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Without knowing exactly what was done, it is hard to assess what falls within the realm of normal and abnormal. That being said, anytime you have to do a revision, particularly in the nose, the healing time will be prolonged over the first surgery. This has to do with build of scar tissue, impaired lymphatic drainage and continuous strain on the recovering nose as it is constantly getting pulled by the muscles of expression. I would make an appointment with your operating surgeon, have him take a look as they will be able to tell you what is to be expected and what isn't based on your procedure. He will look for excess scar tissue, etc. Best of luck!
It is unusual to have swelling in the nasal tip from her revision septoplasty. She generally heal well within 3 weeks' time.RegardsDr. J
Not all septoplasties are the same. Factors that affect healing after a septoplasty include 1) amount of surgical dissection required to correct the deformity, 2) surgical approach - internal or external incisions, 3) your body's own ability to heal. A septoplasty alone requires less healing than a septoplasty plus rhinoplasty. In closed septoplasty the majority of swelling should resolve in the first 2 weeks. Typically patients have significant breathing improvements after the internal splints are removed at 1 week and breathing continues to improve. Revision septoplasties take longer to heal (on average, double the time it's takes a primary septoplasty to heal). You need further work up of your external and internal nose to make sure that there is not another anatomical concerns (example: valve collapse, large turbinates) or disease process (example: polyps, allergies). If these conditions are present you may require a rhinoplasty, sinus surgery, allergy treatment. Often times after surgery patients have crusting inside nose and requires nasal irrigations to clean. Typically the tip does not swell after a closed septoplasty (internal incisions only) alone, so you will need to be examined by your surgeon. I wish you the best. Farhad Ardeshirpour, MDDirector & Asst ProfessorFacial Plastic & Reconstructive Surgery
I would have the nasal surgery done after the jaw surgery. Because the LeFort I surgery involves the midface, the structures of the nose can be effected by the surgery. We often do nasal surgery on patients who have had orthographic surgery in the past. If you have the nasal surgery first, you...
It is very unusual that a medical insurance policy does not cover the cost of a septoplasty to improve nasal function up to the limits of coverage for that particular operation especially when the patient has a history of previous documented trauma. Your surgeon can document the physical...
A septoplasty is only performed when there is a significant deviation of the nasal septum from an injury or from congenital purposes. Medical necessity must be documented at the time of a thorough internal and external examination of the nose to document it. The degree of deviation must be s...
