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Deviated Septum Nose Surgery - Go to a Plastic Surgeon?
Both board-certified ENT surgeons with facial plastic surgery training and board-certified plastic surgeons are qualified to correct a deviated septum, whether for breathing function or a prior surgery that didn't turn out as planned. The septum is cartilage and bone running down the center of the nose, and straightening it well requires someone who understands both the structural support of the nose and how it affects airflow. What matters more than the specific specialty is finding a surgeon who has specific experience with revision rhinoplasty. A second surgery deals with scar tissue, altered blood supply, and sometimes missing cartilage, which makes it technically harder than a first-time nose job. Ask any surgeon you're considering how many revision cases they do and to see examples. In our Tri-Valley practice in Dublin we see a fair number of patients who had their primary surgery elsewhere and need a more experienced hand the second time around. Start with board certification, then narrow by revision experience.
Clinical Context
Cartilage doesn't heal like skin — after septal surgery, the internal framework needs time to stabilize, and swelling can mask minor asymmetries for months. Most surgeons prefer waiting for swelling to resolve before judging whether a first surgery under- or over-corrected the septum. Breathing often continues to improve as internal swelling settles, which is one reason surgeons recommend patience before considering a revision.
