I have had a 3rd rhinoplasty, requiring a rib graft, 5 weeks ago. The surgery was supposed to correct, among other things, areas of collapse however I now notice that this was not fully achieved. I believe I have external valve collapse on both sides and internal valve collapse on one side. This is impeding my breathing since when I pull my cheeks away from my nose, air flows much better. Should I notify my doctor immediately? Also, how difficult is it to correct these issues in general?
Collapse After Revision Rhinoplasty?
Doctor Answers 6
What to expect after revision rhinoplasty
Swelling after revision rhinoplasty can take twice as long to resolve vs. primary rhinoplasty. I would do the following.
- This maybe normal swelling: follow up, non urgently with your surgeon for re evaluation.
- There maybe internal valve collapse. Without photos, examination, and further healing it is too soon to tell.
- There maybe external valve collapse: Same. Have to wait and see. Going in too soon can only cause harm and reverse a potentially normal result.
Give Your Nose Time to Heal
5 weeks is still very soon after your surgery, and the majority of your swelling is still present. It can take up to a year before you see the final result of your surgery, but the amount of time the swelling lingers may be influenced by the following things:
1) Whether or not tip work was performed
2) The thickness of the patient's skin
3) If the procedure was open or closed
I would give it some time, as you are still early in the healing process. I would recommend speaking with your surgeon regarding any concerns you have at this time.
Fixing external and internal nasal valve collapse can be challenging during a revision rhinoplasty. For that reason, it is important to see a surgeon who specializes in these procedures.
Thanks and I hope this helps!
Breathing issues and rhinoplasty
- You should contact your surgeon with any questions or concerns after surgery
- He/she is best equipped to handle those answers
- I think it is still very early to get worried, and let him know so you can be examined
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Revision Rhinoplasty Collapse
In instances such as this, it's very important to notify your doctor because your breathing is in jeopardy. This is a difficult thing to correct, but it can be done. You may want to consider waiting a bit before undergoing corrective surgery again. Waiting up to two years may be the most beneficial.
Fixing a collapsed nose with revision rhinoplasty
Hello, and sorry to hear about your breathing issues following surgery. Five weeks is still very soon after your procedure, and I would give it some time before you jump to any conclusions. You are still quite swollen at the 5 week mark, and swelling may interfere with your breathing being perfect. In general, if those issues were present, surgery would be necessary. To correct a valve collapse, cartilage grafts would be used during an open procedure. It is best if this type of surgery is performed by a specialist. For the grafts, I wold use septal cartilage as a first choice. If there is not enough septal cartilage available, or if the cartilage from the septum is compromised, using a PDS plate with ear cartilage is now a good choice. It can be a second option after septal cartilage. Rib cartilage is also a great choice. It is very strong, and much more rigid than ear cartilage. At this point, I would recommend speaking with your surgeon regarding any concerns. He/she knows the extent of your surgery and exactly what was performed. Thank you and I hope this helps!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.