Will a Repeat Nasal Sill Reduction Impair my Breathing?

I had a nasal sill excision in my primary rhinoplasty in 2009 and my nasal base is still too wide. I am going in to see my surgeon to excise more tissue from my nasal sill as a touch up, and I am curious if a repeat nasal sill reduction will impair my breathing AND what are the risks associated with repeat nasal sill excision?

Doctor Answers (10)

Nasal base too wide?

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it is difficult to assess based on the base view alone - but, based on the base view, you don't seem to have a wide sill or excessive alar flare

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 150 reviews

Nasal sill reduction and breathing

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A conservative alar based reduction can be performed through a small ¼ inch incision in the lower nasal sill base.  If done conservatively, it should not impair any airflow through the nose.  

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Will Repeat Nasal Sill Reduction Impair Breathing

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Any nasal sill reduction can reduce breathing, whether it is a primary operation or a revision. Risks are the same. Your surgeon will evaluate your airway before additional surgery.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Yes it may affect your breathing

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Based on the photo you provided, you do not need anything done. I agree with all the above comments. I'm not sure that you doctor would agree with you.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

Risks of Repeat Nostril Narrowing

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Hi lovebug29299,

Yes, repeat nostril narrowing may impair nasal breathing. Other potential risks include but not limited to bleeding, infection, scar, and asymmetry. Based on the single photograph, your nose appears appropriate and balanced currently. Reconsider any further rhinoplasty procedures. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you. Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Repeat sill excision

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You have a narrow tip,repated excision of the nasal sill may certainly result is reperatory problems. Sometimes the enemy of good is the search for perfection.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 11 reviews

Repeat nasal sill reduction risks

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Yes, excising more tissue from your nasal sill would run the risk of impairing your breathing. It would have the effect of bringing the sidewalls of your nostrils in and changing the aperture of your nostrils.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Photo Indicates Nasal Base is Aesthetically Correct

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From the photo, you provided, your nasal base is aesthetically correct and not to wide or flared.  You may want to reconsider bringing the nostrils in any further as this may make your nostrils appear to small.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Nasal sill surgery

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Depending upon what is needed to be done, the aperture of your nasal sill may change and cause breathing issues for you.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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.