Types of Surgeons for Rhinoplasty: ENT Surgeon vs. Plastic Surgeon – Which Is Better?

Choosing the right surgeon for rhinoplasty is a critical decision that impacts both aesthetic results and functional outcomes. Two types of medical specialists perform rhinoplasty:
- ENT (Ear, Nose, and Throat) Surgeons (Otolaryngologists) – Specialize in nasal structure and function.
- Plastic Surgeons – Focus on facial aesthetics and reconstructive surgery.
Each specialist brings unique skills and expertise, but the best choice depends on whether the primary goal is functional improvement, cosmetic enhancement, or both. Let’s explore the differences and determine which option might be the right fit.
1. ENT Surgeons (Otolaryngologists) for Rhinoplasty
ENT (ear, nose, and throat) doctor specializes in the medical and functional aspects of the nose, dealing with breathing issues, structural abnormalities, and nasal reconstruction. They have extensive training in nasal airway function, sinus health, and complex internal nasal structures.
When to Choose an ENT Surgeon for Rhinoplasty?
✅ If you have breathing difficulties, a deviated septum, or nasal obstructions.
✅ If your rhinoplasty is needed for functional corrections, such as septoplasty or turbinate reduction.
✅ If you have a history of chronic sinus infections, snoring, or sleep apnea.
✅ If your nose has suffered trauma requiring internal structural repair.
Key Skills of an ENT Surgeon in Rhinoplasty
- Expertise in septoplasty (correcting a deviated septum).
- Specialized knowledge in nasal airflow and function.
- Proficiency in addressing nasal trauma and congenital defects.
- Training in sinus-related surgeries, ensuring complete nasal function restoration.
Limitations of an ENT Surgeon for Rhinoplasty
⚠ While ENT surgeons understand nasal structure, they may not have the same level of expertise in advanced cosmetic reshaping.
⚠ They focus more on function than aesthetics, which might not achieve the desired cosmetic refinement.
2. Plastic Surgeons for Rhinoplasty

Plastic surgeons specialize in facial aesthetics, symmetry, and reconstructive techniques. They have in-depth training in facial proportions, nasal reshaping, and soft tissue sculpting, making them ideal for cosmetic rhinoplasty.
When to Choose a Plastic Surgeon for Rhinoplasty?
✅ If your primary goal is cosmetic refinement (e.g., refining the nasal tip, smoothing a dorsal hump, or adjusting symmetry).
✅ If you seek subtle or dramatic aesthetic changes to improve facial balance.
✅ If you want to correct post-traumatic nasal deformities while enhancing appearance.
✅ If you’re looking for ethnic rhinoplasty to maintain cultural identity while refining features.
Key Skills of a Plastic Surgeon in Rhinoplasty
- Precision in nasal tip refinement, nostril reshaping, and dorsal hump removal.
- Expertise in proportionate facial aesthetics.
- Mastery of closed and open rhinoplasty techniques for cosmetic enhancement.
- Knowledge of skin type, scar minimization, and facial symmetry principles.
Limitations of a Plastic Surgeon for Rhinoplasty
⚠ Plastic surgeons may not specialize in correcting nasal breathing issues (such as severe septal deviation).
⚠ Some plastic surgeons focus purely on aesthetics and might not have experience in functional corrections.
3. ENT Surgeon vs. Plastic Surgeon for Rhinoplasty: Which Is Better?
The choice depends on your specific needs. Here’s a direct comparison:
Factor | ENT Surgeon | Plastic Surgeon |
---|---|---|
Primary Focus | Function & Breathing | Aesthetics & Symmetry |
Expertise | Septoplasty, nasal reconstruction, breathing improvement | Facial contouring, nasal reshaping, cosmetic balance |
Best for Functional Rhinoplasty? | ✓ Yes | ✗ No |
Best for Cosmetic Rhinoplasty? | ✗ No | ✓ Yes |
Best for Combination Rhinoplasty? | ✓ Yes, if trained in facial plastics | ✓ Yes, if experienced in functional corrections |
4. The Best Option: Dual-Certified Facial Plastic Surgeons
For those seeking both functional improvements and cosmetic refinement, the ideal choice is a dual-certified facial plastic surgeon.
What is a Facial Plastic Surgeon?
- An ENT surgeon with additional training in facial plastic surgery.
- Specializes in both aesthetic and functional nasal surgery.
- Can correct breathing problems while ensuring facial harmony.
This makes dual-certified surgeons the best choice for revision rhinoplasty, complex cases, or combined functional and cosmetic nose surgery.

5. Final Thoughts: Making the Right Choice
Choose an ENT Surgeon If:
✔ You have chronic breathing problems, a deviated septum, or nasal obstructions.
✔ Your goal is to improve function rather than aesthetics.
✔ You need sinus or airway-related corrections along with rhinoplasty.
Choose a Plastic Surgeon If:
✔ Your primary concern is enhancing nose shape, size, or symmetry.
✔ You want to refine cosmetic details like the tip, bridge, or nostrils.
✔ You do not have significant breathing issues but want a balanced, natural look.
Choose a Dual-Certified Facial Plastic Surgeon If:
✔ You need both functional and aesthetic corrections.
✔ You have had a previous rhinoplasty that needs revision.
✔ You want a highly customized approach that ensures nasal function and beauty.
Selecting the right surgeon is essential for a successful rhinoplasty outcome. Whether prioritizing breathing function, cosmetic improvements, or both, researching your surgeon’s credentials, experience, and before-and-after results will ensure you achieve the best possible result.