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Is a septoplasty likely to improve my breathing? (photos)

neurionSep 16, 2022
29M, 6", 90kg. I have had issues breathing through my nose since I was a teenager. I can only ever breathe through one nostril. It is at its worst when I lie down and in humid weather. I find that after swimming I have water trapped in my sinuses that sometimes does not drain out for days. Steroid sprays do not work at all, especially since I can barely inhale through my left nostril. Decongestants work, but I do not use these as long term use is detrimental. Nasal rinses have not help.

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Dr. Cory Bovenzi, MD
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Answered on Sep 20, 2022
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Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Sep 20, 2022
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Caner Kacmaz, MD

Hello and thank you for your answer. In rare cases, septoplasty might be unsuccessful. The best recommendation I would give you would be to be seen by an ENT doctor. He can examine you thoroughly and determine if there's an obstruction or just simply a swelling from your surgery that hasn't...

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David M. Kowalczyk, MD, MBA, FACS

Hi there! Breathing trouble and sinus problems at times go hand-in-hand. From the photos, it appears you may have a deviated septum, though physical examination in person would be best for true determination. A CT Sinus scan would be helpful to see what's happening within your sinuses if you're...

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Michael A. Persky, MD

Hi BH, You should schedule a consultation with an ENT (if you do not wish to change the appearnce of your nose) or with a facial plastic surgeon if you wish to breath better as well as change the appearance of your nose. Feel free to contact us with any further concerns or questions. Choose...

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Thomas Spalla, MD

First, how did you acquire the perforation? That's something that needs to be understood and discussed with an experienced nasal surgeon. This is important to ensure no ongoing process is present which could make progress in size. Second, the amount of remaining dorsal cartilage strut determines...

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Thomas Spalla, MD

Given your breathing issues and the dynamic collapse of your nose that you're describing, it certainly sounds like a revision septorhinoplasty is your only viable option for long-term success with nasal breathing and to effect a change in your nasal appearance.

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Gurkan Kayabasoglu, MD

Hello. Only septoplasty surgery will not be enough to completely correct your breathing. A rhinoplasty should be performed in which the middle dault part of the general roof of your nose is also corrected. This does not necessarily have to include an aesthetic purpose. We also do rhinoplasty for...

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