Hi. I broke my nose 15years ago and had a nose job 2 y-ago. Now I breathe better while asleep, the nose is thinner and the profile looks better but the top of the septum USED to be crooked and now its the bottom. When I inhale fast, the sides of my nose collapse a little. Not sure if i should ask the same surgeon for a revision surgery.First n-job was a closed surgery with local anesthesia. Should I look for a different surgeon or go for an open surgery? The front view (Xray) looks strange THANX
Planning 2nd Nose Job? (photo)
Doctor Answers (3)
From what you are describing, it sounds like you may most likely need spreader grafts and nasal middle vault reconstruction to improve the collapse. You need to figure out if your doctor has experience in revision surgery or not and then decide. I suggest visiting an expert facial plastic surgeon with an extreme knowledge in the performance of rhinoplasty to make sure you receive excellent results.
Web reference: http://www.facialplastics.info/rhinoplasty-revision.html
I Would Do This Rhinoplasty Open
While reviewing your pictures, it appears your nose was made smaller during your first rhinoplasty. That has created a collapse in your nose and resulting nasal obstruction. You need your nose to be rebuilt and supported to improve your breathing. In my hands, I would accomplish this surgery through an open approach.
If your nose collapses on breathing after septoplasty it may be the nasal valve
The nasal valve is the narrowest part of the nose and one of the primary regulators of airflow for the entire respiratory tract. The valve can be compromised by nasal trauma and/or nasal surgery to reduce a nasal hump. This can be improved with grafts of your own cartilage. Make sure your surgeon is an expert in revision rhinoplasty.
Web reference: http://revisionrhinoplastyny.com
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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.
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