Breathing problems and nose dimples after primary septorhinoplasty - nasal valve issues? (Photo)

Question

I'm am approx 2 years post septorhinoplasty, and the middle region of my nose seems to collapse inward, making it difficult to breathe. If I push these areas out and hold them there, I can breathe a lot better. My surgeon has stated that my septum has redeviated to my left and that he can straighten it, but he does not believe that I have breathing issues on both sides. To me, it feels like there is insufficient side support. Does this look like valve collapse (both sides) or other?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs and description, there is likely external and internal valve collapse in addition to a deviated septum. This can be addressed with Re-tensioning the tip, alar batten grafts, spreader grafts, septoplasty, and other maneuvers during a revision. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

If there is nasal obstruction and creases in the area of the tip that get worse with breathing in, this can be indicative of external nasal valve narrowing. It sounds like you might benefit from a consultation from a rhinoplasty specialist who is comfortable dealing with functional nasal issues. Thank you for your question and I wish you well moving forward. Sincerely, Dr Joseph

Samuel Lin, MD, FACS · Answer

Thank you for your question. Breathing function with or without prior surgery can involve aspects of the nose on the inside and outside.  It will be important to have your rhinoplasty surgeon examine the inside of the nose for any potential cause of obstruction as well as the outside 'visible' portion of the nose as well to determine a plan..

Breathing problems and nose dimples after primary septorhinoplasty - nasal valve issues? (Photo)

Answers (3)

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