Rhinoplasty: Q&A
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How Many People Have Long Term Difficulty Breathing After Rhinoplasty?
My biggest fear is having more congestion and restricted airways after surgery. I enjoy running and challenging myself physically. My doctor mentioned there is a chance of long term issues. Has anyone ever experienced that? From a professional point of view what are the odds of that happening? He thought my situation would actually be the reverse, but that is not a guarantee and probably why I have not scheduled the appointment. Thanks so much! If you need pictures I can attach some!
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12 Doctor Answers |
Asked by
dasikins
in St.Louis
+2
Nasal obstruction after rhinoplasty
It is extremely important for your surgeon to examine the internal portion of the nose and determine if there is any pre-existing nasal obstructive issues. These include a deviated septum, turbinate hypertrophy, and the function of the nasal valve. Any of these issues should be addressed surgically at time of the rhinoplasty to prevent postoperative nasal obstruction. Any breathing-related issue his typically billed to the patient's insurance for medical necessity. Rhinoplasty is...
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Breathing after rhinoplasty
It is certainly an important consideration. Careful pre operative assessment should help avoid breathing problems. I commonly perform inferior turbinate reduction to avoid airway problems after surgery and this has been quite successful. Ask your surgeon about it.
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Risk of Breathing Problems Following Rhinoplasty
Hopefully, your rhinoplasty surgeon will give you an honest estimate of the percentage of his or her patients who have had breathing problems following rhinoplasty. I do think that these problems are technique dependent, and certain surgeons have more postsurgical breathing problems than others. Kenneth Hughes, MD Los Angeles, CA
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Breathing after surgery
A well-performed rhinoplasty using modern techniques of structural grafting will often improve your breathing instead of making it worse.
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Concerns about breathing problems as a result of a rhinoplasty
The better question is not how many people have breathing problems after rhinoplasty but will you? If your surgery is performed by a competent rhinoplasty surgeon who also addresses other potential/existent intranasal breathing issues such as enlarged turbinates and septal deformities, the risks for you should be fairly low.
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Modern Rhinoplasty: good for breathing
Rhinoplasty specialists often see patients that had surgery from (hopefully) prior decades who have serious breathing problems. Reduction rhinoplasty, performed to create a smaller nose, still carries some risks. The advantage of modern rhinoplasty is that cartilage is very conservatively removed instead of aggressively cut out. The trend is towards folding and permanently suturing the cartilage to achieve aesthetic goals while preserving tip support and nasal valve function. Common...
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How Many People Have Long Term Difficulty Breathing After Rhinoplasty?
I have performed Rhinoplasty and complicated Revision Rhinoplasty for 25 years. Rhinoplasty does not have to lead to reduced nasal breathing which most often occurs from over-resection of the tip cartilage/upper lateral cartilage junction (internal nasal valve). There are no guarantees and reputable Rhinoplasty Surgeons will not provide one beyond his/her best professional efforts to do their very best.
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Airway issues after rhinoplasty
If you asked me this 30 years ago, I would say there was a good chance for potential airway problems. Now, I think most surgeons try to maintain function while improving the aesthetics, but initially you may feel congested after surgery.
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Not many breathing problems after rhinoplasty
Breathing problems can occur after rhinoplasty, but in practice the risk is a small one. Rhinoplasty can change the airway resistance at the internal valve inside the nose, and the external valve. The external valve or nostril, and the internal valve can be supported or strengthened during rhinoplasty and an excellent surgeon will anticipate the need for proper structure and support, as well as proper aesthetics.
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Rhinoplasty Can Improve Breathing
Rhinoplasty, if done by an expert who is familiar with how to do septoplasty well and turbinate surgery well (surgery inside the nose), can actually improve breathing. In 2012, I published a study in the Archives of Facial Plastic Surgery which shows this to be true for those with moderate to severe breathing issues before rhinoplasty. For those without any breathing problems, a rhinoplasty did not worsen breathing. This study was done over the course of 7 years.
The article's...
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Does Rhinoplasty Cause Breathing Problems
A cosmetic rhinoplasty usually will not cause a problem with breathing. The purpose is to change your appearence and is not functional. If you were to have an alar base reduction (nostril size) this could impede air flow but they should be reduced and maintian a normal size. The only other air flow problem would be related to the internal nasal valve. This is the junction of your septum to the upper lateral cartilage. If your surgeon is versed in rhinoplasty this should not be distrurbed and...
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Rhinoplasty and breathing problems
Dear dasikins,
Most experts in rhinoplasty can prevent problems with breathing after surgery
Of course, nothing is guaranteed, but we do surgical maneuvers inside the nose to help prevent post-operative collapse
Seek out a surgeon who does a significant number of rhinoplasties for both cosmetic and functional issues
Best regards,
Nima Shemirani
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