How long to wait before having a second surgery to repair a purported septum?

Question

I had surgery to repair a blocked airway due to a broken nose a little over year ago. I recently had a second surgery because the first surgery resulted in a perforated septum. Second surgery to fix the perforated septum resulted in a bigger hole. My doctor wants me to wait until after the first of the year to do another surgery to repair the perforation, which means paying another deductible. This seems to be a theme at UCLA, so my question can you do a surgery within a month of the other?

Ali Sajjadian, MD, FACS · Answer

Thank you
for your inquiry.

What you are going through must be very frustrating especially with the repeated need for surgery. Normally, it is recommended for a patient to wait a year before attempting another well planned and executed repair in your situation. The reason being is that tissue requires time to heal. As and ENT, I can tell you that without a physical examination it is not possible to
provide you with specific details. I highly recommend that you schedule a
consultation with a well-experienced surgeon so you can make a well educated decision on how to go about the problem since there tend to be more than a single option to explore.

It is
important to mention that the finest results in any particular case
are based on a variety of factors, including: the unique anatomy of the
patient, realistic expectations, a well-informed and detailed discussion with
your surgeon concerning the best options for you especially covering a
deep understanding of the pros and cons of any given choice you will adopt.

Please keep
in mind that following the advice from a surgeon online who offers to tell you
what to do without a physical examination covering the nature and the status of
the tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of each operative solution would not be in your
best interest. With that in mind, it is the safest and for your best interest
to find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should
discuss your concerns with that surgeon in person.

Good luck!!!

Ali
Sajjadian, MD FACS

Samir Undavia, MD · Answer

It's important that you schedule a consultation with a board certified plastic surgeon to fully address all of your needs when it comes to a nasal septal perforation. Typically patients should wait a full year after their rhinoplasty before considering revision rhinoplasty. I hope my video helps you understand more what is involved with a nasal septal perforation.

Alejandro Nogueira, MD · Answer

You need:-to wait at least 1 year-find a surgeon able to perform the largest and most delicate septal mucosa flap to close the whole-to understand that even the best surgeon may not achieve the closure of the fistula, in which case you are a candidate to a prosthesis

How long to wait before having a second surgery to repair a purported septum?

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How long to wait before having a second surgery to repair a purported septum?

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