Is it fine to get a septoplasty after getting a rhinoplasty?

Question

I just recently got an open rhinoplasty to then find out that I have a deviated septum and my breathing got worse after the rhinoplasty. I was just wondering if it was possible for a second procedure?

Kevin Ende, MD · Answer

The septoplasty could have been performed during your rhinoplasty since this would have been the easiest time to perform it in many ways.  But, to answer the question that you are asking the group, yes you can absolutely get a septoplasty after having had a rhinoplasty.

Matthew Bridges, MD, FACS · Answer

I'm not sure i understand this scenario.  Are you saying you just had a rhinoplasty, during which a deviated septum was identified, but was not corrected during the surgery?  If that's what you're saying, I'm very sorry you have been put in this position.  A competent surgeon should be able to correct any internal issues with the nose during surgery.  A step further would be that the surgeon should have identified the deviated septum prior to surgery during the initial physical examination.  Did your surgeon look inside your nose prior to surgery? To answer your question, if only a septoplasty is needed at this point (i would be suspicious that there are other factors at play in your new onset nasal obstruction, ie nasal valves), thej it can be done probably within a few months.  You definitely need to see a rhinoplasty expert who has experience in dealing with internal nasal issues.  With bias, i would recommend a facial plastic surgeon, but there are certainly competent general plastic surgeons who could handle the procedure.  I would really question the surgeon who did the rhinoplasty about what is happening here.  You shouldn't have needed 2 surgeries in this scenario.

Eric M. Joseph, MD · Answer

You should wait at least a year or longer after your rhinoplasty before considering septoplasty. If you may require revision surgery, your septal cartilage may be necessary for reconstruction, and your deviated septum could be corrected simultaneously. Thank you. Dr Joseph

Tanveer Janjua, MD · Answer

It is possible to get a septoplasty after a rhinoplasty. In case of breathing issues, you might want to discuss the possibility of a turbinectomy with your surgeon as well. RegardsDr. J

Ronald J. Edelson, MD · Answer

It is occasionally necessary to have septoplasty  performed if there are breathing problems after rhinoplasty.  Also investigate the possibility of turbinate reduction.  It is simple and works very wel, better than the septoplasty in my exprurience.  It may even be covered by insursnce.  Consider a second opinion from an ENT surgeon on this.

Ira D. Papel, MD · Answer

Yes, it is possible to correct your breathing with a second procedure. After your rhinoplasty surgery this is a bit more complicated so make sure you consult with a surgeon who is experienced in both functional nasal surgery and rhinoplasty. This is usually someone trained in facial plastic and reconstructive surgery.

Bahman Guyuron, MD · Answer

I strongly suggest that you wait until your nose heals, if possible, before you have a septoplasty for 2 reasons. You may have some swelling from the rhinoplasty that may go away. More importantly, should you need a revision surgery the operating surgeon, with all likelihood, is going to need some cartilage cartilage from the septum that if you undergo this surgery would be discarded and you will end up having your rib cartilage used.

William Portuese, MD · Answer

Yes, it is acceptable to undergo a septoplasty after a rhinoplasty procedure, but it's probably best to wait at least six months to allow full healing to occur before embarking on the septoplasty.

Silvia Aviles Terrero, MD · Answer

Hi beauty!!It is a pleasure to help you. Yes, it is possible to get a septoplasty after a rhinoplasty. It is important to know that you'll need an evaluation from an ENT specialist (otorrhino) along with the plastic surgeon.I recommend you to make an appointment with a board certified plastic surgeon that counts with a team with specialists that can work together for those cases.Have a great day.Dra. Silvia Aviles

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