Del Mar Rhinoplasty doctors

Thank you for the question.

Although I can understand your desire to have your surgery performed by a specific surgeon,  I think it will be in your best interests  to allow the same surgeon to take care of your immediate postop care. You are potentially compromising your end results if you choose to do otherwise.

I would suggest that you either make arrangements to stay longer or choose a surgeon closer to your hometown.

Best wishes.

7 months after your surgery should have given your tip skin ample time to settle down. The skin could be thicker than desired, especially if you have active sebaceous glands. I would see your surgeon and ask if a steroid injection might help to thin this tissue. A series of injections monthly may be indicated. Revision surgery or dermabrasion may also be considered after one year has elasped.

Rhinoplasty and septoplasty surgeries are often combined to improve the appearance and function of the nose. If there is an airway obstruction diagnosed, it is likely that there are surgical procedures that can be performed to improve nasal patency. The appearance of the nose can be corrected through a rhinoplasty surgery at the same time. It is unlikely, however, that this will have an impact on your migraines unless there is some relationship between the migrane and a lack of oxygen. However, mouth breathing would likely easily correct this. Seek additional opinions about the migraine treatment, but surgery can usually improve the shape and function of your nose. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon