Functional Rhinoplasty

External Anatomy of Nose

  • Nasal Bones
  • Upper Lateral Cartilages
  • Lower Lateral Cartilages
  • Nasal Septum/Columella
  • Soft Tissue Envelope (Skin and Muscle)

Internal Anatomy

  • Nasal Septum
  • MIddle and Inferior Turbinates
  • Sinus Drainage Pathways for the (Maxillary, Ethmoid, & Frontal Sinuses)

Internal Nasal Valve

  • Formed by the junction of the Nasal Septum and the Upper Lateral Cartilages 
  • Narrowest portion of the Nasal Airway
  • Normal valve angle 10-15 degrees

External Nasal Valve

  • Inferior to the Internal Nasal Valve
  • Lateral border: Nasal Ala
  • Medial border: Septum and Columella
  • Common area of "sidewall collapse" on inspiration 

Anatomic Nasal Obstruction Symptoms

  • Consistent Difficulty Breathing through one or both nostrils
  • Need for external devices (Breathe Right Strips) to sleep
  • Fails to improve with topical application of medications

Surgical Treatment


  1. Remove anatomic obstructions
  2. Straighten the Deviated Septum
  3. Prevent Internal and External Valve Collapse
  4. Strengthen the nasal framework