Right Nostril Blocked Years After Rhinoplasty?

Question

I had a rhino/septoplasty 3 years ago, and after the splints/packing were removed, I used the saline spray regularly for a few months, and after that I just gave it some time. The ENT doc did a great job, but my nose ended up with a slight "S" shape eventually. My left nostril is always fine, but my right one I can literally BARELY breathe through, ever. Is it possible/likely my septum is deviated again after everything settled from the rhinoplasty? Tried steroidal spray, no help.

Toby Mayer, MD · Answer

Revision rhinoplasty for nasal obstruction recurrence. It sounds like this is the situation. You need to see a very experienced revision rhinoplasty surgeon.

Paul S. Howard, MD · Answer

It is not uncommon to have a partial nasal obstruction after a complex septoplasty. This is especially true if cartilage grafts, such as spreader grafts, were used. No nasal sprays will benefit an anatomical obstruction. A good nasal exam will usually define the cause of the obstruction. A revision septorhinoplasty will probably be necessary to once again to straighten the septum and the "S" shape of the external nose. After 3 years there is no reason to think the obstruction will improve. Returning to your previous surgeon is a good option. If you have lost confidence in him, I'm sure there is another experienced Plastic Surgeon in your area who does secondary nasal work.

Right Nostril Blocked Years After Rhinoplasty?

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Right Nostril Blocked Years After Rhinoplasty?

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Everything you need to know about Rhinoplasty

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