Septoplasty or Rhinoplasty by an ENT Doctor?

Although there are many qualified ENT surgeons who perform rhinoplasty well, you must be able to chose your surgeon. The individual who you are referring to may be an excellent surgeon and has fantastic surgical outcomes. If that is the case, check out their web site for photos, if they have one, and also photos of similar patients they have performed the surgery on. You can also ask for patient references. These are not always readily available, but, if they have performed enough rhinoplasties, they will have books of photos and plenty of happy clientele willing to share their stories.
Good luck.

This can be a difficult procedure and likely cartilage grafting will be required.  Get a few consults and choose surgeon who does at least 100 (preferably 200) rhinoplasty procedures/year and has been doing so for 10+ years.

Choose a surgeon who specializes in nasal surgery. It is important to realize that not all plastic surgeons, nor all ENT surgeons, routinely perform rhinoplasty in their practices. It is imperative to find one that does. Rhinoplasty takes considerable experience and training to get predictable results. Inquire about what percentage of the doctor's practice is devoted to Rhinoplasty.
Your rhinoplasty surgeon should be Board Certified in either Plastic Surgery or Otolaryngology (Ear, Nose, & Throat Surgery). Not all "cosmetic surgeons" have completed the rigorous training that is required to become Board Certified in either one of these specialities. It is important to find a surgeon who understands both the aesthetic (cosmetic) aspects of nasal surgery as well as the functional aspects.

 See the doctors work and make sure he is experienced and does many noses per year. An ENT or facial plastic surgeon can do a good job if they are good surgeons.

The most concerning part of your question is your statement that you don't get to choose the surgeon. By this, I presume that you are at a teaching facility where a resident or fellow will be performing your procedure (at a reduced fee?)
This does not sound like the kind of case for a surgeon-in-training to be tackling, given that you've had previous surgery in the nose. This is one of those cases where some experience by the surgeon is definitely critical.
All the best,
--DCP

The important thing to keep in mind is that a rhinoplasty is a very different operation than septoplasty. It is one that combines the surgeons specific experience and training with rhinoplasty, their technical skills, and their artistic vision. The best chance you have to get the surgery right and get a favorable and satisfying outcome is on the first attempt. So pick your surgeon carefully. Even if it means going outside your clinic or insurance. Generally, finding someone who is trained in Facial Plastic Surgery or a Plastic Surgery is a good place to start. Good luck.

The answer is: choose a surgeon experienced in Rhinoplasty. Both Facial Plastic Surgeons and Plastic Surgeons gain expertise in training in this procedure, but quality will vary from surgeon to surgeon. One point to note: given that you have had a previous Septoplasty, alternate sources of cartilage for grafting (if indicated) may be required from your ear or other sources. I would suggest Dr. Stephen Perkins or Dr. Mark Hamilton in the Indianapolis area, but I am sure there are many others who have excellent qualifications.

Great rhinoplasty results start with a great surgeon.  Make sure that they are board certified in Facial Plastic Surgery or General Plastic Surgery and ideally specialize in rhinoplasty.  I would not accept the idea of not getting to choose your surgeon.  This surgery is considered to be one of the hardest procedures by surgeons.  Not all rhinoplasty surgeons will perform revision surgery.  A good place to start is with the American Rhinologic Society, see link below.  Surgeons that are a member of this society have a specific interest in nasal disorders and surgery.

A septo- and rhinoplasty is a very difficult procedure, especially in light of the fact that it is going to be a revision surgery for the patient. Find an ENT doctor who is specialized in performing facial plastic surgery. It is extremely important to find a rhinoplasty surgeon who has performed thousands of rhinoplasty surgeries and has many years of experience doing so. It is also important to have a certified ambulatory surgery center where the procedure is performed, and a board-certified anesthesiologist who is going to be placing you under anesthesia and waking you up after the procedure.

Both plastic surgeons and ENT surgeons can perform septoplasty and rhinoplasty. The key is to select a surgeon with the best credentials (training programs, etc.) and results (photos of his patients -- see as many as you can). Once you find someone with excellent credentials and results, meet with them to make sure you feel comfortable with that person. This is also important. Good luck.