My nasal bones look pretty deviated. I got a septorhinoplasty and for whatever reason, my surgeon didn't center them? (Photo)
Doctor Answers 4
Deviated Nasal Bones
Your nasal bones are indeed a bit deviated toward the left side. This often occurs because of incomplete fractures (osteotomies) at the time of surgery, which don't allow full mobilization of the nasal bones. The solution is to ask your surgeon about the timing of a secondary procedure to revise the osteotomies in order to achieve straightening of the upper third of the nose. Your restricted breathing should be evaluated with a thorough examination. There are many causes of reduced nasal breathing including normal post-operative swelling that can take weeks or months to resolve. Post nasal drip after rhinoplasty also has several causes, including a subset of patients that experience unexplained rhinitis for a period of time following rhinoplasty. You should discuss all of these concerns with your doctor. Best wishes.
Deviated nasal bones
Thank you for your question and photograph.You will need a revision rhinoplasty with a nasal osteotomy to realign the bones. Post-nasal drip will usually resolve in about a year. I hope this helps!
Best of luck in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
Deviated nasal bones post septorhinoplasty
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