Septum deviation still prominent after septoplasty & rhinoplasty, revision options? (Photo)

Hello and thank you for your question. Based on your photograph, you may benefit from a a revision in order to improve nostril symmetry and correct the septal deviation. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

It is too early to really consider doing anything further on your nose. However, it does appear that the septum is deviated to the left anteriorly, which contributes to the difference in the nostrils. Often times, it takes more than some people think to get the end of the septum to stay in the midline position, and sometimes it's not possible. You should go see a rhinoplasty specialist with your op note to show exactly what was done to see if it's worth it to try more.

Even though it is very early in the post-rhinoplasty recovery....I do think that there is some rather obvious septal deviation to the left causing obstruction of the left nostril (external nasal valve). I would seek a second opinion if you are not on the same page as your plastic surgeon. It is absolutely critical to find an American Board of Plastic Surgery board certified plastic surgeon with experience in rhinoplasty, one preferably with an accredited Aesthetic fellowship endorsed by the Aesthetic Society.

Based on your singular photo, you appear to have the bottom of your septum deviated to the left and this may be causing your tip to veer to the right. Are you having difficulty breathing through the left side of your nose?
4 months post-operative is early and your healing, and the base of the nose tends to hold on to swelling for the longest. If you feel like your surgeon is not giving you adequate answers to your questions, please consider procuring a copy of your operative report, before photos, and visit with another reputable rhinoplasty specialist for clarity. I hope this is helpful. Sincerely, Dr Joseph