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In this essay, we examine the significant considerations when determining the surgical candidacy for concomitant rhinoplasty and septal perforation repair. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Revision rhinoplasty is out there as the perfect main rhinoplasty strategy does not. The benefit of modification surgery is that it includes us the opportunity to study and identify exactly what did not work nicely during past surgery. Thoughtful ways to technique and outcomes