Are there other ways to resolve this problem without undergoing nose surgery again?
How Often Does a Revision Resolve Breathing Problems After Rhinoplasty?
Doctor Answers (6)
Breathing Problems From Rhinoplasty
When performed properly by a highly skilled surgeon who has a great deal of experience performing revision rhinoplasty surgery, a revision can help fix any breathing problems that are present. These could be problems that were made worse or occurred as a result of the previous surgery, such as a structural issue from an overaggressive approach (pinched nostrils). The breathing problems could also be from an issue that was not addressed properly during the initial surgery. Sometimes, healing can be an issue, and a minor modification may be necessary. In either situation, a highly knowledgeable revision rhinoplasty specialist would be able to help. Thank you, and I hope this helps answer your question.
Revision rhinoplasty for breathing generally successful.
Typically, breathing problems occur after rhinoplasty because too much cartilage has been taken out in the lower half of the nose. The so-called internal nasal valve, or inner nostril, becomes narrowed and, therefore, is an impediment to airflow.
There are several good techniques for improving this, including taking a small bit of cartilage and overlying skin and splicing or grafting it to the inside of the nose. Your rhinoplasty surgeon will explain all the options to you.
Typically, the operation is successful, but it is important that the plastic surgeon improving this internal structure also meets your desires for whatever change you do or do not want externally. In other words, the internal changes should not create another problem in terms of an unsatisfactory external appearance.
Robert Kotler, MD, FACS
Facial Plastic Surgeon
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Treating breathing problems from prior rhinoplasty
In experienced hands revision surgery has a high rate of improving functional breathing problems from prior surgery. A full assessment of the nose should be done to determine what area(s) are causing the blockage.
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Breathing problems after surgery?
Nasal breathing problems can often be divided into two categories, either individually or in combination. Membrane problems with swelling, congestion and excess secretions are often caused by allergy, infection or irritants and will respond to medical therapies and likely will always need medical therapy. No surgery will remove the allergic reactivity from the nose. Structural problems such as crooked bone or cartilage, poor support or scar tissue from injury regardless of normal presence or from previous survey require surgical correction. No pill, spray or local irrigation will correct them.
Revision to Resolve Breathing Problems Post Rhinoplasty
Unless there is a functional problem such as allergies, revision surgery will probably be necessary to improve your breathing if the airway has been compromised during the rhinoplasty procedure. Consult with your physician or see an experienced revision rhinoplasty surgeon.