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

Question

3 surgeries at my nose (deviated septum, turbinates decompression, and 1 rhynoplasty w/valve reconstruction). R.plasty left scar tissues and droopy tip. Reconstructed valve never worked.That side of nose I still struggle with: overall don’t feel I am breathing through it, at night air flow is blocked completely (or during workout /after a glass of wine / in the sun..). I now have increased nasolabial folds as i feel subconsciously stretching those muscles to breath.How to address, what first?

Nima Shemirani, MD · Answer

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!

Alan Gonzalez, MD, FACS · Answer

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).

David M. Kowalczyk, MD, MBA, FACS · Answer

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!

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

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

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.