Do I need Revision Rhinoplasty to improve breathing?

I had a Rhinoplasty done to correct a slightly deviated septum and improve breathing due to the nose collapsing inward. Spreader grafts were placed near the tip of the nose to correct this problem.

It has been 18 months since the procedure and the air flow in one nostril is very restricted due to enlarged turbinates. Also, the tip of the nose feels very hard and unnatural.

Can a revision rhinoplasty trim the interior to clear the air flow? Should the spreader grafts be removed? It doesn't seem as if they are doing much to help the breathing anyway.

3 answers to “Do I need Revision Rhinoplasty to...”

A: Breathing Problems Post Rhinoplasty

Richard W. Fleming, MD

The questions you ask are impossible to answer without a good physical examination. If the turbinates are causing obstruction, they can be modified. As you state, the spreader grafts are used to open a narrow air passage; if they are in proper position, removing them probably will not be beneficial. A revision... more

A: Revision Rhinoplasty: Correcting Breathing Problems after Rhinoplasty

C. Spencer Cochran, MD

There are several reasons why patients continue to have breathing problems after rhinoplasty.  These fall into two major categories: (1) Structural, and (2) Physiological.  Structural problems of the nasal framework include: residual deviation of the septum, internal valve collapse from inward... more

A: Tubinates, inner and outer nasal valves

Hisham Seify, MD, PhD

The turbiantes will need to be fixed to be able to breath better. Spreader grafts maintain the inner nasal valve open and helps a lot with breathing. The outer nasal valve is a different anatomy and should be addressed.

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