Should I Have Revision Septoplasty to Remove Cartilage? Is This The Best Option?

After my first septoplasty the left bottom of my septum is out of its articulation with the bone and when I push from that side it flaps to the right, on the right side it is articulated and doesnt flap.I had another septoplasty and that same problem was not corrected and left my septum weaker.My surgeon says that he can correct that by removing cartilage from the right side so that the left side can articulate again.Does this make sense?Is there a way to fix this without making my nose weaker?

Doctor Answers 3


Yes, this can be corrected without making your nose weaker.  Based on what you are saying, it sounds like the septal cartilage has been disconnected from the underlying anatomical structures.  If that is the case, no additional cartilage should be removed to correct it.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Mobile nasal septum after septoplasty

The septum usually sits in a groove called the maxillary crest which is in the mid-line behind the columella (center post of the nose). Sometimes the septum has to be moved or partially resected because the lower end, which you can see on base view, is crooked. It usually becomes stable after surgery, but if it is not, it can be made more stable with a suture placed from the end of the septum going into the covering of the bone below. Sometimes a tongue-in-groove maneuver is necessary to solidify it between the medial crura, the cartilages in the columella. 

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon
4.5 out of 5 stars 14 reviews


You need to see another surgeon for a second consult. and opinion. The septum sounds to have been diarticulated from the maxillary spine. It can be corrected.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.