Seeking advice on persistent swelling 8 months post-op: septoplasty (Pohto)

Question

Hi RealSelf Community, 8 months ago I underwent ablation of the inferior turbinate, septoplasty, and repair for nasal stenosis. I'm concerned about the persistent swelling in my nose. My nose looks wider than before, which my surgeon initially assured me would not be a result of the procedures. I'm including pre and post op pictures to give a better idea of the changes. Should swelling last this long? Any way to reduce swelling? The nasal valve collapse has not done anything, what to do?

Eric M. Joseph, MD · Answer

Generally, repair of nasal stenosis involves cartilage grafting of the internal nasal valves or external nasal valves. Depending on how these grafts were placed, a slightly wider nasal appearance may ensue. If you're breathing is better after the surgery, it may be prudent to leave them alone since the difference appears to be mild. You may benefit from procuring a copy of your operative report and re-asking your question. Wishing you well. Sincerely, Dr Joseph

Mats Hagstrom, MD (license on probation) · Answer

At eight months, you no longer have swelling but you are now looking at the outcome of the procedure. While I appreciate you, including before and after pictures for this type of work, it’s very important to have pictures have consistency. Your after picture was taken at a closer distance, making things look wider. Try getting formal copies of your before and after pictures taken by your provider and use those for reference. How was the nasal collapse treated. Often that’s done by adding spreader grafts. 
As time progresses, there is no longer issues with swelling and you’re not looking at the results whether you’re happy with them or not. Rhinoplasty surgery is complex stuff and provider selection is very important. certain procedures are inherently more difficult than others. Internal valvular collapse can be a challenging condition to treat.
To get a proper second opinion consultation I suggest getting copies of your before and after pictures and your operative report and schedule those in person, consultations with other plastic surgeons who have extensive rhinoplasty backgrounds.
Without having access to a complete set of information, including an intra nasal examination, no one can give you a quality assessment.
Best,
Mats Hagstrom, MD

Seeking advice on persistent swelling 8 months post-op: septoplasty (Pohto)

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Seeking advice on persistent swelling 8 months post-op: septoplasty (Pohto)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.