10 Years Rhinoplasty Has Causes Breathing Difficulties- What To Do?

There are several possibilities as to why you are hanging breathing problems. One of the most common is turbinate hypertrophy. An internal nasal exam will tell if this is the problem. Treatments are both surgical and non surgical

At this point, it may be best to consult a reputable ENT-specialist to determine the cause of your nasal obstruction 10 years after Rhinoplasty Surgery. Once the cause of your obstruction is recognized, recommendations could be made to help you.

Dr. Joseph

Thanks for your question.

The best way to determine the cause of your breathing difficulty is to have a consultation with a board certified plastic surgeon with passion for revision rhinoplasty procedures.

Preferably ou should consult with someone who is trained in Otolaryngology and plastic surgery. This would allow you get a good opinion by someone who has extra training in aesthetics as well as function of your nose.

The most common causes of breathing difficulty after rhinoplasty include;

1. nasal valve collapse (internal or external)

2. Septal deviation

3. turbinate hypertrophy

The previous surgery could have caused these problem or could have unmasked them.

The good news is that they are all correctable. After accurate diagnosis, a variety of manuevers and techniques can be used to correct the breathing difficulty.

Best wishes,

Dr. Sajjadian

Breathing problems with the nose have multiple potential causes, many which may not be related to your prior rhinoplasty. Without more information, it's difficult to provide a more specific answer. The nasal saline spray or neti pot is a good first step to help open up the nose. You will need a comprehensive evaluation by a specialist that may include a CT scan, skin allergy testing, or nasal endoscopy, in addition to a physical examination. Revision rhinoplasty or nasal surgery may or may not be the right choice for you. Only after such an evaluation can a specialist help determine appropriate options for you. Best of luck.

Dr. Chaboki

 

You should have your nose examine by a revision rhinoplasty specialist to see what can be done about your nasal symptoms. Many of your symptoms could be due to side effects from your prior surgery if care wasn't taken to maintain adequate structural support of your nose.

There are many functional issues that could be wrong with your nose. An examination would help pinpoint what options you have to treat them. This would include possible revision surgery or nasal medications.

There are multiple reasons as to why a nasal obstruction occurs.  This can be a combination of a deviated nasal septum, turbinate hypertrophy, valve collapse, and vestibular stenosis.  These may or may not be the result of accidents, injury, trauma, or previous rhinoplasty surgery.  An experienced rhinoplastic surgeon will be able determine the cause of nasal congestion.  Make sure any allergies are well controlled.  Any functional breathing issues are usually submitted to the patient’s medical insurance for coverage, while any cosmetic surgery is paid for by the patient.

Rhinoplasty should balance form as well as function. A nose that looks good but doesn't breathe well is not acceptable. Sometimes rhinoplasty maneuvers can decrease breathing if proper attention to the airway wasn't taken. However, you describe nasal allergies, and no surgery can do away with allergies. First stop for you is a board certified otolaryngologist (ENT); many facial plastic surgeons have this board in addition to their boards in facial plastic surgery. You need a thorough evaluation of your airway and sinuses to see what the inside problem could be. It could be sinus disease, polyps, an empty nose syndrome, a deviated septum, a septal perforation, just plain allergy, etc. Also it could be a valve problem that will require grafting. Most insurance companies recognize airway problems as medical in nature and not cosmetic. If you are tanning to the extent you get sunburn, you are probably not using enough sun block and could be a set up for skin cancer. You may also need to see a dermatologist.

Your description hints at multiple problems. Some of these may be able to be managed medically and some may require further surgery. You need to see someone who can do a complete evaluation of your nose and sinuses and come up with a comprehensive plan for your "nasal rehabilitation".

See an Ear nose and throat physician. They can work up your breathing problems and the reason, Once you know the reason then you can discuss the appropriate treatment.

You need to see a board certified revision rhinoplasty specialist or facial plastic surgeon with a strong command of the underlying nasal anatomy for a proper evaluation.   Any underlying anatomical or structural components that are contributing to your difficulty with nasal airway breathing needs to be addressed and corrected to help you breathe through your nose.