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Bulging septum 4 months post op rhinoseptoplasty. Can a steroid shot help? (Photo)

Hopeful11111Sep 19, 2022
Almost 4 mo PO. About a week PO I started noticing my septum would bulge from the left nostril. Now it almost obstructs my left nostril - can barely breathe out of it & it feels congested. When I put my finger inside left nostril I feel the septum hardened, rounded and smooth and I can "push" it towards the right nostril. I still feel part of a stich in there too that hasn't finished dissolving. I am scared. I've never heard of septum swelling, is it legit? Can a steroid shot in there help?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 14, 2022
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David M. Kowalczyk, MD, MBA, FACS

Good Afternoon! The way the procedure is done is typically by adding fascia - such as temporalis - or perichondrium - from rib - and infusing microfat within it. We refer to this as MISTA - microfat infused soft tissue augmentation. Microfat isn't strong enough to produce changes needed to lower...

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David M. Kowalczyk, MD, MBA, FACS

Good Afternoon! Fascia over the nasal tip is not a technically difficult procedure. I prefer to use temporalis fascia. Microfat can be placed at the same time within the fascia to help provide stem cells and growth factors. I often do this. The camouflage effect is quite nice and natural. It...

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Nima Shemirani, MD

Hi @Enthusiastic6271! An alar base reduction can be performed to correct the nostril asymmetry. Best of luck to you!

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