Most ENT surgeons are skilled in performing septoplasty. The key in whether to use an ENT surgeon or a plastic surgeon usually revolves around results regarding physical appearance. Plastic surgeons are specially trained to preserve the look and shape of the nose or change it according to your personal desire. Some plastic surgeons may send their patients to an ENT for the septoplasty, while they focus on rhinoplasty. It is important to note that if a rhinoplasty surgeon cannot perform septoplasty, you should consider finding a different nose surgeon. The septum plays a critical role in rhinoplasty. A plastic surgeon with distinct nose surgery experience will understand this importance and thus be able to perform the surgery for both function and aesthetics.