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Posted under Septoplasty q&a

Is a revision rhinoplasty combined with a septoplasty recommended in my case? (Photos)

Bright985680
Hello everyone, I had a primary rhinoplasty in 2020, which addressed a dorsal hump but didn’t resolve all of my concerns. My nasal tip remains bulbous and droopy, so I’m planning to undergo a revision rhinoplasty. During a recent CBCT (done for unrelated reasons), I discovered how deviated my septum is (see pictures). This aligns with my ongoing symptoms: nasal resistance and loud breathing. I don’t believe the septum was addressed during my rhinoplasty, and breathing neither improved nor worsened post-op. Given these factors, I’m wondering: 1. Would it be advisable to combine a septoplasty with the revision rhinoplasty? 2. Could a septoplasty improve, or could it worsen some of the external asymmetry of my nose? 3. Should I thus prioritize finding a surgeon experienced in both functional and cosmetic revision rhinoplasty? I truly appreciate your time and insights. Thank you in advance.

Answers (3)

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Gary M. Horndeski, MD profile photo
Dr. Gary M. Horndeski, MD
Answered on Jul 7, 2025
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
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Ronald J. Edelson, MD profile photo
Dr. Ronald J. Edelson, MD
Answered on Jul 4, 2025
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Dr. Ronald J. Edelson, MD
Board Certified Plastic Surgeon
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Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Answered on Jul 4, 2025
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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