Deviated Septum Nose Surgery - Go to a Plastic Surgeon?

There are numerous ENT, Facial Plastic and Plastic Surgeons who have the training and expertise to address your difficulty breathing after a prior septoplasty or septorhinoplasty. This could simply be a persistent deviation in your septum which narrows your nasal airway on one or both sides. On the other hand, you may have some narrowing of what we call the internal or external valves of your nose. The diagnosis could be easily be made with an examination of the inside and outside of your nose. Be sure to visit a surgeon who specializes in revision nasal surgery, as the level of complexity is greater in these cases. 

In some cases, a septoplasty alone may not be enough to correct nasal obstruction. Nasal obstruction can also be secondary to enlarged turbinates, a narrow or collapsed nasal valve, or other issues. In many patients, more than just a septoplasty is needed to optimize the nasal airway, particularly in patients who have already had septoplasty surgery. In some of these patients, a revision septoplasty, combined with turbinate reduction and repair of nasal valve stenosis is needed to optimize breathing through the nose.
Be sure to see an expert like a facial plastic surgeon who has extensive experience with nasal surgery, including nasal valve stenosis repair, nasal obstruction, and complex rhinoplasty cases.
All the best,

To be honest if you are only correcting the functional aspect of your nose I do not think it makes a huge difference.  Both plastic surgeons as well as ENT's are trained in the area of correction of breathing/airway issues.  I think there is a lot of ego issues in medicine today and competition.  The truth is you should go to whomever you have a good connection to assuming you have checked their credentials and they are indeed board certified in which ever field.  Now if you were planing to address the cosmetic aspects of your nose then the debate over a plastic surgeon vs ENT becomes a bit more sticky but I will save you the pain of the discussion.Hope that helpsDr Rahban