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Thank you for your question.This is probably due to post operative swelling. You may want to call your surgeon to discuss this issue.All The Best !
It is extremely common to have nasal congestion after surgery to improve a deviated septum by itself or when combined with rhinoplasty.The first thing to know in your specific case would be whether or not there is any packing or a splint inside the nose. This will obviously cause some blockage in your nasal airway until removed, but even after that there is significant swelling that can persist for a few weeks. Additionally, even mild crusting that builds up in the nose can give you the sensation of significant obstruction. Clearing this out and keeping everything moist for faster healing is why nasal saline rinse is so important as you recovery from septoplasty.
It is typical for you to have congestion after septoplasty. Surgery causes swelling inside the nose. You may also have thickened secretions or scabs on the inside. This will persist for about 2 weeks. You should follow your surgeon's post operative instructions which often includes use of saline nasal spray to help wash out the blood/secretions. You may have experienced temporary improvement in your breathing if the surgeon used packing or splints and removed them. These hold the swelling at bay while they are in, but once removed, the swelling becomes more apparent and congestion sets in.
First, see someone who knows the business, meaning ENT, Facial Plastics, or Plastic Surgery. Your primary care doc or an ER doc is not experienced enough in this to give you best council.If that doc examines the area and determines that the bones have shifted, then you need a limited procedure...
A deviated septum causes nasal obstruction in the back of the nose blocking air flow. A septoplasty will straighten the deviated septum(bone and cartilage) but will have no bearing on the look of the nose and will have no bearing on the smile. Endoscopic sinus surgery is performed...
Hard to give a definitive answer without an exam. This may be a sharp piece of cartilage or graft pressing into the overlying skin, blanching the skin and causing the appearance. This can happen overtime if the skin thins with age. However your pictures seem to have some surrounding redness too....