Could I have a deviated septum? (Photo)
Doctor Answers 8
Deviated septum is possible and causes airway problems,but not sleep apnea.
I bet that you have a deviated septum and you need a nasal septoplasty and perhaps rhinoplasty
You need to have a consultation with a very experienced nasal surgeon who spends most of his time doing nose surgery. These are not easy cases.They require both cosmetic and reconstructive techniques and approaches, but it looks to me like the skin is good, along with other factors that are favorable, so if you are unhappy -- and you have many reasons to be unhappy -- check into it having a surgical consultation.
Do your cosmetic surgery homework. Visit a lot of good rhinoplasty websites. Also, read consumer books about cosmetic plastic surgery. Most were written for people just like you so that you can learn, study and prepare.
Ask for computer imaging when you go for your consultation. You want to be able to see the predicted results of your procedure. A consultation without that, to me, is worthless. You need to see on the surgeon's screen what changes can or should be made to make sure you are happy. If the surgeon says he is uncomfortable delivering the changes on the screen that you prefer, then move on to the next office. Ask to see computer imaging examples for other patients in which you can see the before pictures, then the computer-image results and then actual after-surgery healed result.This is very important.You also want to see a before and after rhinoplasty picture collection with at least 100 cases of examples of what nasal surgery changes were made.
The more specialized the surgeon you see, the more likely you are to have a satisfactory result, so spend your time wisely. Invest your time properly by learn as much as you can.
You can be helped.There is no question about that.
Best wishes from Beverly Hills.
Robert Kotler, MD, FACS
You may have a deviated septum
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The concern, of course, is that you have both cosmetic and functional components of your nasal anatomy that now need to be addressed surgically. Insurance coverage may be possible for part or all of your anticipated nasal surgery, but most insurance companies now separate the functional and elective cosmetic components and pay only for the reconstructive part related to function. It will be up to your chosen surgeon to prior authorize with your insurance carrier and figure out who pays for just what. But of course, all aspects can be taken care of with one operation. Revisions or touch-up surgery is always possible, even with excellent surgeons and compliant patients.
Surgically, an assessment is made at the time of physical examination, including your internal nasal anatomy, and any effects internal septal or other cartilagenous and bony injuries may have on your nasal function and appearance. Then your surgeon and you agree to a plan of action and desired changes. An excellent rhinoplasty surgeon can usually achieve correction of the functional problem as well as improve the appearance of your nose. Be sure to see ABPS-certified plastic surgeons experienced in rhinoplasty surgery. Best wishes! Dr. Tholen
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