Possible Nasal Valve Collapse and Breathing Difficulties After Rhinoplasty/septoplasty/osteotomy? (photo)

I am 5 1/2 post op. Having breathing difficulties through both nostrils. While breathing through right nostril changes during the day (sometimes good sometimes bad), it is constantly bad through the left one especially when I inhale. I am afraid I may have nasal valve collapse as there the “dent” on the left tends to squish in when I deep-breath. I don’t know if the pictures show all.

Doctor Answers 7

Nasal valve collapse.

It Appears that you do have depression in the valve area which can be corrected with cartilage grafts to that area. However it is too soon to say since it takes 6-12 months for the swelling to go down. 

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 33 reviews

Possible Nasal Valve Collapse and Breathing Difficulties After Rhinoplasty/septoplasty/osteotomy?

    I think your assessment of the situation is probably correct based upon the pictures and your description.  I would have to examine you to be more certain. 




Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 482 reviews

Possible Nasal Valve Collapse and Breathing Difficulties After Rhinoplasty/septoplasty/osteotomy?

Thank you for the description and pictures.  Based on those, I believe you may, in fact have some valves collapse issues.  This would need to be evaluated further with a formal consultation and diagnosis should also include external, internal or combination of valve restrictions, if that is the final issue.  As far as changes in breathing during the course of the day, please keep in mind there are normal variations for all nasal airflow that adjust each day for all noses normally.  Would need to asses if yours is normal or too restrictive.

Garrett A. Wirth, MD, MS, FACS

Wirth Plastic Surgery

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 11 reviews

Valve collapse and breathing problems after rhinoplasty

There can be internal nasal swelling at this stage still contributing to nasal blockage, but I do see the area on the left where there is some narrowing.

Your nose will continue to heal and hopefully as the internal swelling improves your breathing will also improve. If you have persistent problems you may benefit from a spreader graft to open up that narrowed area.

You can read more about spreader grafts at my web reference link below.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Nasal airway obstruction post op

Your nasal airway obstruction is more likely due to swelling than any functional problem.  Given more time your problem will be more likely to improve.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Nasal Valve Collapse after Septorhinoplasty

Sorry to hear about your breathing difficulties after your nasal surgery. Based on your description and photos it does appear that the contour depression on the left side of your nose is contributing to your poor nasal airflow. This deformity can be improved. But, unfortunately it involves another surgery. A spreader cartilage graft in the area can help with the airflow, as well as improve the appearance of your "dent." Thank you for sharing your photos and concerns. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 164 reviews

Best Treatment for Nasal Obstruction Following Rhinoplasty

Hi NG,   Best to discuss your concerns with your rhinoplasty surgeon.  Examination inside your nose will reveal the cause for your nasal obstruction.  We often will treat patients such as yourself with Somnoplasty (radio-frequency volumetric tissue reduction) if the inferior nasal turbinates are reactive.  It sounds as if that is the case for your right turbinate.  The treatment is non-invasive and performed in the office with no downtime other than a stuffy  nose for a few days.   Good luck and be well.   Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.