18 months of being on antibiotics constantly was hell! So yes I had to have surgery cause I couldn't stay on them forever. I paid for my surgery and since I liked how it looked I wouldn't get surgery unless it was necessary. Now I never have to go through this again.
I also had rhinoplasty/nasal reconstruction. This was when I was 29 years old. I suffered a severe deviated septum which made breathing though my nose nearly impossible. I'd hoped for some cosmetic improvements along with the interior reconstruction. Well, I still had a fat nose after all was said and done, but at least I could breathe through it and still can to this day. I am not sure what the connection would be between nasal reconstruction and the need to be on antibiotics though. How does a messed up airway cause one to have an infection? If you are talking about a compromised immune system due to allergies or sinus issues, here is a little about this surgery.
Sinusitis - Surgery
The goal of surgery is to make drainage of the sinuses better, usually by removing the blockage and draining the mucus. This may mean removing:
-Infected, swollen, or damaged tissue.
-Bone, to create a wider opening for drainage of mucus from the sinuses.
-Growths (polyps) inside the nose or sinuses.
-A foreign object that is blocking a nasal or sinus passage. This usually occurs in children.
Surgery may be the only means of getting a badly blocked, infected sinus to drain properly. But surgery does not always completely eliminate sinusitis. Some people may need a second operation.
As best as I know, the purpose of this surgery is not cosmetic in anyway.