Saint Louis Septoplasty doctors

Gregory Branham, MD Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
605 Old Ballas Rd. Ste. 100, Saint Louis
3 answers
William H. Huffaker, MD William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield
Herluf G. Lund, Jr, MD Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
17300 N. Outer 40 Road Suite 300, Chesterfield
Laxmeesh Mike Nayak, MD Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis
Christian Prada, MD Christian Prada, MD
Saint Louis Plastic Surgeon
17300 North Outer 40 Road Suite 300, Chesterfield

Recent Answers

Sinus Headaches Only on the Right Side After Rhino/septoplasty with a Turbinate Reduction.

I had my procedure on July 7, 2011. Since then, I have consistently had sinus headaches and pain only on the right side. Sometimes it's so painful my eye becomes a bit swollen. Sinus, migraine and NSAID medication does not work to relieve the pain, only dull it. I still have vicodin that sometimes helps but not always. My f/u with my PS is 8/18, if this persists should I see an ENT doctor before him since my PS is hard to get an appt. with and is this common?

A: Problems after rhinoplasty

Headaches of the nature that you are describing are not that common this far out from surgery.  Since you are having persistent headaches you should get in to see your surgeon who performed the surgery since he/she wil be the only one who really knows what was done and would be the best person to treat you.  Additionally, most surgeons want to see their own patients after surgery, especially if they are having a problem.  

Call the surgeon's office and ask to be seen sooner.  I would be surprised if they didn't fit you in as soon as possible.  Good luck. 

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
Could a Septoplasty Cause my Once (Mostly) Symmetric Nostrils to Become Uneven?

I had the surgery to correct for sinus blockage (chronic infections) back in January 2009 by my ENT doctor. There is no difference in the appearance of my nose but is it possible that the shifting of the septum to alleviate the blockage caused my nostrils to become uneven?

A: Asymmetric nostrils after septoplasty

Septoplasty is a procedure to straighten the septum which is the cartilage partition between your two nostrils.  The septum extends all the way to the front of the nose just behind the bridge of skin (columella) that separates your two nostrils.  If the septum is dislocated from the midline strucure that it sits on during surgery then you can have an asymmetry of the nostrils after surgery.  From the limited view of your nose it appears that your septum may be pushing the medial crural footplate over into your left nostril or it was displaced at the time of surgery.  The other possibility is that you are noticing things more and that you have had some pre-operative asymmetry that is now more obvious as you more closely inspect your nose.  Either way, you should discuss this with your surgeon, have your nose examined to determine what is going on and allow your surgeon an opportunity to explain and/or correct this issue. 

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
Crooked Columella and Deflected Caudal Septum After Septoplasty

After my septoplasty, my columella seems crooked and you can see the bottom of my septum through my right nostril. I don't feel this is caused by swelling and want to know if these problems will heal over time and if they are common. If they will not heal themselves, how can I go about correcting them (I do not want to have to go through the whole septoplasty experience again). Thank you very much for your help.

A: Crooked septum after septoplasty

Dear Ninja1992,

What you are describing seems to be the end of your septum that is protruding off into the right nostril.  Caudal septal deflections can be difficult to correct but you should not be seeing this after surgery.  Unfortunately this is not likely to improve with time and you will likely need to have this revised.  A revision to correct this caudal deflection may not be as bad as the initial surgery, depending on how it is done and what has to be done to correct it.  Good luck and see your surgeon to discuss this further. 

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
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