Hello . I had surgery two and a half years ago. My surgeon said that at the same time, in order to fix the gummy smile, we will pull your nose down a little and keep it in its new position with the septum extension so that the upper lip also comes down a little. After surgery I have chronic (intermittent) congestion. Also, runny nose when eating or in cold weather. Can this change in the position of the nose be the cause of these breathing problems - is there a change in the air flow pattern?
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January 20, 2024
Answer: Yes there can be a change in the breathing pattern...
Yes if needed in addition to ear and rib cartilage fascia and pericondrium (soft tissues for camouflage and finesse recontouring) are frequently used as a routine . Autologous material is simply the best
I know by your narrative that you're looking to 'fix' your nose, however, it's not clear precisely what you are looking to achieve. Based on your photos, you appear to have a somewhat low bridge on profile with an exaggerated curve. If you are looking to achieve a straighter nasal profile...
There are sooo many ways of addressing the problems that you describe. If you truly need a "full nose reconstruction," then spreader grafts would be only a small piece of the puzzle. Photos, taken from different angles, and your comments about what you notice most and what bothers you most,...