Hello everyone, I had a primary rhinoplasty in 2020, which addressed a dorsal hump but didn’t resolve all of my concerns. My nasal tip remains bulbous and droopy, so I’m planning to undergo a revision rhinoplasty. During a recent CBCT (done for unrelated reasons), I discovered how deviated my septum is (see pictures). This aligns with my ongoing symptoms: nasal resistance and loud breathing. I don’t believe the septum was addressed during my rhinoplasty, and breathing neither improved nor worsened post-op. Given these factors, I’m wondering: 1. Would it be advisable to combine a septoplasty with the revision rhinoplasty? 2. Could a septoplasty improve, or could it worsen some of the external asymmetry of my nose? 3. Should I thus prioritize finding a surgeon experienced in both functional and cosmetic revision rhinoplasty? I truly appreciate your time and insights. Thank you in advance.
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Answers (2)
From board-certified doctors and trusted medical professionals
Hello and thank you for your question -- a very good question at that ☝️
The short answer is that carefully placed spreader grafts (to stent open your internal nasal valves) when combined with careful osteotomies to narrow the nasal bones will not widen your nose.
The long answer is as fol...
Hello and thank you for your question.
Although an exam in person is ideal, from your photograph alone it appears that you have a deviated septum -- the key issue is if this causes a functional deficit i.e. any difficulty with your nasal breathing. You mentioned that you "breathe very deeply...
Hello and thank you for your question. This is difficult to predict without examining you. Based on your description it sounds like you need to have at least a septoplasty no matter what. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can...