Can you have septum surgery twice?
Yes, in many cases it’s possible to have septum surgery again. A second operation is usually called a revision septoplasty. It may be considered when symptoms return, breathing is still blocked, or new issues develop after the first procedure.
What is septoplasty?
Septum surgery, also known as septoplasty, is a common procedure performed to correct a deviated septum—a condition where the nasal septum, the wall of bone and cartilage that separates the nostrils, is off-center or crooked. If the septum is deviated, it can contribute to:
- blocked breathing through one or both nostrils
- chronic congestion
- recurrent sinus infections
- snoring or disturbed sleep
Septoplasty aims to straighten the septum, improving airflow and alleviating related symptoms. But what happens if you’ve already had septum surgery in the past and are now experiencing similar issues or new complications? Can you have more than one septum surgery? Let’s delve into this topic and explore the possibilities.
Why you might need a second septum surgery
In most cases, having multiple septum surgeries is indeed possible. The need for revision septoplasty may arise due to several reasons. It’s important to consult with an experienced ear, nose, and throat (ENT) specialist to evaluate your specific situation and determine the most appropriate course of action.
The first operation didn’t fully correct the deviation
Sometimes the deviation is complex, or the septum shifts during healing. If obstruction persists or returns, further correction may help improve airflow.
Scar tissue or healing changes affect breathing
Though it is rare, after any nasal surgery scar tissue can form. In some cases, scar tissue or other factors may cause a recurrence of symptoms or new problems to arise. These issues could include persistent nasal obstruction, septal perforation, or persistent snoring. If you experience any of these complications or new symptoms, it is crucial to consult with your ENT specialist for a thorough evaluation and appropriate treatment plan.
New problems developed after the first surgery
Occasionally, a second procedure is considered if complications or new issues occur, such as:
- ongoing nasal obstruction
- structural weakness affecting support of the nose
- a septal perforation
- persistent snoring or sleep-related breathing symptoms
How do you know if a revision septoplasty is right for you?
The best step is an assessment. Your surgeon will usually:
- ask about your symptoms (and how they have changed since surgery)
- examine the inside of your nose
- consider whether other issues are contributing (for example, turbinate enlargement or nasal valve problems) In some cases a combined septorhinoplasty may be discussed.
Is septoplasty more difficult than the first surgery?
It can be. Revision surgery may be more complex because the anatomy has changed and scar tissue may be present. That’s why it’s important to see a surgeon who has experience with revision nasal surgery.
Recovery after a second septum surgery
Recovery varies depending on what needs to be corrected, but many patients can expect:
- Temporary swelling and congestion during healing
- gradual improvement in breathing over the following weeks
- follow-up visits to monitor healing and results
When to seek specialist advice
Book a review if you have
- Persistent blocked breathing after your first septoplasty
- symptoms that returned months or years later
- new snoring or sleep issues
- concern about structural changes or ongoing nasal discomfort
Next steps
If you’re experiencing nasal obstruction after previous septum surgery, a consultation can help identify the cause and discuss whether revision septoplasty (or another treatment) is appropriate. Book a consultation here.
