What can be done so that I regain smell and function 9 months after primary rhinoplasty?

Your surgeon is certainly correct in noting that the olfactory bulb and nerves involved should not be affected by rhinoplasty surgery. That being said, if the nasal airflow does not allow for proper turbulent flow to the olfactory bulb, then scent molecules may not be able to reach those smell receptors.

Having an open discussion with your primary surgeon regarding your concerns is always the best first option, and if this seems unproductive, then an in-person consultation with well-regarded revision rhinoplasty surgeons to offer their input would be a reasonable second option.

If you close your eyes with your nose above coffee grounds, if you can smell them, you do not have anosmia. If things do not smell as robust as they used to, it could be due to decreased air flow through your nose. If that is the case, consider Consulting with another reputable rhinoplasty specialist or an otolaryngologist. Wishing you well. Sincerely, Dr Joseph

Loss of smell and breathing issues after rhinoplasty may result from persistent inflammation, structural changes, or internal scarring. An unusual smell could indicate infection or mucus buildup.
A thorough evaluation by a secondary rhinoplasty specialist or ENT doctor is crucial. Diagnostic tools like nasal endoscopy or CT scans can identify the underlying cause and guide the best treatment approach to restore both nasal function and sense of smell.