Do I need a revision? (Photo)

Question

I got a rhinoplasty 7 months ago and I believe I may have an internal valve collapse or mid valve collapse. When I lie down on my side with the collapsed side towards the ceiling, it is harder to breathe through the collapsed nostril. Like the weight of the skin collapses even more. My doctor said it’s not functional, and he plans to put filler in this week. Is this correct? My breathing isn’t the best but it’s not the worst. Just a little bothersome. Not sure if that is swelling or collapse.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an indentation along the side wall of your nose, and fillers may be considered for improving upon this. I do agree with you that the nasal sidewall is the area of your internal nasal valve, and injectable fillers would not improve your Airway. If your surgeon is unable to determine the cause of your nasal obstruction, please consider meeting with another reputable rhinoplasty specialist. If you do that, it may be best for you to bring a copy of your operative report along with your before and after photos. Wishing you well moving forward. Sincerely, Dr Joseph

William Portuese, MD · Answer

Much more information is needed, such as an internal examination of your nose to make sure there's not other issues besides internal valve collapse, that may be causing nasal obstruction. These could also include a deviated septum, turbinate hypertrophy, and allergies. It's also best to try and fail medical management first. Also important to have a copy of the operative report to find out what was accomplished in the first procedure. If you decide to undergo a revision rhinoplasty, it's very important to know how much cartilage is left over on the inside of your nose after the first procedure. At a minimum, it looks like you probably need a spreader graft on your right side where your nose is collapsing

Do I need a revision? (Photo)

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Do I need a revision? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.