Could my breathing issues be due to collapsed nostrils? 6 months post op (photos)

Hello! Thank you for your question.
As far as I can see from your photos this is a collapse and you should definitely have a revision operation, but first you need to have a detailed intranasal examination, it will be much easier to create a plan for you. The most important detail you should pay attention to before surgery is that your doctor is an expert in the field of ENT, which will prevent breathing problems you may experience in the future.
It would be better face to face consultation.
Best Regards!

I would recommend a complete revision with rib autograft (self) or rib allograft (deceased donor). I would recommend finding a board certified (American Board of Plastic Surgery) plastic surgeon with experience in rhinoplasty. This is a complex problem to fix and it will require a very dedicated and well-trained surgeon to fix.

Hello and thank you for your question. You should be careful evaluated in person for a full breathing evaluation. There are likely many things that can be done to improve your breathing. 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

It’s possible you have enlarged turbinates which would be obvious in exam and us easy to treat with steroid injections. Get an opinion from an ear nose throat doctor

When there is significant collapse of the nostril margin with inspiration, that could be from external nasal valve weakness. In general, this is repaired with a lateral crural extension graft. If you feel like you are not receiving an adequate response from your surgeon, please consider getting a copy of your operative report, along with your preoperative photos, and consult with another reputable rhinoplasty specialist. Thank you for your question and I hope that this helps. Sincerely, Dr Joseph