Can I Later Have Rhinoplasty After Surgery for Deviated Septum?

Rhinoplasty can be done after surgery is performed to correct a deviated septum. Although oftentimes in rhinoplasty we do use cartilage from the septum for rhinoplasty, if needed, cartilage can be harvested from elsewhere. Sometimes this is from the ear preferably or if quite a bit of cartilage is needed, it can be taken from the rib. In addition, if needed, some will use synthetic implants if they need cartilage and a septoplasty has been previously performed. Although previous septoplasty may alter the surgeon’s plan, rhinoplasty can certainly be performed after surgery for a deviated septum.

While there are clear advantages of combining surgery to improve breathing (septoplasty) with surgery to improve the appearance of the nose (rhinoplasty) and we often recommend performing them simultaneously, in some situations this is not possible or the best option for an individual patient. But many many patients have undergone septal or septal/sinus surgery to later have a very successful and gratifying rhinoplasty. So having one does not close the door for having another nasal surgery later. 

You can have a rhinoplasty at a later date after your sinus srugery and septoplasty. However, if septal cartilage is removed during the septal surgery it may limit the amount of cartilage available for your rhinoplasty surgery.

There's no reason you couldn't have a rhinoplasty at the same time as your functional septoplasty and sinus surgery (if you wanted to have it concurrently). I suspect that if you have that severe a septal deviation that you have no airflow, a septoplasty would probably need to be done to allow proper access for the sinus surgery on that side.