What treatment would you recommend for chronic nasal crust & bleeding?

Bleeding and crusting in your nose following surgery can be a sign of chronic inflammation in your nose. It could be from a septal deviation still present, a septal perforation, or from chronic inflammation with allergies. Sometimes the bone of your turbinate might be exposed. I would have an ENT or a facial plastic surgeon take a look. In the mean time, regular nasal saline and Vaseline inside your nose will be helpful. Good luck. 

You are very far out from your rhinoplasties and this sounds like it is really affecting you. This sounds like you need to seek out an Ear, Nose, and Throat specialist to examine your nose internally to figure out exactly what is causing these problems.  It may be as simple as excessive dryness that can cause frequent crusting and bleeding and is treated with saline nasal spray/gel/etc. 

Dear GGM1968,

Thank you for submitting your clinical concerns and
problems. The two previous rhinoplasties
undoubtedly have some anatomic and functional correlation to your current symptomatology. Assuming that you are not performing any sort
of endonasal abusive behaviour, such as cocaine or repeated use of nasal
sprays, then my advice would be to seek the opinion of a well-trained
ear/nose/throat otolaryngologist with the experience in complex nasal airway
concerns. In Toronto, one such
specialist would be Dr. Ian Witterick at Mount Sinai Hospital, who is
excellent, well-trained and may be able to provide the consultative assistance
that you seek.

For more information, please review the link below and best of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto