side before returning to the other. If the deviation is severe enough, it can produce nasal obstruction on one or both sides of the nose. Externally, some people with substantial aberrations, usually as a result of trauma, might be seen. Frequently, the “The “tip” of the nose, which is the furthest forward section, will be pointed to the left or right.
The majority of my septum surgery patients complain of trouble breathing from one side of the nose, or sometimes both sides. Nasal blockage can be caused by a variety of factors, but the most frequent is a deviated septum. I begin by inquiring about the cause of the nasal blockage. Is it going to be all day? Is it only in the morning? Is it better to be on the left or right side? While you’re lying in bed? While these questions may appear weird, they are really useful in detecting the reason of blockage before I even touch the patient. Following that, I frequently demonstrate how to use an unique camera and telescope designed specifically for peering into the nose. I virtually always give the patient a specific spray that numbs the nose before performing this. This spray has a foul taste, and the numbing feeling can last up to an hour, so avoid eating during your period. Most significantly, this medicine can produce severe side effects in a small percentage of people. If you have a history of heart difficulties, such as a cardiac stent or a recent heart attack, make sure to notify your doctor. Also inform your doctor if you have an allergy to anesthetics like Lidocaine.
Any board-certified ENT surgeon can detect if you have a deviated septum after inspecting your nose with the camera. If your doctor tells you it’s deviated, don’t be concerned. Approximately 75% of the population has a septum that is deviated in some way. The fundamental question is whether the deviation is causing the nasal blockage or if something else is at play.
When faced with this diagnosis, your doctor can provide you with a number of therapy alternatives. They can be classified into one of three groups: do nothing, surgery, or medical treatment. Nasal blockage does not require treatment, despite the fact that it is often highly debilitating. Patients can, however, see considerable improvements in their quality of life, ability to exercise, snoring, sleep quality, energy level, and other factors. The following are the most common and prevalent concerns that patients with nasal obstruction due to a deviated septum face:
- Sleep deprivation or difficulty sleeping. Snoring and sleep apnea can be caused by obstructed airflow from the nose. This deprives your body and brain of oxygen, which is necessary for us to heal ourselves and feel refreshed in the morning.
- Fatigue. This is frequently linked to the quality of one’s sleep. Because they can’t breathe properly, many people with nasal obstruction can’t exercise to their full ability. Breathe To increase nasal airflow and performance, right strips were created specifically for this purpose.
- Reduced olfactory and gustatory senses. Reduced airflow to the nose means that tiny molecules floating in the air never reach the organ in our nose that allows us to smell, affecting our capacity to taste as well.
Fixing the septum isn’t always required, and your doctor should always provide you with alternative treatment alternatives as well as realistic post-surgery expectations. Furthermore, you should always be aware of the dangers associated with any procedure before agreeing to it. This covers the danger of general anesthesia, as well as the risk of complications following septoplasty surgery, such as the need for additional surgery, bleeding, pain, nasal blockage, and so on.
The purpose of this procedure is to straighten and align the cartilage structure in the nose’s midline in order to improve airflow. Septoplasty is one of the most common surgeries I undertake to achieve this; but, a surgeon can also perform other related procedures to enhance airflow, and these procedures are frequently performed combined. “Turbinate reduction” is one of these techniques. This is a technique in which the turbinates, which are tiny swellings on the sidewalls of the nasal cavity that act to warm and humidify the air, are decreased to allow more air to pass through the nasal cavity.
Nasal valve surgery, commonly known as functional rhinoplasty, is a second treatment. The cartilage of the nose is changed to allow for better airflow in this operation, which is commonly performed by a facial plastic surgeon. This can change the contour of the nose slightly and is frequently done during cosmetic nose surgery.
Prior to doing any nasal treatments, I notify patients about the following:
- Recovery takes roughly one to four weeks. The recuperation time will differ depending on the surgery. The healing time for basic septoplasty is extremely fast, however the recovery time for rhinoplasty is much longer. The majority of patients take a week off work. In addition, I advise patients to refrain from heavy lifting and strenuous exercise after the procedure. When I conduct severe sinus surgery, rhinoplasty, or tumor surgery on a patient, I also inform them that they will be unable to fly for one month due to the distant possibility of significant bleeding.
- Nasal irrigations should be used. Even though I don’t have a nasal obstruction or sinusitis, I utilize nasal irrigations on a daily basis. Brushing your teeth, except for the inside of your nose, is how I describe it to many of my patients. It’s an excellent habit to get into before surgery, as it helps clean the surgical cavity and clear any crusting or heavy mucus away from the wounds afterward.
- Keep an eye out for blood thinners. Despite the fact that nose surgery is not a particularly bloody procedure, I take every measure to optimize my capacity to operate and reduce the risk of complications thereafter. Prior to surgery, I require nearly all patients to refrain from taking aspirin and ibuprofen, as well as supplements like garlic, fish oil, and ginkgo biloba, which can thin the blood.
When discussing surgery with patients, one of the most essential things I do is moderate their expectations and educate them about all of the options available after surgery. They will be well prepared for anything that may emerge after surgery if they do this. Here are some crucial points to remember:
- Bleeding is a common occurrence. The nose will ooze a small amount of blood. Patients are frequently sent home with a little sling containing tissue to collect the small amount of blood that will leak from their nose. This is totally typical, particularly in the days after surgery. It’s never a bad idea to call your doctor if the blood flow gets significant.
- Breathing will not return to normal right away. Despite the surgery’s purpose, there is a significant amount of swelling that happens shortly after the procedure, which is normal. In addition, many surgeons use a sponge or packing that must be removed following the surgery. You notice a piece of plastic lodged in your nostrils. When performing major nasal reconstruction, functional rhinoplasty, or cosmetic surgeries, I frequently use a nasal splint, which is sutured in place. This will normally come out one week following surgery, and patients will notice a significant improvement in their breathing.
- Expect a sore throat and trouble sleeping.
- Following surgery, many individuals experience a painful throat. The tube that is inserted into the throat during general anesthesia is to blame for this. The pain goes gone after a few days, but it can be managed by using an over-the-counter anesthetic spray like Chloraseptic. Additionally, due to stuffiness and congestion, falling asleep may be difficult.
- Your new best friend is nasal saline. I advise all of my post-operative patients to keep nasal saline on them at all times in order to keep the nose moist and to utilize nasal saline irrigations twice a day. The irrigation motion loosens and pushes the crusts away, softening them. This can also provide the most pain alleviation and blockage relief.
How can I pay for a nose job?
Surgery can be paid for using a regular credit card. You’ll have to pay the money back in installments, which are, of course, manageable. However, you must be wary of the interest rates charged by credit card providers. It’s not worth it to pay a lump sum for cosmetic surgery just to save money on interest.
Certain doctors and hospitals have devised customized credit systems. Check to see whether any of these choices are available at the location where you plan to have the operation performed. Check with your surgeon to see if they take the type of card or the particular card company before making a credit card expressly for the surgery.
How much is a nose job 2021?
The price of a nose job varies from clinic to clinic, however in California, the average price ranges from $4,000 to $15,000, depending on the surgeon’s location and level of competence. Additional cosmetic operations, anesthetic fees, operating room charges, and other relevant expenses may be included. It’s important to look for a surgeon who specializes in rhinoplasty, as this type of surgery requires a lot of experience and talent. Your outcome is determined by your surgeon, and you should not jeopardize your number one priority in terms of beauty.