How Long After a Rhinoplasty Should I Have a Turbinate Reduction?

I'm 7 month out from my rhinoplasty surgery and I have had the WORST time breathing/smelling. I've been told by 4 different ENTs that I have an enlarged turbinate on my right side. One specifically said the turbinate is taking up the whole cavity and another mentioned, "I can do the surgery now or you can wait." I said I'd wait, but what I want to know, how long should I really wait until I go the surgery route? I have taken flonase for a few months and then switched to nasonex. No change.

Doctor Answers 7

Turbinate reduction

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I am suprised that this was not done with the rhinoplasty.  You can have it anytime.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Turbinate reduction request

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Since you are only 7 months from surgery, you may have some swelling secondary to surgery even at 7 months. You may want to wait a full year and then be re-evalauted.  More than likely they will need to be treated from what you described.

Turbinectomy after a rhinoplasty for airway problems

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Most of the time a turbinectomy can be done at the same time as you have a rhinoplasty or septoplasty.   Functionally the turbinates act as radiators and humidify the air you breathe.  If you are having difficulties breathing and are having a foul smell you should be examined by an ENT and follow his prescribed treatment plan.  

Turbinate Reduction after Rhinoplasty

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If necessary, I always do a turbinate reduction as part of rhinoplasty surgery. If that is all you need the turbinate surgery can be done at any time.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Turbinate reduction after rhinoplasty

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Enlarged turbinates can restrict the airflow, but are not caused by rhinoplasty. However, enlarged turbinates may have caused your breathing issues before your procedure. Turbinate reduction can help, though there are other causes of breathing problems after rhinoplasty. Your surgeon should be certain to eliminate them before a second procedure. Wait until the diagnosis is confirmed.

Turbinate reduction with rhinoplasty

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Dear sushisushi,

  1. A turbinate reduction can be done whenever you are ready
  2. It is a pretty basic procedure with minimal downtime, discomfort, and no bruising
  3. Alternatively, you can try a nasal spray like Flonase or Nasonex for temporary relief

Best regards,

NIma Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

Turbinate Reduction After Rhinoplasty

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It's too bad you did not have the turbinate reduction at the same time as your Rhinoplasty.  Consult with a Board Certified Plastic Surgeon to discuss your options.

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