I would make sure you don't have an infection after Septoplasty and Rhinoplasty

Philip Young, MD answers: Explanation for pain and drainage years after septoplasty and rhinoplasty?

Is it possible that almost 2 year post septo/rhinoplasty a strut graft or the upper lateral cartilage can shift into the nostril and cause external pinching to the left nostril and some internal nasal obstruction?

Also could I have brought this on myself if I was carefully pushing the tip of my nose to the right on occasion because the tip of my nose was shifting to the left (the original position prior to the surgery)?

I have alar strut and rim grafts in the nose using septal cartilage. They also did a tongue and groove technique on the tip for the overprojection. I had dorsal hump removal and osteotomies done.

And now almost 2 years later I have neuralgia, pain, the tip is hard and feels wrong, scar tissue on the top left of the osteotomy site, and can barely touch my nose, clear drainage coming from my nose, and my nose hardening and internal mucous membrane swelling due to environmental smells. Why? Will it ever get better?


Philip Young, MD
1 month ago

The clear drainage is not likely indicative of an infection but the foul smell is an indication. As long as they didn't use foreign material for the grafting, your chances are better that this is not an infection.

I would definitely have someone look at this to make sure it is not getting infected. The upper lateral graft can cause impingement of your internal nasal airway if it wasn't done in the right way. Warping can happen to anybody and any surgeon though and this is a risk with ear, or rib grafts. Septal cartilage is less likely. There is a possibility of a foreign body as well that was or wasn't meant to be in there such as suture material, guaze material etc.

In terms of bringing it on yourself, I wouldn't suggest manipulating the nose in the way that you described unless directed by your doctor. There are delicate sutures in there that manual pressure, depending on how forceful, can dislodge and create issues such as what you are describing.

I hope this helps!

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