Can a rhinoplasty cause a deviated septum?

There are a few possibilities:1. There was an existing septal deviation that is now revealed2. The septum was weak and floppy and after rhinoplasty the structure of the nose was destabilized and the septum became deviated3. Your nose moved to one side (to make it more symmetric) , thus making a previously straight septum now appear deviated

It isn't common for a rhinoplasty to cause a deviated septum, though it could be scar tissue or a pre-existing deviation that is more noticeable now. This is likely unrelated to the inverted-V but it should be possible to treat both issues at the same time.

Thank you for the question. While it is unlikely that a deviated septum was caused by the rhinoplasty surgery, it could have been revealed by this. What I mean is that, in the process of lowering the height of your bridge (hump removal), the upper part of the internal airway is changed. If there was an area of deviation of the septum high up, then the lower bridge height could now be at the level of this deviation. Furthermore, since you mentioned an inverted-V, it is possible that the nasal bones and sidewall were destabilized during your surgery. A little collapse of this area could result in additional compromise of the nasal airway on one side. It would be best to see your surgeon and/or get a second opinion at this point. Take care and best of luck!