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What Is Functional Rhinoplasty?

Functional rhinoplasty is a surgical procedure that focuses on restoring enhanced nasal breathing by correcting structural abnormalities within the nose.

The primary goal is to correct obstruction and provide the best nasal airway you can have, although many patients experience a cosmetic benefit as a result of the structural improvements. Additionally, appearance changes can be achieved at the same time when desired.

Common reasons for functional rhinoplasty include:

  • A deviated septum
  • Nasal valve collapse
  • Congenital nasal issues
  • Trauma-related nasal obstruction, e.g. a history of a broken nose
  • Enlarged turbinates

This procedure may be covered by insurance when medically necessary due to breathing difficulties or chronic nasal obstruction.

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What Are The Benefits of Functional Rhinoplasty?

  • Improved airflow and nasal breathing
  • Reduced nasal congestion and snoring
  • Enhanced quality of sleep and improved daytime alertness
  • Relief from chronic sinus infections and headaches
  • A potential secondary improvement in nasal appearance

Are You a Candidate for a Functional Rhinoplasty?

You may be a candidate for functional rhinoplasty if:

  • You struggle with chronic nasal congestion, which is not responding to medication such as nasal steroid sprays
  • You have difficulty breathing through one or both nostrils
  • You’ve experienced nasal trauma that affected your ability to breathe through your nose 
  • You have had rhinoplasty surgery and were left with functional issues

During your consultation for functional rhinoplasty in Boston, your anatomy and symptoms will be carefully evaluated to determine the appropriate approach.

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Why Choose The Spiegel Center?

  • Unmatched surgical precision – Dr. Jeffrey Spiegel is internationally recognized for his expertise in facial plastic surgery, with a subspecialty in rhinoplasty that combines both form and function. Dr. Jacob Tower is a sought after master of advanced nasal surgery techniques with experience in both primary and revision rhinoplasty.
  • Advanced diagnostic capabilities – The Spiegel Center uses leading-edge imaging and functional assessments to ensure an accurate diagnosis and personalized surgical plan.
  • Thought leadership in the field – Dr. Spiegel lectures nationally and internationally on rhinoplasty techniques and outcomes, sharing his insights with other top surgeons worldwide.
  • Trusted by the media and medical community – Dr. Spiegel has been featured in The New York Times, Forbes, The Boston Globe, and other leading outlets for his insights into facial plastic surgery. Dr. Tower is awarded by Castle Connolly as a top doctor and regularly asked for his opinion on celebrity rhinoplasty.

Your Consultation at The Spiegel Center

Every functional rhinoplasty in Boston begins with a comprehensive evaluation that includes a discussion of your symptoms, medical history, and a detailed physical examination. We use advanced diagnostics to understand the structural causes of your nasal obstruction and create a custom treatment plan designed to restore proper breathing.

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What Is the Recovery Time?

Functional rhinoplasty is typically performed under general anesthesia at our fully accredited surgery center, Newton Surgery, and may involve techniques such as septoplasty, cartilage grafting, or turbinate reduction. Incisions are often made exclusively inside the nose, minimizing visible scarring.

  • Surgery time: 1–3 hours
  • Recovery time: Most patients return to light activity within a week and resume normal routines within 2–3 weeks
  • Results: Improvements in nasal airflow may be noticeable soon after surgery and continue to improve as swelling subsides

Frequently Combined Procedures

Often, functional rhinoplasty is performed alongside cosmetic rhinoplasty or sinus surgery to address both aesthetic and functional concerns.

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FAQ's

Will insurance cover my functional rhinoplasty?

Is there a visible scar after functional rhinoplasty?

How long do the results last?

Can functional rhinoplasty improve the appearance of my nose, too?

What’s the difference between functional and cosmetic rhinoplasty?

Will insurance cover my functional rhinoplasty?

Yes, if your procedure is deemed medically necessary, insurance may cover part or all of the cost. Our team will assist with pre-authorization and documentation.

Is there a visible scar after functional rhinoplasty?

Some functional procedures use an internal (closed) approach, leaving no external scar. In open techniques, the incision is discreet and typically heals to be virtually invisible.

How long do the results last?

Results are generally long-lasting, especially when structural corrections are made with cartilage grafts or other durable techniques.

Can functional rhinoplasty improve the appearance of my nose, too?

While not the primary goal, many patients experience subtle aesthetic benefits due to structural improvements. If desired, cosmetic changes can be incorporated.

What’s the difference between functional and cosmetic rhinoplasty?

Functional rhinoplasty prioritizes breathing and structural correction. Cosmetic rhinoplasty focuses on reshaping the nose to improve appearance. Both may be performed together if needed.

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