Rhinoplasty: Q&A

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Would a Nose Job Be Complicated Following Several Years of Insufflation?

This is embarrassing but I'm just going to be blunt and get it over with. I insufflated oxycontin for several years and developed a pretty bad habit. I quit 2 years ago and have been researching rhinoplasty as I have hated my large nose since high school. I saw an ENT who told me I have no apparent damage, just a big bulbous nose (thanks, dad). Should I be concerned about getting rhino, specifically tip reduction and alarplasty?

4 Doctor Answers | Asked by jennifer2006
+1

Risk avoided

I'm glad to hear you are sober. Inhaling nouxcious substances can result in significant structural issues with ones nose the most common being a septal perforation. An ENT or rhinoplasty surgeon can evaluate someone's nose to rule this out. Sounds like you would be a good candidate to address your cosmetic concerns with a rhinoplasty.
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Needs a nasal examination

If your nasal examination is indeed normal there should be no elevated risk to a cosmetic nasal surgery. When you go for a consultation with an experienced nasal surgeon about this, be sure to disclose the prior history.
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Rhinoplasty after Several Years of Oxycontin Insufflation

If the examination of your nose was normal as you implied there is minimal risk of complications after oxycontin insufflation. There is even less risk if your surgery is limited to the tip and the alar base.

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Rhinoplasty for tip reduction and alarplasty

It is very difficult to answer your question without seeing your pictures – you should consider posting images showing different views of your nose. Use of Oxycontin may or may not have affected your nose - hard to tell without an exam
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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