Can a septum be popped back into place after trauma/poor surgery?

Question

In the past 2 years, I've undergone trauma that led to my nasal tip dropping (hit after rhinoplasty) & shifting to the left to such an extent my nostrils were diagonal to each other. Right side of septum harvested.Now septum curves left & left nostril is like a pinhole but that's the one that collapses when I breath in. I don't want to resect my septum anymore. Is there a way to shift my caudal or dorsal septum in place w/out removing anything?

John Layke, DO, FACS · Answer

The problem is that after nasal trauma, if cartilage has been shifted, the normal anatomy is warped over time.  You would require a surgical rhinoplasty in order to repair your nose.  I recommend seeking out a Board-Certified plastic or facial surgeon who will accurately assess your nose, create a simulation that will show you what your nose COULD look like after surgery, and formulate a plan tailored to your wishes.  Good luck!

Aaron Kosins, MD · Answer

Hello and thank you for your question.  Without seeing specific pictures, it is difficult to fully understand your problem.  However, in general, it is very important to keep at least 10mm of dorsal and caudal septum to maintain the bridge of your nose.  In at least 25% of rhinoplasties, I am relocating the caudal septum to straighten it because oftentimes it is deflecting to 1 side or the other.  It must be separated from its attachments to the anterior nasal spine (bone), relocated to the other side, and re-secured with suture.  This may or may not solve your particular problem, but I recommend visiting your surgeon for more information.  I hope this helps.Aaron Kosins, MD

Can a septum be popped back into place after trauma/poor surgery?

Answers (2)

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