Craig S. Murakami, MD - Account Suspended

Informed consent should be discussed prior to turbinate reduction since there are risks to this procedure.    There are different surgical techniques and degrees of reduction.   Aggressive reduction in the wrong setting may result in excessive dryness and crusting.   On occasion, an unanticipated turbinate reduction may need to be performed at the time of a septoplasty operation when a large turbinate prevents centering of the septum. 

Generally, a septoplasty is performed to straighten a deviated septum inside the nose when the deviation is causing nasal airway obstruction.   The external nose is usually left unchanged.   Changing the external nose is generally referred to as a rhinoplasty operation.   On occasion, the septum and the external nose are both severely deviated to the point where the surgeon cannot adequately straighten the septum without straightening the external nose.   In these cases, septoplasty and rhinoplasty rurgery are performed simultaneously. 

This can be correct, but it will require extensive grafting.  Typically, this will require cartilage grafts from your ear or rib to lengthen and de-rotate your nose.  Your surgeon should be experienced in revision rhinoplasty surgery.   You will need to spend a significant amount of time reviewing your expectations against possible surgical outcomes.  Good luck with your search.

It is difficult to know if your symptoms are related to previous trauma as they are not uncommon complaints in patients without previous injury.  The cracking is probably nasal cartilage rubbing against one another andI would discourage you from doing this if you can avoid it.  It highly likely that your functional airway can  be improved along with your profile.   I would recommend an experienced rhinoplasty surgeon who specializes in airway problems such as a facial plastic surgeon.   Good luck with your search.    

It is difficult to give you good advice based on one oblique photograph.   The bump that you perceive along the upper part of the nose might actally be an excentuation caused by a slight depression in the central area of the nasal dorsum.   You should consult with a surgeon experienced in revision rhinoplasty and to make sure your nasal airway is also evaluated before proceeding with further surgery.