Is Purely Functional Revision Rhinoplasty Possible?

Question

I had my primary rhinoplasty roughly 14 months ago..I want a revision but I don’t want to address the aesthetic issues. I was left with a deviated septum that is so deviated you can see it, and nasal valve collapse on one side. I just want those two things fixed so I can breathe better. I know that will change the looks, which is fine. I just don’t want to take any risks to fix purely aesthetic issues. Is that possible to only address functionality? Is it safer too?

Lexie Wang, MD · Answer

You can absolutely get a revision rhinoplasty for only functional reasons. In fact, this is pretty common as historically, rhinoplasties to make the nose "smaller" often tend to then worsen nasal breathing and cause collapse, so very commonly a revision has to be done to help improve breathing.

Eric M. Joseph, MD · Answer

If you are experiencing nasal valvular collapse, Revision rhinoplasty for a functional Improvement is certainly possible depending on your examination. When there is internal nasal valvular collapse, we typically use cartilage spreader grafts. When there is external nasal valvular collapse, we typically use Lateral crural strut grafts. When well performed, this may not change the appearance of your nose though some slight widening may ensue. Please consider Consulting with several reputable rhinoplasty specialist so you can see what might be best for you moving forward. Sincerely, Dr Joseph

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