Male, 27.My nose was crooked due to two accidents in the past. It formed an "S" shape. I was not able to breathe well through either nostril, but more one than the other. After a failed septoplasty at the age of 19, I saw no improvement in my breathing.6 months ago, I underwent another septoplasty, along with a rhinoplasty, with the hope that I would straighten my nose profile and breathe better.Neither happened. I'd like another expert's opinion on what went right/wrong.
October 31, 2022
Answer: Crooked Nose Sorry to hear that your issues were not addressed. Traumatic and crooked noses can be very difficult to get perfectly straight. I am not sure who performed your prior surgeries, but IMHO, noses like this should be managed by a double board certified ENT/Facial Plastic Surgeon who has plenty of experience correcting breathing issues. Even still, very strong techniques are required to keep your nose straight. You tip is still under projected and you still have a dorsal convexity. I imagine your nose would require a full septal reconstruction at this point. Hope this helps. Message me with any further questions.
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October 31, 2022
Answer: Crooked Nose Sorry to hear that your issues were not addressed. Traumatic and crooked noses can be very difficult to get perfectly straight. I am not sure who performed your prior surgeries, but IMHO, noses like this should be managed by a double board certified ENT/Facial Plastic Surgeon who has plenty of experience correcting breathing issues. Even still, very strong techniques are required to keep your nose straight. You tip is still under projected and you still have a dorsal convexity. I imagine your nose would require a full septal reconstruction at this point. Hope this helps. Message me with any further questions.
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Answer: Improved but not good enough! Unfortunately, cartilage has memory. Revision should not be considered for at least another six months. An extensive open septorhinoplasty with outfracture of the left nasal bone and possible use of spreader grafts could improve both function and appearance but this would require internal silastic septal splints which are uncomfortable. After rhinoplasty the nose is hypervascular for up to a year, so operating too soon would do more harm than good. Even then, one gets diminishing returns for each revision, so think hard and long about whether you can live with the results.
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Answer: Improved but not good enough! Unfortunately, cartilage has memory. Revision should not be considered for at least another six months. An extensive open septorhinoplasty with outfracture of the left nasal bone and possible use of spreader grafts could improve both function and appearance but this would require internal silastic septal splints which are uncomfortable. After rhinoplasty the nose is hypervascular for up to a year, so operating too soon would do more harm than good. Even then, one gets diminishing returns for each revision, so think hard and long about whether you can live with the results.
Helpful
