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Is it possible to get rhinoplasty after septoplasty?


Several years ago I had my deviated septum fixed.  It is possible to now get a nose job?  I have heard they use your septum to do the nose job, but since having deviated septum surgery, haven't they already removed my septum?


Yes, you can certainly have a Rhinoplasty after a Septoplasty. It is commonly performed. Not all patients require cartilage grafts. May I suggest you write down the three things you do not like about your nose and take it to a ASAPS member in your local area for a consult.


Gary R Culbertson, MD, FACS


It is absolutely possible to have a rhinoplasty after having had a septoplasty. How easy that will be depends on what you need to make your nose look better, and what your septoplasty actually was. Some surgeons remove the obstructing part of the septum--others manipulate or score it, but leave the cartilage and bone in the septum. In general, it is easier to do the rhinoplasty if you have septal cartilage left, though ear cartilage can be used if grafts are needed and the septum is unavailable.

Find a knowledgeable surgeon whom you trust and who can give you expert advice. Performing a rhinoplasty when the septum has already been dissected can add complexity to the planning, so make sure that your surgeon is experienced in such cases.

Best of luck!

M. B. Constantian, MD


Rhinoplasty After Septoplasty- It’s not uncommon to have a Rhinoplasty after having had a functional Septoplasty done. This can be more challenging if septo cartilage is needed to reconstruct the nasal tip or dorsum. This should be done in the hands of a Board Certified Plastic Surgeon or Otolaryngologist with expertise in Rhinoplasty. 





It is certainly possible to have a rhinoplasty after a prior septoplasty. If cartilage grafts are necessary, they may come from residual septal cartilage (depending on what what done at the initial septoplasty) or from another source like the ear.

 I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) who has extensive experience in performing nasal surgery that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California


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