I am exactly 6 months post-op from a closed Rhinoplasty. My surgeon took down the dorsal hump, removed cartilage from the tip and performed lateral osteotomies. Since the surgery, my nose bleeds everyday - not a lot but enough to be annoying. Mostly when I blow my nose or feel like I have to clean it out. Also, when I lay down at night, I cannot breathe out of my left nostril. Is this normal? I cannot post my pictures b/c I work for a plastic surgeon.
6 Months Post Rhinoplasty with Osteotomies - Still Bleeding and Cannot Breathe
Doctor Answers (6)
Bleeding at 6 months post Rhinoplasty.
Blowing your nose and other maneuvers to clean out your nose is most likely creating continuous irritation and swelling to the nasal mucosa (inside linning). Have your Rhinoplasty surgeon examine the inside of your nose or refer you to an ENT surgeon for examination and recommendations. What you describe is not a normal thing after Rhinoplasty, IMHO.
Post operative breathing problems post rhinoplasty.
Nasal Bleeding 6 Months after Rhinoplasty
Daily bleeding 6 months after rhinoplasty is never normal. Consult with your surgeon or get get a second opinion. Your breathing obstruction can be evaluated at the same time.
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Keep your nose lubricated with Vaseline and saline rinse.
Make sure your nose is lubricated appropriately with Vaseline and saline rinse. Still should wait a full year but your breathing issues may persist. You can also email me pictures privately.
Changes in airflow direction after rhinoplasty can cause dryness and stuffiness. At six months though you need to be checked to be sure you don't have some nasal vestibulitiis. This is a localized bacterial colonization which acts like a low grade infection with persistent crusting, bleeding and stuffiness. share your concerns with your surgeon and if necessary see an otolaryngologist that he/she works with.
Breathing problems after rhinoplasty
The typical congestion after rhinoplasty will clear after several weeks. Breathing problems after six months have to be fully assessed. A poor airway is a risk of the procedure, and generally the issue can be tracked down to specific causes such as persistent deviation of the septum, or compromise of the nasal valve with in-fracture or tip reduction. You can start with your surgeon if you have confidence.
Best of luck,
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