Preoperative assessment of prior surgeries and septal materials guides effective corrective planning. Using donated rib grafts in the septum poses risks, including inflammation and graft failure, requiring thorough evaluation. Revision rhinoplasty demands distinguishing between residual and new deviations, particularly regarding dorsal implant impacts on nasal function. Postoperative nasal obstruction often results from internal valve changes or graft complications, making precise assessment essential. When septal mucosa is reduced to a single layer, dissection risks perforation, and materials like PCL mesh or Medpor® may induce severe inflammation or synechia, complicating revision efforts.