Q. Is it possible rhinoplasty could have made my breathing worse? I had a rhinoplasty approximately three months ago and I have much more trouble breathing now. Can you try to explain why?
A. Rhinoplasty or septorhinoplasty is an operation that either improves only the outside of the nose or both the inside and the outside of the nose. It is imperative that whoever does your surgery understands both the functional and cosmetic aspect of your operation.
Facial plastic surgeons are generally more experienced to accomplish this because of their training. There are plastic surgeons who understand both function and cosmetic aspects of the nose. When choosing a surgeon, it is imperative you ask them their background to make the right decision and to determine how many nose surgeries they do annually.
When an operation is done to improve the cosmetic part of your nose, the inside diameter will generally be made smaller. Because the inside diameter is made smaller, it is imperative that your doctor knows how to make more space by fixing your septum or reducing the size of your turbinates. These two things may be causing your problem. If your doctor reduced your tip significantly, you may have a valve collapse and that could be the cause of your breathing problem. You may still be swollen from the surgery. Wait another two to three months, and if you continue to have a breathing problem, get a second opinion.
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Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email questions to Cwolf@miamiplasticsurgery.com.