Is this a re-deviated septum? (photos)

Question

My 16 month old headbutted me last week. I just had a septoplasty in July of this year because my 2 year old headbutted me and I couldn't breathe well on the right side. Now I cannot breathe well on the right side again. Can you tell if this is a deviated septum. There is a reddish pink area that I think I see blocking the opening.

Philip J. Miller, MD, FACS · Answer

This needs an in-person evaluation. In your case, if you are not breathing well on one side after the incident, it is very likely you will need a revision. Revision rhinoplasty is an option to address these issues of concern.

When performing revision rhinoplasty or a secondary nose job, it may be necessary to employ an open rhinoplasty surgical technique which entails placing an incision across the columella (skin between the nostrils). This surgical technique allows for a facial plastic surgeon to have improved clarity. Subsequently, for my patients this allows me to better see and approach the problem.

The best piece of advice I can give you is to seek out a revision rhinoplasty specialist that is board certified in facial plastic surgery. A rhinoplasty done in the hands of an inexperienced surgeon takes longer and you may be able to speak better to this than most others, often leaving you with an undesirable result. Do your research and go on a few consultations. The more unified your vision is with your surgeon, the better your end result will be. I wish you the best on your journey toward fixing your nose.

Sincerely,
Philip J. Miller, MD, FACS Double Board-Certified Facial Plastic Surgeon

Is this a re-deviated septum? (photos)

Answers (1)