Deviated septum 6mm. How should this be treated? (photos)

Question

Had a rhinoplasty many years ago & had escalating breathing issues. Ct scan shows 6mm deviation touching the left inferior turbinate. I’ve already seen an ent & have a follow up with a surgeon. it is my assumption that I also have nasal valve collapse. I know insurance covers septoplasty but it’s the nostrils I can’t breath out when they collapse. How would this be fixed,and will my nose change in appearance? Am I right in assuming my nostrils won’t look concaved anymore after it’s fixed...

Bradford A. Bader, MD · Answer

Correctly identifying the cause of your breathing trouble is the critical issue. A revision surgery can then be planned that will address the functional issues and your cosmetic concerns. Insurance will typically cover nasal surgery aimed at improving breathing. Please see a very experienced revision rhinoplasty surgeon as there is nothing simple about these cases. Best of luck.

William Portuese, MD · Answer

There are many issues on the inside of the nose that can cause breathing problems such as deviated septum, turbinate hypertrophy, valve collapse, allergies, chronic sinusitis, and collapsing nostrils. Each one of these issues are treated differently with medications or surgery. A thorough internal and external examination of the nose is required to make a determination about how to proceed. Also important to try and fail medical management first, before undergoing surgical intervention. A septoplasty is performed when there is symptomatic nasal obstruction, or headaches from the deviated septum itself and medical necessity has been documented. Preauthorization with your medical insurance will also be required. For more information, please see the link and the video below

Michael Elam, MD (retired) · Answer

Dear disneymommy, An in office consultation and intra-nasal examination will provide a diagnosis and then a surgical plan can be arranged to correct both your aesthetic and functional concerns. Insurance generally covers procedures that are associated with breathing difficulties and aesthetic procedures are not covered by insurance. Seek some consultations with experts in the field who can address all of your concerns. See examples in the septorhinoplasty link below. Best regards, Michael V. Elam, M.D.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,An experinced Facial Plastic Surgeon should be able to address the deviated septum and fix any nasal valve collaspe using cartilage grafts. This revision can be challanging so choose your surgeon wisely. If you have functional issues such as nasal obstruction, your insurance may cover some of the cost.Best,Dr.S.

Deviated septum 6mm. How should this be treated? (photos)

Answers (4)

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