10 years post op. breathing issues, scar tissue, and deviation - Should I consider revision or am I risking asymmetry? (photos)

Question

40, female. Had my first rhino 10 yrs ago. Developed scar tissue on the lower left cartilage. I also have breathing issues + deviated septum now. Considering a septo and minor revision to tip. Is it worth doing the cosmetic part? Will I see any improvement, or am I just risking more asymmetry? Can this be achieved via a closed approach? Will swelling be more manageable bc no bones will be broken?

William Portuese, MD · Answer

From the photographs presented, your nose looks very natural so be very careful about undergoing another cosmetic procedure on your nose. We perform all septoplasty, primary and revision rhinoplasty procedures with the closed rhinoplasty approach with all the incisions placed on the inside of the nose.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! There are definitely pros and cons of performing a revision rhinoplasty. If breathing is bothersome, that's often a great reason. You don't necessarily need to perform any cosmetic changes. If tip work is required, it could potentially be done through a closed approach. But, I find opening the nose allows for more precise changes to be created. There's always a risk of creating an asymmetry though the risk is low with careful work. Swelling will be more limited the less that is performed. Hope this helps!

10 years post op. breathing issues, scar tissue, and deviation - Should I consider revision or am I risking asymmetry? (photos)

Answers (2)

More Revision Rhinoplasty Questions

Nose still long 6 months post op. How difficult is it to reduce the length? (photo)

How long after rhinoplasty with rib graft can necrosis develop on the tip of the nose? Do chances of necrosis lessen over time?

Is there a minor thing that can be done to fix the dent and move the columella up?

Hate side profile after rhinoplasty - is revision surgery the only way forward? (Photos)

WE SEND PRETTY
EMAILS