Saddle nose deformity - can this be improved with a functional revision? (Photo)

Question

Hello I had functional septorhinoplasty in March of 2022. It didn't go well unfortunately. The doctor inserted spreader grafts for internal valve collapse, reduced my turbinates, straightened my septum and did a caudal strut graft. My septum has moved back to its original position, my breathing is worse . It's just a horror show. I'm having a functional revision and hopefully it will look better. What went wrong? I've enclosed a before picture. Thanks

Lexie Wang, MD · Answer

Hi! I'm sorry that you feel this way. I don't see a saddle nose deformity, although to answer your question, that is something that can be corrected with a functional revision as saddle noses are caused by lack of cartilaginous support of the septum so putting that back would be a functional revision as long as your surgeon dictates the operative note correctly. The main thing that I can see from these photos is that you may have built up excess scar tissue in the region of the middle vault and/or something happened to the spreader grafts (maybe too wide?). At the end of the day, you surgeon will be able to find out when s/he opens you up what is going on. Good luck

Saddle nose deformity - can this be improved with a functional revision? (Photo)

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