Your situation is complex having had three previous nasal operations. In order for us to make an accurate assessment, we would need to see proper before and after pictures of each of your previous procedures and have a close-up Intral examination. The answer to question like yours is never yes or no. if you’ve done a good job, selecting the right providers and they’ve tried to accomplish your wishes with through operations it is at this point more unlikely you going to get the knows you’re hoping for by having a fourth operation. If you want accurate assessments then you’ll need to do in person consultations. There is a saying all surgeons are familiar with that goes. The enemy of good is perfect. Its cases like yours are what that phrase typically comes from. I wish I could be more optimistic but your situation sounds complex and leading patients down the road of hope and encouragement after multiple previous failures is sometimes not a good idea. Be well, Mats Hagstrom, MD