Deviated septum after rhinoplasty. Next steps?

   Hump removal or dorsal reduction can unmask septal deviation.Kenneth Hughes, MDLos Angeles, CA......

If you are deviated and have breathing problems, then a Revision rhinoplasty is the only way to correct this.     

Sometimes the deviation is lower than the original dorsum and as it is trimmed a bit, the curvature is exposed.  Best to be seen in person.

There are two reasons for a deviated septum after rhinoplasty:1) It was possibly present before surgery but unnoticeable to you because it didn't cause any breathing problems. 2) Rhinoplasty surgeons will occasionally obtain cartilage from the septum to place cartilage grafts in the nose. If this was done there could be lack of support from missing cartilage with a tendency for the septum to deviate to one side. Usually, there is increased congestion in the nose after surgery and despite a deviated septum breathing will return to normal. However, if breathing problems still persist after several months I would revisit with your surgeon to discuss possible correction. 

Without an examination and review of your operative note it is impossible to answer your question though my gut feeling is that it did exist prior to surgeryDr Corbin

Many people have a deviated septum even without any injury. If you do not have breathing problems and no curvature of your nose, then you do not have to repair it. If it bothers you in some way then it probably could be helped.

A deviated septum is just one potential cause of nasal obstruction before or after rhinoplasty. Generally, a septum does not become deviated after nose surgery. If your nasal airflow was clear prior to surgery, the rhinoplasty may have caused other structures in the nose to restrict airflow after surgery. If you are still recovering from your rhinoplasty, swelling from the surgery will temporarily cause nasal congestion that will get better with time. If too much cartilage was removed to reshape the external appearance of your nose, then collapse of the soft tissues of the nose may cause a sensation of congestion. An examination of your nose is the only way to determine the cause of your airflow issues. Hope this helps. Thank you for sharing your question. Best wishes.