Doctor doesn’t use nasal packing in revision rhinoplasty/septoplasty. Do I need stents with an extensive surgery like this?

Without posted photos, and of course the benefit of physical exam- impossible to give the best answer. However, I favor the closed technique  for all Rhinoplasty -primary and revision - an believe that packing-- is essential to achieving the best level of immobilization and therefore -the best result. Be sure you analyze the styles of your intended Surgeons to determine if their previous results meet your standards. 

In practice for over 25 years, we have not used any painful packing.  Stents are only used rarely when the are significant scar adhesions present in the nose from previous surgery.  Keep doing your homework

Hi, Thank you for your question. Your questions involves a matter of preference and experience. Personally I have been doing revision Rhinoplasty for 9 years and have stopped using stents and packing 5 years ago. I use quilting sutures to prevent septal hematomas and I believe the structural support should be done without the need for packing and stents. Of course, your plastic surgeon will have his own expertise and I believe that whatever he or she chooses you will be in safe hands. Best wishes, Tarek V. Copty, MD FACS 
American Board of Surgery American Board of Cosmetic Surgery Jordanian Board of Plastic & Reconstructive Surgery Fellow, American College of SurgeonsFellow, American Academy of Cosmetic Surgery Fellow, International Society of Aesthetic Plastic Surgeons