My breathing is worse 6 months after septorhinoplasty. What should I do?

It takes good 12 months for rhinoplasty result to mature. You should wait at least another 6 months before making decision about further nose surgery. Good luck.

Based on your photos, there appears to be tip narrowing on front view. The base view of your nose, however, appears to indicate some asymmetry. Unfortunately, I do not believe your breathing will get significantly better with time, since most patients achieve maximal breathing between 3 to 6 months postoperative. Evaluation of somebody's nasal Airway requires an in-person consultation with an examination. If your surgeon cannot help you to your satisfaction, please visit someone else. I wish you well moving forward. Sincerely, Dr Joseph

If the issue is still present at one year then you may need a revision. There does appear to be asymmetry of your columella/nostrils which may be a contributing factor.

Without a thorough history and examination, it's difficult to pinpoint the reasons for nasal obstruction. Given some of the narrowing of the middle third of your nose, I suspect you have some narrow internal nasal valves. That being said, a septal deviation or turbinate hypertrophy could also be contributing to your issues.

The nose continues to evolve long after a rhinoplasty is performed, so at 6 months, it's a little premature to "know" the final outcome. For right now, meet with your surgeon and discuss your concerns. Seek temporizing solutions such as nasal saline sprays, possibly nasal steroid sprays, or even breathing strips. Keep track of what helps and what does not. Get your records from the surgery as well in case you seek a 2nd opinion as that can help the next surgeon understand your situation better.

Based on your post of photos, the external result is acceptable though can be refined a bit as far as postop breathing issues must do a virtual consultation, but most likely need a revision septoplasty. Fee ranges from $8000-$12,000. Best of virtual consult with.