A Cleft Septorhinoplasty (final “nose job”) is performed once the face has reached maturity because the septum is considered a growth center. For girls, this may be in the early teens, and boys typically reach skeletal maturity a few years later. This surgery is more extensive, addressing both airway issues and aesthetics. If Orthagnathic (jaw) surgery is required, the Septorhinoplasty typically follows this, because the facial proportions typically change. Turbinoplasty is usually performed in the same setting to further improve the airway.