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Can't breath from one side because of Osteotomy + alarplasty done 8 years ago. What are my choices?

Straightforward924040May 12, 2025
I researched about deviated septum which is probably the main case of why I can't breath from one side of the nose, but I am also suspecting that osteotomy made my nasal passage / airway more smaller which is why I can't properly breath / always gasping for air.

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on May 27, 2025
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on May 14, 2025
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Eric M. Joseph, MD

Based on your photos and your concerns, the best advice I could give you is to procure a copy of your operative report, and consider meeting with several reputable rhinoplasty specialists so you can see how best to move forward regarding your concerns. In general, a poly beak is when the lower...

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Eric M. Joseph, MD

Based on the last three photos that you posted, I do not see an open roof deformity. You may have a slight indentation along the right side wall of your nose, however, if that is not what's bothering you, you have an overall pleasing nasal appearance on front view. If you decide to visit another...

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Eric M. Joseph, MD

There are no protocols in place for utilizing a siblings nasal septal cartilage outside of her own surgery. When we need to perform revision rhinoplasty, and if there is a paucity of septal cartilage, we simply purchase a piece of rib cartilage from the musculoskeletal tissue foundation, MTF....

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Eric M. Joseph, MD

I agree that your tip looks better after you push your columella and lobule upward, however, this will require surgery to achieve. Additionally, and examination would be necessary to determine what needs to be done, and whether or not you have remaining septal cartilage to harvest for...

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Philip S. Schoenfeld, MD, FACS

The scar band that has formed is unusual. From the photo that you have provided it appears that the scar band is behind the external portion of the nostril and involves the mucosa of the nasal cavity. You should be able to have that scar band lysed in the office and it should not recur if cut...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty with placement of a fascial dorsal onlay graft to help smooth the dorsum. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation...

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