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ENT specialist vs plastic surgeon for rhinoplasty

Choosing between an otolaryngologist (ENT specialist) and a plastic surgeon for your rhinoplasty depends on several factors, including your specific needs, the complexity of the procedure, and the expertise of the surgeon. Here’s a detailed comparison to help you make an informed decision:

Otolaryngologist (ENT Specialist)


  1. Specialised Training: Otolaryngologists are trained in the medical and surgical management of disorders of the ear, nose, throat, and related structures of the head and neck. They have extensive knowledge of nasal anatomy and function.
  2. Functional and Aesthetic: ENT specialists are particularly skilled in addressing functional issues, such as breathing difficulties, sinus problems, and structural abnormalities. Many are also trained in aesthetic rhinoplasty.


  1. Functional Expertise: If you have breathing issues or other functional nasal problems, an otolaryngologist may be better equipped to address these alongside cosmetic improvements.
  2. Comprehensive Approach: They can provide a holistic approach to nasal surgery, ensuring both aesthetic and functional outcomes are achieved.


  1. Aesthetic Skills: While many ENT specialists are proficient in cosmetic rhinoplasty, their primary focus is often on functional aspects. It’s important to ensure they have ample experience in aesthetic procedures if this is your primary concern.

Plastic Surgeon


  1. Aesthetic Focus: Plastic surgeons are trained in a wide range of cosmetic and reconstructive procedures. They often have a strong focus on the aesthetic aspects of surgery, including rhinoplasty.
  2. Facial Harmony: Plastic surgeons are skilled in achieving facial harmony and balance, ensuring that the nose complements other facial features.


  1. Aesthetic Results: If your primary concern is the appearance of your nose, a plastic surgeon may be better suited to deliver the desired aesthetic results.
  2. Broad Experience: Plastic surgeons often perform a variety of cosmetic procedures, providing them with a broad perspective on achieving overall facial harmony.


  1. Functional Considerations: While many plastic surgeons are adept at addressing functional issues, their primary training is in aesthetics. Ensure the surgeon is experienced in both functional and aesthetic aspects if you have nasal breathing concerns.

Factors to Consider

1. Specific Needs:

  • Functional Issues: If you have significant functional issues such as a deviated septum, chronic sinusitis, or breathing difficulties, an otolaryngologist may be more suitable.
  • Aesthetic Concerns: If your primary concern is cosmetic, focusing on the appearance of your nose, a plastic surgeon might be the better choice.

2. Surgeon’s Experience and Training:

  • Credentials: Check the surgeon’s credentials, board certifications, and specific training in rhinoplasty.
  • Experience: Look for a surgeon with extensive experience in rhinoplasty procedures, particularly in cases similar to yours.

3. Before-and-After Photos:

  • Review before-and-after photos of previous patients to assess the surgeon’s skill and aesthetic style.

4. Patient Reviews and Testimonials:

  • Consider patient reviews and testimonials to gain insight into the surgeon’s patient care and satisfaction levels.

5. Consultation:

  • Schedule consultations with both an otolaryngologist and a plastic surgeon. Discuss your goals, concerns, and expectations. Evaluate their approach, communication style, and the level of confidence they inspire.


Both otolaryngologists and plastic surgeons can be excellent choices for rhinoplasty, depending on your specific needs. An otolaryngologist may be more suitable if you have significant functional issues, while a plastic surgeon might be preferred for purely aesthetic concerns. Some otolaryngology surgeons have also done extensive training in facial plastic surgery. Ultimately, the most important factors are the surgeon’s expertise, experience, and ability to understand and achieve your desired outcomes. Consulting with both types of specialists can help you make the best decision for your individual situation.

Before and After Photos Sydney
Dr Jason Roth Associations