Breathing and tip problems after Rhinoplasty

I had a septoplasty and Rhinoplasty around over a month ago. I went to the doctor especially because I couldn’t breathe very well, and because I was there, I decided to ask the surgeon to remove the hump I had on my nose. I had an open rhinoplasty and after removing the cast 7 days later, the doctor saw that I had a big hematoma on the right side. He said that during the surgery on that side, I bled a little more, but not to worry because it will go down.

I think the profile looks great, but the problem is from the front. The nose tip goes a little (more) to the left. I know my nostrils look different, but I don’t understand why the tip of the nose goes to the left. Is it because of the swelling/hematoma? Will the bridge of the nose narrow in the future? Also, I still can’t breathe through my right nostril. Some air goes in and comes out but when I look inside everything looks “glued”; I tried using salt water but, it didn't help. I can breathe better if I use nasal spray, but I try not to use so much because I was dependent on it for a couple of years some time ago.

Breathing and tip problems after Rhinoplasty
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6 answers to “Breathing and tip problems after...”

A: Its a little early to tell what is going to happen

Philip Young, MD

Sometimes, when you have more oozing on one side it will be more swollen and cause the nose to look asymmetric which will resolve in a few months. You will continue to change for the first 6 months to a year. Your doctor will know best what it will likely look like.  Depending on what was done, the tip... more

A: Cortisone nasal spray may help with breathing.

William Portuese, MD

It appears that after your rhinoplasty you had a hematoma and are experiencing healing asymmetries in your nose. The hematoma itself can create more scar tissue and can give an asymmetric contraction of the nose, which will give the appearance of a twisted nose. Do not use Afrin nasal spray in the nose to... more

A: Rhinoplasty and breathing problems

Steven H. Williams, MD

Thanks for your question and follow-up comments. It is good to see you're getting some improvement in inhalation at three months. As you can see time can be an important factor with rhinoplasty. Has the tip deviation improved? The problem with inhalation can come from residual internal swelling. You may want... more

A: Time for a follow up visit.

Scott E. Kasden, MD

The nose shape will change greatly over time (up to two years).  The tip deflection may self correct or you may need a secondary procedure, but time will tell (usually after a year).  The photos you post show a pretty good result however. The breathing problem is a more pressing issue, as I know that... more

A: Rhinoplasty issues

Steven Wallach, MD

It is too soon to really evaluate your complaints. FIrst asymmetry is normal. There will always be a slight tip deflection to one side.  Second, swelling internally is common, and airway changes should get better once the swelling improves.

A: Still too early: Give it some more time

Otto Joseph Placik, MD

Agatha: You are only a month out and this is too early too draw any final conclusions. Scarring can take six weeks to develop and another 6 weeks to settle down. We generally don't take our postoperative photos of noses until 6 months and many recommend a year in order to assess the final results of surgery... more

Comments

Agatha
5 posts
20 Feb 2009

Hi! Thank you very much for your answers and advices. 3 months and 1 week since my surgery... I’ve been to the doctor for a follow up two weeks ago; I told him about my concerns and he used a video otoscope (that’s how it’s named no?) and everything looked ok. The funny part was that my nose was really decongested and I was breathing pretty well that day… I noticed that when I go outside and it’s cold I can breath through my right nostril too; when I go inside I have breathing problems again. I told him that almost all the time that nostril is so congested I can’t blow my nose. He said I should be patient, not to use decongestants like Afrin… I used something with the same composition that is used for babies… and it helped a lot. But he said I shouldn’t use that either. Instead to use saline water… I use Ocean all day long but it’s not very helpful. What should I do? Thank you!

Agatha
5 posts
23 Apr 2009

5 months and a half since the surgery… I started to use Nasonex once a day one week ago. Although I still have some problems breathing during the night, my right nostril seems more decongested during the day. I don’t feel the need to use Afrin or products like Afrin. It’s not perfect, but it’s something! I’ll continue the treatment with Nasonex and I hope that I’ll be able to breathe better and better. Thank you!

veritas
unregistered guest

15 May 2009

I think u should wait a 8 months after surgery, if it doesnt appear to improve, most likely it will not improve at all or could possibly get worse. If it doesnt, contact a medical malpractice attorney and explain the situation. Many times in surgeries suach as rhinoplasties, people wait, their surgeons prolong and come up with bogus scientic evidence to have the stutute of limitations expire. So please contact an attorney, get the opinion of another surgeon, if u travel to other states better, if not anoher city. I had the same situation, but in my case I waited too long and cant do crap. I cant breath; which causes lack of concentration and other problems. Good luck.

Agatha
5 posts
4 Jul 2009

Hello! Almost 8 months since my surgery. The breathing improved so much. The right nostril still gets congested from time to time; but after awhile it decongests by itself. I use Nasonex, just one doze, in the right nostril and not everyday. On the right side the nose still hurts, not too bad, and I feel that it is still a little swollen.

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