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Did my childhood chronic nose picking create a saddle nose? (photos)

michael18474626Oct 13, 2021
I found out around 2 months ago that I have a large perforaton of my septum (around 3.5cm x 1.5cm) that was the result of chronic nose picking when I was younger. I went to my ENT on two occasions since then, and was told that the remaining septum is healthy, and only need nasal gel to treat dryness. My dorsum is also currently stable. No breathing issues. I would like to see from other professionals if you think Im at risk of developing a saddle nose, or if the hole can possibly get bigger?

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Thomas Spalla, MD

I agree with you. There should be very little swelling at 6 months after a septoplasty. I don't want to sound rude, but are you sure that's all that was performed? Your swelling and change in appearance (I assume the pics are before/after) is unusual after a septoplasty alone.

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Ronald J. Edelson, MD

You do have a crooked nose and probably a crooked septum as well. Cosmetically you soonest to be a good candidate for rhinoplasty and your breathing can be improved at the same time. Your nose can be straightened but there is always a risk of some residual crookedness

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Barry M. Weintraub, MD, FACS

Based on the photos alone, it is difficult to tell what exactly you are referring to. A physical exam and consultation are needed. When looking at your photos, I do not see anything alarming or concerning at first glance. Your columella appears short and could be elongated, but I am unsure,...

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