Can you get a revision rhinoplasty done if you have a septal perforation?

Yes, The rhinoplasty procedure can be performed even with a septal perforation that is present. If any cartilage grafting is required for the nasal reconstruction,  then it will have to be harvested from the ear or the rib.

Dear reviewerna,

Thank you for your clinical post. The primary rhinoplasty procedure resulted in
septal perforation and still some residual crooked nose deformity and bridge
tip insufficiency. Without a clinical
photograph it is difficult to tell exactly what must be performed, but in
general most experienced rhinoplasty surgeons would attempt to repair both the
septal perforation and enhance your nasal aesthetics with a revision
rhinoplasty at the same time.

As you know from your online research that secondary
rhinoplasty is less predictable usually than primary rhinoplasty and often open
techniques with cartilage grafting may be required. If the nasal perforation is extensive there
may be compromise of dorsal nasal support and grafting to the nasal dorsum to
maintain bridge projection, as well as tip grafting to enhance tip support is
often required. It is unlikely that
there will be adequate tissue from your nasal septum and, so, the experienced
rhinoplasty surgeon will need to harvest graft material from your ear cartilage
or from your costral-chondral rib cartilage or even bone grafts.

A thorough consultation with an experienced rhinoplasty
surgeon is essential. Review of the risk
and benefits in the donor cartilages that are necessary should be discussed and
there is always a risk, which is usually reasonably significant that the nasal
perforation may recur.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto