After septoplasty/rhinoplasty surgery for deviated septum, what is the chance that nose will deviate again?

After getting septoplasty/rhintoplasty to correct severe deviated septum, is it likely that I may need additional surgeries to maintain the symmetry of my nose throughout life, or is one procedure sufficient in your experience? Do noses tend to deviate again as cartilage grows with age? I am trying to get an idea of what I can expect from a surgery and determine if it will require a lot of upkeep. Are most results long-term when it comes to correcting a septal deviation? Thanks.

Doctor Answers 11

After septoplasty/rhinoplasty surgery for deviated septum, what is the chance that nose will deviate again?

If the septal deviation is creating a crooked appearance, the goal should be improvement. 

Kenneth Hughes, MD

Los Angeles, CA

Deviated septum and curvature

I always tell patients that when septal curvatures are corrected, they can be made straighter but they may not get perfectly straight.  The cartilage has memory and often wants to bend back.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Recurrent Deviation after Septorhinoplasty

With good technique and favorable early results, the chance of future deviation is low. This is not an operation that requires upkeep. 

Developing Deviated Septum after Septoplasty

If the deviated septum is corrected at the time of surgery it will not recur. The best thing you can do is to select an experienced specialist so the desired results are achieved.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Septoplasty for deviated septum repair

Most patients only undergo one septoplasty in their lifetime. Approximately 5-10% of patients may need some type of readjustment of the septum if it did not heal properly after the original surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 72 reviews

#Septoplasty #Rhinoplasty to correct a #deviated #crooked #asymmetric #nose


First and foremost the surgery has to be done right.  There are too many mistakes being made by Plastic Surgeons who are more experienced at breast and body and facelifts than #nosejobs.  Rhinoplasty is different than any other cosmetic surgery - period! If the surgery is done well, a crooked or deviated nose and septum can be significantly improved in most cases.  Its not always straight as an arrow but it is usually much much straighter.  Cartilage does have memory and scar tissue and healing do change the nose for years to come but the vast majority of patients get one surgery and done.  5-10% may need an additional surgery but it is not a common occurrence.  WIth that said there are many variable and reasons for a crooked nose from a crooked septum to a broken septum to asymmetric lower later and upper lateral cartilages to asymmetric nasal bones and even variations in height and width of the maxilla or cheeks where the nose sits on.  See a specialist and discuss these issues but see a specialist; a true specialist not a Jack of all trades who "specialises in everything."

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 68 reviews

After septoplasty/rhinoplasty surgery for deviated septum, what is the chance that nose will deviate again?

In general, the results of a septoplasty/rhinoplasty last forever. A revision rate of less than 5% may further improve the results. That means 95+% will not benefit from a secondary procedure in the hands of experienced nasal surgeons. Patients need to be realistic about expectations. If there is a pre-op significant deviation of the external nose as well as septum there may always be some residual asymmetries.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on a limited two dimensional photo without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.5 out of 5 stars 16 reviews

What is the chance that nose will deviate again.

If the septum is adequately straighten and the repair is supported with spreader grafts if needed, the result should be stable for a lifetime. There will be no up-keep, even with aging, something unique to a well performed rhinoplasty.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 37 reviews

Redeviation of nose after septorhinoplasty ?

Redeviation of nose after septorhinoplasty ? For an experienced rhinoplasty surgeon this should be less than 5%. After a year you should not have any "upkeep" if the nose is straight. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Does the septum re deviate after surgery

Dear fleur25,

  • In general, once septums are straightened, they do not redeviate
  • There is generally a 90-95% success rate with septoplasties
  • In addition, there are other ways to improve the breathing in your nose (like turbinate reduction) that will complement the septoplasty for better results

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.