In cases where there is some associated nasal breathing obstruction, internal nasal surgery such as a septoplasty, internal spreader grafts, and/or turbinate surgery can be performed to improve breathing. These procedures specifically address functional aspects of the nose. This is often covered by insurance companies and can be combined with an aesthetic rhinoplasty. The septum is sometimes warped or curved (also known as deviated), blocking the normal flow of air through the nose and internal passage ways. Sometimes an accessory structure within the nose, the turbinate, is also enlarged and blocking airflow. The curvy part of the septum is partially removed and straightened and when indicated the turbinate is reduced in size to improve airflow within the nose. Sometimes spreader grafts made from your own nasal cartilage, an internal breath-rite-type procedure, is also done to help keep the airways open. Typically, a significant improvement in nasal breathing is realized after the initial post surgical swelling goes down.