Hello Doctors, I had a primary rhinoplasty in 2020, which addressed a dorsal hump but didn’t fully resolve my concerns. My nasal tip remains bulbous and droopy, so I’m planning to undergo a revision rhinoplasty. During a recent CT scan of my head (done for unrelated reasons), I discovered how deviated my septum is (see pictures). This aligns with my ongoing symptoms: nasal resistance and loud breathing. I don’t believe the septum was addressed during my rhinoplasty, breathing didn’t improve or worsen post-op. Given these factors, I’m wondering: 1. Would it be advisable to combine a septoplasty with the revision rhinoplasty? 2. Could a septoplasty improve, or could it worsen some of the external asymmetry of my nose? 3. Should I thus prioritize finding a surgeon experienced in both functional and cosmetic revision rhinoplasty? I truly appreciate your time and insights. Thank you in advance.
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Answers (2)
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Thank you for your question.
This is thoughtful, important and often comes up. Whether or not to pursue a revision is a personal decision. If your nose is functioning well and you’re generally satisfied, there’s no medical reason a revision must happen. If the asymmetry or contour of the tip...
Hello and thank you for your question. Based on your photographs and history, you may benefit from a course of bactrim instead of cephalexin. Your nose appears actively infected. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in...
Hello and thank you for your question.
Although photographs and an exam in person is ideal, from your story alone, I will tell you that yes, it is a possible to augment the radix for a permanent solution not achieved with fillers. With that said, oftentimes filler may not dissolve completely...
