Question About Revision Rhinoplasty

Is it possible to reduce the turbinates during revision rhino? Mine are still so swollen and i am constantly cleaning out mucous.

Doctor Answers 6

Rhinoplasty and Turbinate Removal

While it is certainly possible to remove the turbinates at the time of a rhinoplasty or a revision rhinoplasty, it is not a procedure that will help with excessive mucous production.Generally the turbinates are removed for problems with breathing.If the turbinates are big we will remove them so that air passes through the nose more easily.If you have constant nasal congestion that does not respond to medication like one of the many nasal sprays then we sometimes consider turbinate removal.

All of the mucous membranes of the nose may be swollen and thus produce extra mucous after any surgery for months and often this will respond to simple nasal sprays.I would recommend asking your surgeon about this before considering a turbinectomy.

I hope that helps.

Best regards.

Kirkland Plastic Surgeon
4.9 out of 5 stars 62 reviews

Rhinoplasty revision and turbinate surgery

 Revision rhinoplasty and turbinate surgery can both be performed at same time. Revision rhinoplasty is considered cosmetic and must be paid for by the patient. Turbinate surgery is performed when patient's have failed medical management for nasal obstruction, and the turbinates are very enlarged on a permanent basis. Medical  necessity must be documented at time of examination and consultation. Turbinate surgery for Airway management is considered a medical necessity and can be billed to the patient's medical insurance.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Turbinate reduction

Reduction of turbinates can certainly be performed at the same time as any nasal surgery - including rhinoplasty or septoplasty

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Turbinates can be treated at any time

Turbinate reduction can be performed at the time of a primary or revision rhinoplasty. Profuse mucus production does not necessarily mean that your turbinates need surgery. After any nasal surgery the turbinates can be swollen for weeks or months. Doing a reduction surgery on your turbinates before giving the nose a chance to heal may be premature. You should get an evaluation by an Otolaryngologist to determine the best course of action. I hope this helps.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

Turbinate Reduction during Rhinoplasty Revision

If necessary, turbinate reduction can and should be done during your revision rhinolasty surgery. Discuss both functional and cosmetic problems with your surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Turnbinate reduction during revision rhinoplasty (secondary nose job)

Yes, it is possible to accomplish turbinate reduction during revision rhinoplasty. Excessive reduction could result in rhinitis sicca.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 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.