How successful will the outcome of 3rd septoplasty be? (Photos)

Question

I have had two septoplasty’s. same surgeon. Both times, they have left my nose looking crooked and it’s hard to breathe. the nostril is colapsed on the right side. The first month I can breathe normal and it looks straight But then it colapses.. Possibly getting a third in Korea but I am wondering how successful It will be, and if they could revise my dorsal hump as well.. I am unsure if I have enough septal cartilage left, are there any procedures that can fix this problem?

Thomas Spalla, MD · Answer

It's difficult to say how "successful" any surgery would be, but I have faith that you'll find a surgeon who has enough experience to give you your best shot at success in straightening the septum, breathing better, and reducing the dorsal hump.

Sometimes additional tissues are necessary if there is not enough native nasal cartilage remaining. If so, ear cartilage is sometimes used as is rib cartilage or even cadaver cartilage. Discuss these possibilities with your surgeon.

Eric M. Joseph, MD · Answer

The base view of your nose reveals nostril asymmetry, likely from a deviated nasal septum, and the lower third of your nose is a bit overprojected on profile - meaning it sticks out a drop too far. Before doing round 3, consider procuring your operative reports and pre-op photos, and consult with several reputable rhinoplasty specialists to determine the feasibility of additional surgery. Thank you! Dr Joseph

Selcuk Inanli, MD · Answer

Hello Ms. Eliana!I am Prof. Dr. Selcuk Inanli.In your case a 3rd revision is necessary especially to fix your breathing issue. It looks like you don't have enough septal cartilage that's why you need a rib cartilage reconstruction. Your left nostril looks collapsed but don't worry it can all be fixed. Have a good day!

How successful will the outcome of 3rd septoplasty be? (Photos)

Answers (3)