Can I get a rhinoplasty even if my nose bleeds a lot? Also breathing issues

A deviated septum and drying of the nose can cause bleeding, and sometimes a rhinoplasty with repair of the deviated septum can sometimes actually improve the problem.  That being said, I have had several patients with a history of bleeding that we worked up with a hematologist prior to surgery, and found unusual bleeding problems that only appeared intermittently (intermittent von willebrand's can especially manifest this way, but there are others).  The only sign may be a nose bleed.  Different medications can also cause this.  These disorders may not appear on a routine hematologic workup.  So, it might be worthwhile to get a good workup by a hematologist prior to surgery.  

Thank you for your question.  Without a better understanding of your medical history a true evaluation cannot be made.The best advice is to schedule a consultation with  a board certified plastic surgeon to be evaluated further.  During your consultation you will be able to discuss your concerns, address your goals and work together to build a surgical plan to help you achieve the overall look you desire.With kind regards,Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.Las Vegas Plastic Surgeon

As long as the nosebleeds are not an indicator of some underlying clotting disorder, there is no reason why one couldn't have a rhinoplasty. In the vast majority of cases patients with nosebleeds have no fundamental bleeding problem just some fragile blood vessels, typically at an area known as Kiesselbach's plexus. This is a simple area to treat with cauterization either in the office or at the time of nasal surgery.As for improving breathing while simultaneously reducing the size of a large nose, yes, these can commonly be achieved. Keep in mind that patients with naturally small noses can still breathe adequately. Form AND function can both be addressed with nasal surgery.All the best,--DCPPearson Facial Plastic Surgery®