Septum deviation; the doctor gave me Nasonex, and a wash; it made no difference. What possible reason can it be?

Thank you very much for sharing your concerns about your Rhinoplasty with us.After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.Respectfully,Dr. Emmanuel Mallol Cotes.-

Thank you for your question and I am sorry to hear of your resumption of functional airway obstruction.  Unfortunately without being able to perform a speculum examination to assess your septum it is difficult to offer you definite advice.  Depending on the procedure performed, it would be strange after surgery to have a return of breathing problems from failure.  It seems your surgeon feels it is more allergy induced obstruction than a physical obstruction.  Maintain close follow up with your surgeon to assess what, if any, improvement can be had, or seek a second opinion from another ASPS board certified plastic surgeon.