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

I had rhinoplasty 10 years ago. Still till today I can't breathe from it, air is real tight to get in through nose, have to sniff a lot to breathe, very unattractive. Sunburn bothers nose a lot, causes a lot of pain. Have to use a neti pot 2 times a day to open up. The tightness causes a lot of dryness inside nose. Has made allergies worse. When breathe normal, breathing is loud. Feel lack of oxygen intake. What can be done, revision, meaning more money out of my pocket possibly wasted.

Doctor Answers 12

Breathing difficulties years after rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

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

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 I have performed Rhinoplasty for over 20 years and from the history that you give, I wonder if allergies are the real issue with the decreased nasal breathing.  IMHO, you should have a complete exam and evaluation with an ENT surgeon looking at the nasal septum and inferior nasal turbinates.  Deflections of the nsasl septum can decrease nasal breathing as well as enlarged, swollen inferior turbinates.  You might also want to consult with an allergist for testing and treatment. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Difficulty breathing, tightness, loud breathing, status post rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon
4.3 out of 5 stars 15 reviews

Your nasal obstruction after prior Rhinoplasty Surgery may be improved, often without further surgery.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Breathing Difficulty after rhinoplasty- how to fix it.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Difficulty breathing

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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".

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Breathing Difficulty after Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Trouble breathing after rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You need to be evaluated by a board certified plastic surgeon with a lot of revision rhinoplasty experience.  It sounds as though you have either chronic obstruction (relatively easy to correct) or "empty nose syndrome" which is a much more difficult problem.  In either case you should get a few opinions.

Difficulty breathing

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Samir Shureih, MD
Baltimore Plastic Surgeon

Difficulty Breathing after Rhinoplasty -- A Big Problem

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 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.