Why Choose an ENT Specialist for Rhinoplasty

Dr. Philip Miller

February 18, 2026

Rhinoplasty is often associated with cosmetic refinement. However, for many patients, nasal shape and nasal function are closely connected. Breathing difficulty, chronic congestion, or asymmetry caused by internal structural issues can affect daily comfort as much as appearance. When nasal airflow is compromised, addressing aesthetics alone may not be enough. 

This is where the expertise of a nasal breathing specialist becomes essential.

Working with an ENT specialist who is also a plastic surgeon adds greater precision to rhinoplasty. Philip J. Miller, MD, combines advanced training in nasal airway function with aesthetic expertise, allowing both breathing and appearance to be evaluated together. This comprehensive approach supports natural-looking results while improving airflow and long-term nasal comfort.

Today, we will take a closer look at the benefits of choosing an ENT specialist for rhinoplasty and how this approach supports both form and function.

Understanding Rhinoplasty Beyond a Traditional Nose Job

A nose job is often viewed as a cosmetic procedure focused on size, shape, or symmetry. Modern rhinoplasty, however, extends far beyond surface-level changes. The nose plays a critical role in breathing, humidifying air, and supporting overall respiratory health.

Rhinoplasty considers bone, cartilage, internal valves, and nasal alignment together. When performed with advanced planning, the result is not only a refined appearance but also long-term structural stability. Patients benefit most when the procedure is designed to preserve support rather than compromise function for short-term cosmetic gains.

ENT Rhinoplasty and the Importance of Nasal Function

ENT rhinoplasty combines aesthetic expertise with a deep understanding of nasal anatomy and airway dynamics. Because the nose is both a facial feature and a functional organ, ENT training adds a layer of precision when reshaping the nasal framework.

A nasal breathing specialist evaluates airflow patterns, internal support structures, and areas of collapse that may not be visible externally. This approach allows rhinoplasty to enhance appearance while preserving nasal function. For patients with breathing concerns, ENT rhinoplasty is often the most comprehensive solution.

Signs You May Have a Deviated Septum Affecting Nasal Breathing

A deviated septum occurs when the nasal septum is displaced from the center of the nose, restricting airflow through one or both nostrils. Nasal septum deviation can develop from injury or natural growth and often worsens over time.

Many patients ask how to tell if they have a deviated septum. Symptoms may include persistent nasal congestion, frequent sinus infections, mouth breathing, or difficulty exercising due to limited airflow. In some cases, external nasal asymmetry may also be present, although internal deviation can exist even when the nose appears straight.

Septoplasty and Rhinoplasty for Functional and Aesthetic Improvement

Septoplasty and rhinoplasty are often performed together when both breathing and appearance are affected. Septoplasty focuses on correcting the internal alignment of the septum, while rhinoplasty reshapes the outer nasal structure.

When combined, septoplasty and rhinoplasty allow for balanced correction that supports airflow and facial harmony. This integrated approach helps ensure that cosmetic changes do not compromise breathing and that functional improvements align naturally with the nose’s external appearance.

Functional Rhinoplasty for Long-Term Breathing Support

Functional rhinoplasty addresses issues that go beyond septal deviation. Weak cartilage, internal nasal valve collapse, or prior nasal surgery can all interfere with airflow. Simply straightening the septum may not resolve these concerns.

A functional rhinoplasty reinforces nasal structures to maintain open airways during breathing. By supporting internal valves and preserving cartilage strength, this approach helps patients experience lasting improvement rather than temporary relief. For individuals with chronic obstruction, functional rhinoplasty can significantly enhance daily comfort and sleep quality.

Deviated Septum Surgery and What Patients Can Expect

Deviated septum surgery, also known as septoplasty, is designed to reposition and straighten the nasal septum to improve airflow. When performed by an experienced surgeon, septoplasty in NYC is typically completed with precision and efficiency.

Recovery varies by patient, but many notice improved breathing within the early healing phase. Swelling resolves, allowing airflow to continue improving over time. When combined with rhinoplasty, healing is coordinated to support both structural correction and aesthetic refinement.

Common Benefits of Septoplasty and Functional Rhinoplasty

This section highlights key advantages for patients seeking both comfort and confidence:

• Improved nasal breathing and airflow
• Reduced congestion and sinus pressure
• Enhanced nasal symmetry and balance
• Better sleep quality and exercise tolerance
• Long-term structural stability of the nose

These benefits underscore the importance of addressing function and form together rather than treating them separately.

Why Experience Matters in Rhinoplasty and Septoplasty in NYC

Rhinoplasty is one of the most complex facial procedures due to the delicate balance between structure, aesthetics, and airflow. Septoplasty adds another layer of precision, as internal anatomy must be corrected without compromising external appearance.

Choosing a surgeon with extensive experience in rhinoplasty and septoplasty in NYC is essential for achieving reliable outcomes. Advanced training enables accurate diagnosis, thoughtful planning, and surgical techniques that prioritize long-term outcomes.

Revision Rhinoplasty for Breathing Concerns and Unsatisfactory Results

If a prior rhinoplasty resulted in ongoing breathing difficulties or did not achieve the desired outcome, a revision rhinoplasty can be an effective solution. Changes to nasal structure, scar tissue, or weakened support can interfere with airflow and overall comfort. 

Working with an ENT specialist and plastic surgeon such as Philip J. Miller, MD allows both nasal function and appearance to be carefully reassessed. This combined expertise supports correction of breathing issues while refining structure, helping restore comfort, balance, and confidence.

Personalized Evaluation for Rhinoplasty and Nasal Breathing Concerns

Every nose is unique, and successful outcomes begin with a thorough evaluation. During consultation, nasal structure, airflow, and aesthetic goals are carefully reviewed. This process ensures that recommendations align with both medical needs and personal preferences.

A comprehensive assessment allows patients to understand their options clearly and move forward with confidence, knowing that both appearance and breathing have been fully considered.

Explore Solutions for Improved Breathing with Philip J. Miller, MD in NYC

Rhinoplasty, functional rhinoplasty, and deviated septum surgery require precision, experience, and a comprehensive understanding of nasal structure and breathing function. When septoplasty is involved, working with an ENT specialist for rhinoplasty is especially important, as it allows both internal nasal alignment and external shape to be addressed together. This combined expertise supports results that improve airflow while maintaining natural facial balance.

Precision in Form. Freedom in Breathing.

If you are considering rhinoplasty, septoplasty, or treatment for a deviated septum, scheduling a consultation with plastic surgeon Philip J. Miller, MD, in NYC allows you to explore your options with clarity, expertise, and confidence.

Schedule a consultation. 

Author Profile

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.

Dr. Philip Miller

Focusing exclusively on the face for more than two decades, double-board certified facial plastic surgeon Dr. Philip Miller blends art and science with innovation and skill to provide thousands of patients with impeccable results. He is known for pioneering the NatraLook methodology for rhinoplasty, facelifts, neck lifts, and other cosmetic procedures for the face.