Would a 4th revision rhinoplasty help my breathing and nasolabial muscles to relax?

Hi @Versatile520! I am sorry you are dealing with this. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. Best of luck, Dr. Nima!

Hello @Versatile520, thank you for your question. A rhinoplasty is one of those processes that the more it is performed the more scars will remain at the skin level and these internal scars generate synechiae, internal partitions that are very difficult to remove. In light of your difficulty breathing, it is recommended that you see an otolaryngologist to examine your functional part of the nose. Your plastic surgeon should examine the before pictures and the three previous procedures to determine if that is the best achievable result for you. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Hello! Great questions. If you're having breathing trouble, then you don't have enough support to improve airflow through your internal nasal valve. Structure rhinoplasty in the form of cartilage grafting is used to help this problem. If the turbinates were decompressed too aggressively, that may be a contributing issue. Although rare, some will experience empty nose syndrome afterwards. This can be very challenging to treat. I would seek consultation with a number of different surgeons competent in revision rhinoplasty. Hope this helps!