How many times can you do a septoplasty?

Question

I've had 2 septoplasties but my septum is still severely deviated so I was wondering if I could do a third surgery. Is this safe?

Matthew Richardson, MD · Answer

Septoplasty can be performed more than once, but is limited by the amount of cartilage that can be safely removed or repositioned. The septal cartilage cannot be removed altogether as this cartilage is needed for support. The complication rate for septal perforation or other post-operative issues increases in revision cases, particularly after the 3rd or 4th operation. During a consultation, your surgeon can identify any septal deviation that may be causing problems and make recommendations regarding the risks and benefits of any surgical intervention. Sometimes the septum is not the cause of the symptoms, so a detailed history and physical exam is critical.
As always, a visit with a well-trained and experienced nasal surgeon is recommended.
All the best,

Garrett A. Wirth, MD, MS, FACS · Answer

Septoplasty can be done more than once, but after a second procedure, there is most likely very limited cartilage left to revise safely.  Make sure you are seeing a Rhinoplasty Specialist that does many rhinoplasty and rhinoplasty revision procedures as there are more risks involved with repeat surgeries.  Best wishes.Garrett A. Wirth, MD, MS, FACSWirth Plastic Surgery

How many times can you do a septoplasty?

Answers (2)

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