Should I get a septoplasty during my revision rhinoplasty? (Photos)

June 11, 2025
Asked By:Oloriksson in Los Angeles, California

Hello Doctors, I had a primary rhinoplasty in 2020, which addressed a dorsal hump but didn’t fully resolve my concerns. My nasal tip remains bulbous and droopy, so I’m planning to undergo a revision rhinoplasty. During a recent CT scan of my head (done for unrelated reasons), I discovered how deviated my septum is (see pictures). This aligns with my ongoing symptoms: nasal resistance and loud breathing. I don’t believe the septum was addressed during my rhinoplasty, breathing didn’t improve or worsen post-op. Given these factors, I’m wondering: 1. Would it be advisable to combine a septoplasty with the revision rhinoplasty? 2. Could a septoplasty improve, or could it worsen some of the external asymmetry of my nose? 3. Should I thus prioritize finding a surgeon experienced in both functional and cosmetic revision rhinoplasty? I truly appreciate your time and insights. Thank you in advance.

4 photos

Answers (1)

From board-certified doctors and trusted medical professionals
MOST RECENT
June 26, 2025

Answer: Revision rhinoplasty with septoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
MOST RECENT
June 26, 2025

Answer: Revision rhinoplasty with septoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon

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