Rhinoplasty after Septoplasty?

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.

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.

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.

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

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.

If you did not have rhinoplasty before next nose surgery should be considered a primary rhinoplasty. Hope this helps.

A modern rhinoplasty relies on septal cartilage to produce grafts that can stabilize the new structures of the bridge and tip in a predictable way. A septoplasty commonly removes precious septal cartilage. Operative notes will be needed to determine if your septal cartilage has been harvested, how much was taken, and if an alternate cartilage will be necessary. If more cartilage is necessary, ear cartilage would not be sufficient to produce the physical characteristics necessary for the graft used to set and stabilize the tip complex. In that case either your rib cartilage needs to harvested or fresh frozen cadaver rib will be necessary.

Whether or not you call it a revision rhinoplasty it would be helpful to have the previous operative nose. This is especially true because of the treatment of nasal valve which may alert to second surgeon to the possible presence of cartilage grafts

Hello, hope you are well. Yes, this would be considered a revision rhinoplasty--not because of the septoplasty or turbinate reduction, but because of the nasal valve repair.
Best,Dr. Tower

It certainly acceptable to undergo a rhinoplasty after a septoplasty, and it would be a primary procedure, since you've never had a rhinoplasty in the past. Not a revision rhinoplasty. The important issue is to know how much cartilage is left over on the inside of your nose for grafting purpose, especially the most common type of graft that we use is called a spreader graft. If there's no cartilage left inside your nose, then ear cartilage may be necessary.