Is it safe and possible to have a rhinoplasty while having a perforation in the nasal septum?

A rhinoplasty may still be performed. You would need an examination to determine the size of the perforation and the amount of cartilage is missing from the septum. Depending on the size of the perforation, it may limit the changes that can be made to the septum or the dorsal hump. I would recommend seeing a board certified plastic surgeon experienced in rhinoplasty to get a thorough examination and to discuss your goals of rhinoplasty surgery.

Hello, It is better that you consult with facial plastic surgeon to examine you properly and measure the size of the septal perforation. Most of the time, the rhinoplasty surgery can be done with presence of septal perforation. If the perforation is of small size it can be closed in the same procedure.

It depends on the size of the perforation. If it is a large one, then any further reduction of the dorsum may lead to weakness and bridge collapse. Tip rhinoplasty should be safe however.