Rhinoplasty after Septoplasty?

Question

Two years ago, I had septolplasty, bilateral turbinates reduction and bilateral nasal valve collapse surgeries. I’m thinking of having rhinoplasty now to improve the appearance of my nose. I know I should have done it at the same time along with the other surgeries but at that time, my main concern was to improve my breathing. If I would have a rhinoplasty in the future, would this be considered a revision rhinoplasty since I already had previous surgeries in my nose, though not cosmetic? Thanks

Andrew Miller, MD · Answer

If the bridge or tip was not touched, then it would be considered a primary rhinoplasty. However, the cost may be a little higher because an alternative to septal cartilage will have to be acquired like ear or rib cartilage. Be sure to see a rhinoplasty expert for consultation.

Raj Dedhia, MD · Answer

Most rhinoplasty surgeons would consider this a revision rhinoplasty because the septum is a major component of both the form and function of the nose from a rhinoplasty standpoint. Additionally, cartilage grafting is a major consideration in rhinoplasty and typically, cartilage is removed and discarded during a septoplasty. Considering alternative sources of cartilage (ear, rib, etc.) to achieve your result is also a consideration that makes this more complex. Whether the rhinoplasty surgery is being considered a revision does not change the definition of whether the reasoning for the surgery is functional or cosmetic. If breathing alone is the reason and no cosmetic changes are being made, this is a functional rhinoplasty. If cosmetic changes are being made at the same time, this is considered a functional AND cosmetic rhinoplasty.

Oakley Smith, MD, FRCSC · Answer

Hi , A rhinoplasty can be done after a functional procedure such as septoplasty. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

Eric M. Joseph, MD · Answer

When people visit our practice requesting rhinoplasty surgery, they receive a primary rhinoplasty quotation, not a revision rhinoplasty quotation. The reason it is best to have septoplasty and rhinoplasty performed at the same time is because we often use nasal septal cartilage for reconstruction of the nasal tip. So rhinoplasty surgery after previous septoplasty is a more challenging operation that may take a bit more time: if there is inadequate cartilage in your nasal septum, sometimes ear cartilage is necessary. The necessity for your cartilage, however, is typically determined during a consultation. I hope this helps! Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question
Any operation to be performed because you have had any operation on your nose before will pass as a revision operation.

Rhinoplasty after Septoplasty?

Answers (5)