Breathing 1 Month Post-Op?

Yes.  The mucosa (lining inside your nose) is still getting use the changes that have taken place since your surgery.  It’s adjusting, if you will.  This sounds like this is the case with you particularly since you state that the breathing is normal after you use the saline sprays and it is worse in the morning.  If it is very bothersome, you can try using some over the counter systemic decongestants some of which will last all day.

Because you're still very early on in the healing process following your rhinoplasty, it's normal to experience stuffiness. If rinsing has been helping you, it's important to continue to do so daily, as this will provide relief for your breathing problems. If you are concerned, follow up with your plastic surgeon to better understand what you can do to make sure you're healing correctly.

The most common complaint after rhinoplasty is typically NOT pain, but nasal congestion and stuffiness.  It is most notable and persistent for the first 4-6 weeks after surgery and gradually subsides.  The tissue inside the nose shrinks and swells normally during the day and is affected by weather, barometric pressure, allergens, emotions, gravity, etc.  Most rhinoplasties are done with incisions inside the nose and the reactive tissues swell. 

 

Often a rhinoplasty involves making a large nose smaller, which decreases the internal diameter, making the breathing passageways smaller.  This can make breathing more difficult.

 

Weeks after surgery, stuffiness gradually subsides but is generally worse in the morning or after physival exertion.  There could be scabbing or crusting in the nose.

 

You should see your surgeon every few weeks until this goes away, as he/she may be able to spray a decongestant in the nose and remove some dried blood or scabs along the scars...and , yes, saline sprays do work.  Avoid Afrin nasal spray.  Good luck!