What Should I Do About Nasal Obstruction After Rhinoplasty?

Nasal obstruction is a common but still frustrating post-operative complication of rhinoplasty surgery, and it can lead to complications, like chronic congestion and sinus issues.

Below, double board-certified plastic and reconstructive surgeon Dr. Jaimie DeRosa will discuss the various causes of nasal obstruction and outline some treatment options available to patients in Boston. We'll also provide advice on when to seek a revision rhinoplasty if these problems continue to persist. Call The DeRosa Center to schedule a consultation with a trusted facial plastic surgeon today.

What causes nasal obstruction?

Rhinoplasty surgery is designed to improve functional and cosmetic issues with the nose. The goal is to create a nose that looks pleasing and proportional but still allows for normal airflow.

It's normal for patients to have some breathing problems after having their noses surgically altered. Most cases of nasal obstruction are caused by swelling and inflammation, an expected side effect of rhinoplasty surgery. Often this issue can be resolved with prescription medications and a simple saline rinse. While the initial recovery period is two weeks, patients should expect residual swelling for at least several months. It takes a year to fully recover from nose surgery.

Sometimes, even after the inflammation has resolved, a patient may still face some degree of obstruction. You may have an anatomical deformity that was present before surgery or one that was created during the procedure itself. In these cases, consult an experienced facial plastic surgeon, like Dr. DeRosa, to discuss your options.

Can a revision rhinoplasty help?

Revision nasal surgery is effective for patients with ongoing issues with breathing post-operatively. During a consultation or follow-up appointment in Boston, Dr. DeRosa will reevaluate your nose and check for any anatomical irregularities. We may recommend a revision rhinoplasty to open or improve the nasal passage and help you breathe easier.

What should you expect during a revision rhinoplasty?

Revision surgery is more extensive and requires additional time and planning before patients go under the knife. Dr. DeRosa can suggest certain techniques if we believe they will benefit your case. For instance, an open rhinoplasty allows for better visibility, while a closed technique is common in less drastic repairs. Our team may use a cartilage or bone graft to help with reconstruction. Either way, our team will keep you fully informed during the process.

What can you expect after revision rhinoplasty?

Patients should prepare for longer recovery periods compared to their initial nasal surgery. Revision rhinoplasty is a major procedure, and it's important to understand that patients may have unexpected outcomes. Dr. DeRosa will do her best to prepare you for a safe and comfortable experience.

It also takes a little time before we can determine if your secondary surgery has been successful; these issues may not resolve immediately. We recommend regular follow-up appointments to evaluate your nose and make sure that your breathing issues are finally resolved.

Treat nasal obstructions with revision rhinoplasty

Do you have a nasal obstruction after rhinoplasty surgery? Do you find it difficult to breathe during daily activities? You may be a candidate for revision nasal surgery with a facial plastic surgeon. Contact us at The DeRosa Center to discuss your options. Dr. Jaimie DeRosa will provide a consultation and discuss if revision surgery would benefit your specific case in Boston. Our goal is to help you achieve the best possible outcomes.