Breathing has worsened overtime on my right side. Deviated septum? (photo)

Hi, the panorex is a great tomogram for the dental arch, but it is very poor for seeing/evaulating the inner workings of the nose. I would recommend seeing an ENT or ENT/plastic surgeon in the area to have him look inside your nose and evaluate you for treatment/correction of any breathing difficulties you have. Please keep in mind- you don't ask a barber if you need a haircut. Pick you doctor based off the volume/ types of procedures and treatments that he offers. An ENT office that offers allergy and non medical ways of treating turbinates/septums as well as surgery is much more likely to offer you comprehensive approaches to your problems. If you go to someone that only does surgery- they will offer you surgery. If you go to an office than only gives medicine or allergy shots you will never be offered surgery. OPS

Hello and thank you for your question. Breathing can be likely corrected with a well done septoplasty and rhinoplasty. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

A Panorex x-ray like you've shown in the photograph is inadequate in order to make a determination about what's going on on the inside of your nose. Those x-rays are performed for your teeth, not your nose. A thorough in-person examination is going to be required to make a determination for medical necessity regarding your nasal obstruction, which could include a deviated septum, turbinate hypertrophy, and valve collapse.