Second revision rhinoplasty after ENS diagnosis

Question

Unfortunately during a revision rhinoplasty, the Doctor completely removed my Inferior turbinates and gave me ENS. My turbinates were fine before surgery, the very same Doctor took a video of my nose inside before surgery and advised me so, I never had breathing issues or hypertrophy. Can I have a second revision when I have ENS? My nose appearance is nothing like what was agreed upon - it’s far too small with a retracted, painful columella and a flat tip. Thank you

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about your experience with the revision rhinoplasty and the development of empty nose syndrome (ENS). ENS is a condition that can be challenging to treat, and it's essential to seek medical advice from a qualified specialist who has experience in managing this condition.

Regarding a second revision, it's possible to undergo surgery to address the cosmetic concerns you have described. However, the surgical approach may need to be tailored to accommodate the presence of ENS. The surgical technique will likely involve conservative modifications to the existing nasal framework to avoid exacerbating ENS symptoms.

Before undergoing any additional surgery, it's crucial to seek the advice of a board-certified plastic surgeon or facial plastic surgeon with experience in revision rhinoplasty and ENS management. They can assess your nasal structure and breathing function to determine the best course of action for your specific needs.

In addition to surgery, there are also non-surgical options that may provide relief from ENS symptoms. These can include saline nasal sprays, nasal moisturizers, and in some cases, surgical implantation of prosthetic turbinates.

It's essential to take a holistic approach to manage both the cosmetic and functional concerns associated with your rhinoplasty. With the right care and attention, it's possible to improve both your breathing and the appearance of your nose.

I hope this helps,
best of luck !

Second revision rhinoplasty after ENS diagnosis

Answers (1)

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