Why am I experiencing turbinate and facial swelling 2 years after rhinoplasty?

Question

Approximately 2 years ago, I had a rhinoplasty to reduce the size of my nose and straighten it. My septum was pretty straight right after surgery but my GP observed that my septum was deviated again about a year later. Nasal breathing issues were more pronounced post-op, a year later. I've also developed unshakeable eyebags that never existed before. My surgeon has said I have swollen turbinates and should use nasal spray to reduce all inflammation. Will this really resolve the issues?

Eric M. Joseph, MD · Answer

In general, general practitioners may not be the best specialist to evaluate somebody's nasal Airway. If you are having problems breathing through your nose after rhinoplasty, I would suggest visiting either your surgeon or a reputable otolaryngologist to see the cause of your nasal obstruction. In the interim, a topical steroid nasal spray along with a topical antihistamine nasal spray may be beneficial. I hope this helps! Sincerely, Dr Joseph

Zoran Potparic, MD · Answer

Recurrent breathing issues are most frequently result of turbinate hypertrophy. Use of decongestants may help to a certain degree but additional turbinate resection may be needed. None of these may be permanently successful, unfortunately. Lower eyelid issues may also be associated with allergies, reduced tear drainage due to existing nasal congestion as well as aging. Second opinion consultation with an expert nose surgeon should be considered. Good luck.

Pawel Szychta, MD, PhD, DSc · Answer

I'm sorry to hear that you're experiencing these issues after your rhinoplasty. Swollen turbinates can contribute to nasal congestion and breathing difficulties. Using nasal sprays to reduce inflammation may help alleviate some of these symptoms. However, if your septum has deviated again and you're noticing persistent eye bags, it might be beneficial to consult an ear, nose, and throat (ENT) specialist. They can provide a thorough evaluation and recommend appropriate treatment options to address all your concerns.

Why am I experiencing turbinate and facial swelling 2 years after rhinoplasty?

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