Can a surgeon perform a rhinoplasty that allows you to breathe through your nostrils during recovery?

I am very aware of this and routinely use a u shape tube that I jockingly call Utube in both nostrils that allows the patient to breath after surgery until the swelling subsides. 

After a rhinoplasty, it is common to not be able to breathe well the first week. This is especially true if any internal septal work or turbinate work is required. An open Rhinoplasty will have less breathing issues than a closed, since there are less internal incisions to crust after surgery. There are stents that can be put into the nose to try and maintain breathing, but most patients find them even more uncomfortable. Even in the worst case scenarios, breathing is restored by 1 week after an in office cleaning.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  There are soft silastic splints which can be placed internally to help with breathing in the immediate post-operative period.  This may be an option for you.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon