Best to Get More Opinions for Best Septorhinoplasty
Unfortunately you should get another opinion (or two!) There is way too much difference in opinion. I would stay away from cadaver cartilage. I would be happy to give you an expert opinion, but would have to examine your nose. Good luck and be well.
Michael A. Persky, MD
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You sure have a variety of opinions. What I have noticed in all the desciptions is that everyone wants to make the procedure more complicated than it needs to be. Turbinate reduction is actually quite helpful with breathing problems and I commonly perform it with rhinoplasty. Cartilage grafts I almost never use. I usually go for the simple approach personally, but it sounds to me that you are not really comfortable with any of the recommendations thus far. I certainly wouldn't go to a surgeon who has no photos to show you. Don't agree to surgery unless you are 100 percent comfortable with the surgeon, their experience, and recommendations. Good luck!
Wow--no wonder patients are confused about rhinoplasty.
Wow--no wonder patients are confused about rhinoplasty. This is not rocket science.
1 no need for rib or ear cartilage if you have enough in your septum.
2 the hump and bulbous tip can be done naturally without a "done look"
3 see an experienced rhinoplasty surgeon who has before-after photos of his work or speak with his patients.
4 see another revision rhinoplasty surgeon.
A septoplasty is performed for obstructing bone and cartilage on the back of the nose when there is medically documented obstruction of the airflow. There are many different reasons the patient had nasal obstruction and these include valve collapse, vestibular stenosis, allergies, turbinate hypertrophy, and allergies. Each one of these is treated differently. The septoplasty procedure is usually submitted to patient's medical insurance once medical necessity has been documented.
A rhinoplasty procedure is cosmetic and must be paid for by the patient. Placement of a spreader graft on the concave side after harvesting of septal cartilage and insertion underneath the concave upper lateral cartilage can help with breathing and cosmetic. Adenoids typically disappear at puberty, so they're usually not an issue with rhinoplasty. Allergies can make the turbinates enlarged so they should be treated with allergy testing, allergy shots nasal sprays and antihistamines. If the patient has failed medical therapy, then consideration for turbinate surgery is in order. for many examples and more information and our rhinoplasty photo gallery, please see the link below
If your question is regarding both function and appearance, and if we are talking about a revision -then Ill bet you need a revision septorhino, with rib cartilage graft, and a turbinate reduction. I am going out on a limb here as I have not examined you, but my comments are based on the little information you have provided and the my experience with patients i think might be similar to you.
Will be doing septorhinoplasty but have different Dr opinions .
Are your goals functional or cosmetic? Or Both? Do not do anything until you have a clear understanding about your surgery. Seek other opinions until you are clear on your goals. Consult with Board Certified Plastic Surgeon to discuss your concerns and expectations.
Multiple opinions: what to do?
This is a great post. You have gotten multiple opinions but they are different and you don't know what to do. STOP don't do anything until you have a clear and confidant plan that makes sense to you! You did not state what your problem was? functional breathing or aesthetic?