I had a rhinoplasty in July of 2023. It went great, swelling gone very quickly. I did notice after my breathing became more normal, that my right nostril doesn’t suck as much air as my left. When I’m in bed laying on my right side, I can’t breathe through my nose well. But on my left side I can slowly feel my right nostril open up and I can breathe evenly through both nostrils. Also when I take the tissue under my eyes and pull out towards my ears, I can breathe evenly.
Answer: I Recommend Revision Rhinoplasty | Plastic Surgery Expert | Functional Nose Job | Breathing Issues | Internal Valve Collapse Hello and thank you for your question and the pictures. Unfortunately, breathing issues are quite common after rhinoplasty if the initial surgery did not properly reinforce the underlying structural framework (bone and cartilage). It sounds like you now have collapse of your Internal Nasal Valve on the right side. An open revision rhinoplasty can best address this functional issues and any potential aesthetic concerns with your nose. I would be able to open up and reinforce your internal and external nasal valves to improve the airflow through your nose!
Helpful
Answer: I Recommend Revision Rhinoplasty | Plastic Surgery Expert | Functional Nose Job | Breathing Issues | Internal Valve Collapse Hello and thank you for your question and the pictures. Unfortunately, breathing issues are quite common after rhinoplasty if the initial surgery did not properly reinforce the underlying structural framework (bone and cartilage). It sounds like you now have collapse of your Internal Nasal Valve on the right side. An open revision rhinoplasty can best address this functional issues and any potential aesthetic concerns with your nose. I would be able to open up and reinforce your internal and external nasal valves to improve the airflow through your nose!
Helpful
May 11, 2024
Answer: You may have an enlarged turbinate on your right side. Turbinates are organs in the nose that filter and humidify the air, and these can change in size. When somebody has an upper respiratory infection and can't breathe through their nose, it is because the turbinates get very big. When you lie on your Left side, gravity will cause your right turbinate to decrease in size from Gravity. Simplest thing to do would be to try a topical antihistamine nasal spray like Astepro in your nose on your right side a half hour before bed. If this is not helpful, please consider Consulting with your surgeon or an otolaryngologist. Thank you for your question. Sincerely, Dr Joseph
Helpful
May 11, 2024
Answer: You may have an enlarged turbinate on your right side. Turbinates are organs in the nose that filter and humidify the air, and these can change in size. When somebody has an upper respiratory infection and can't breathe through their nose, it is because the turbinates get very big. When you lie on your Left side, gravity will cause your right turbinate to decrease in size from Gravity. Simplest thing to do would be to try a topical antihistamine nasal spray like Astepro in your nose on your right side a half hour before bed. If this is not helpful, please consider Consulting with your surgeon or an otolaryngologist. Thank you for your question. Sincerely, Dr Joseph
Helpful
May 10, 2024
Answer: Nose It appears that you have external valve collapse due to inadequate support of the nostril openings. This can be fixed with cartilage grafts to bolster the valve open. A true physical exam is needed to be able to determine what is going on.
Helpful
May 10, 2024
Answer: Nose It appears that you have external valve collapse due to inadequate support of the nostril openings. This can be fixed with cartilage grafts to bolster the valve open. A true physical exam is needed to be able to determine what is going on.
Helpful
May 3, 2024
Answer: Nose yes, you clearly have collapse of the right nasal valve as based on your photos and your symptoms. ..
Helpful
May 3, 2024
Answer: Nose yes, you clearly have collapse of the right nasal valve as based on your photos and your symptoms. ..
Helpful
May 3, 2024
Answer: What you are describing is... Your description points to a couple of possible causes of nasal obstruction that would require an in-person evaluation with a specialist to truly assess. Nasal obstruction while lying flat or in a recumbent position can point to inferior turbinate hypertrophy (as all the tissue in the nose, in particular the turbinates, congest in that position). Your description of pulling the cheek outward and having improved breathing is called the Cottle Maneuver. Many surgeons find the Cottle maneuver alone to not be a very specific test as to what the problem is as most people benefit from this. Additionally, the Cottle maneuver represents an unrealistic metric as there isn't a surgical solution that would directly mimic that change. A modified Cottle performed by a trained rhinoplasty specialist could pinpoint causes of your nasal obstruction in what is anatomically referred to as the "valve" areas of the nose.
Helpful
May 3, 2024
Answer: What you are describing is... Your description points to a couple of possible causes of nasal obstruction that would require an in-person evaluation with a specialist to truly assess. Nasal obstruction while lying flat or in a recumbent position can point to inferior turbinate hypertrophy (as all the tissue in the nose, in particular the turbinates, congest in that position). Your description of pulling the cheek outward and having improved breathing is called the Cottle Maneuver. Many surgeons find the Cottle maneuver alone to not be a very specific test as to what the problem is as most people benefit from this. Additionally, the Cottle maneuver represents an unrealistic metric as there isn't a surgical solution that would directly mimic that change. A modified Cottle performed by a trained rhinoplasty specialist could pinpoint causes of your nasal obstruction in what is anatomically referred to as the "valve" areas of the nose.
Helpful
