Still can't breathe right 3 months post rhinoplasty

Question

Basically i had a rhinoplasty 3 months ago, and now most days i find it hard to breathe through my nose, it feels stuffy. Sometimes it even wakes me up or keeps me from falling asleep. I have scheduled an appointment with my doctor but what can i do in the meantime to breathe better?

Frank P. Fechner, MD · Answer

Nasal obstruction is a complex phenomenon which means that there is no therapy that can be prescribed over the internet; one can only speculate.You may have still mild swelling of the inner nasal lining. Or there maybe dryness. Or you may have some collapse of what the so-called the nasal valve. Allergies may contribute to your condition.An accurate diagnosis relies on thorough examination. Your rhinoplasty surgeon is best positioned to determine the origin of your issues.

Tanveer Janjua, MD · Answer

A nasal Obstruction that happens after rhinoplasty is usually from edema (swelling)And should resolve on its own over a period of 3 weeks.  If it has not resolved then there can be a concern about shifting of the nasal septum or other nasal cartilages that have narrowed the nasal valve.  While you're waiting for corrective surgery or evaluation you can use a following to improve the breathing.1.  Afrin nasal spray not to be used more than 3 days in a row.  It can become habit forming and can affect the nasal lining in a negative way.2.  Saline nasal spray which is over-the-counter and is excellent for the nose and sinuses.3.  Breathe Right strips to help open any deficiency in the nasal valve area.RegardsDr. J

Alexander Ovchinsky, MD · Answer

Sorry to hear about your troubles. whats important is that you did the right thing scheduling an evaluation with your surgeon. The causes of postoperative nasal obstruction are numerous, and their treatments vary, therefore it is very important to determine the root of the problem first before initiating the treatment. Meanwhile, you can use some Saline nasal spray which may help to some extent. If the symptoms are very bothersome and interfere with sleep, you may use a nasal decongestant spray before you go to bed, but not longer than for 1 week.

Michael T. Somenek, MD · Answer

Nasal obstruction after rhinoplasty can be multifactorial. One reason is
 that you may have allergy that is causing swelling of the nasal tissues
 and this is usually not related to any surgery performed on the nose. 
The other however could be secondary to weakening of the nasal structure
 from removing too much cartilage or not reinforcing your existing 
cartilage at the time of surgery. Either way you should see your 
rhinoplasty specialist to better determine the reason for your symptoms.
 Best of luck.

Timothy Minton, MD · Answer

I would definitely keep your follow-up appointment so that your surgeon can evaluate you.  In the meantime, you may consider over the counter treatments for nasal congestion such as decongestants, nasal saline, and OTC nasal steroids.  Good luck!

Still can't breathe right 3 months post rhinoplasty

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Still can't breathe right 3 months post rhinoplasty

Answers (6)

Answer: Nasal obstruction after rhinoplasty

Answer: Nasal obstruction after rhinoplasty

Answer: Can't breath after rhinoplasty

Answer: Can't breath after rhinoplasty

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Everything you need to know about Rhinoplasty

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