Why Did My Nose Become Crooked Three Months After Surgery?
At 19 years old, I underwent a septorhinoplasty six months ago to correct a fractured nose and enhance my breathing, alongside some cosmetic refinements. Initially, I was thrilled with the results; during the second day after the cast removal, approximately two weeks post-surgery, my nose appeared flawlessly straight. I genuinely believed that this was the final outcome, and I was satisfied with its appearance. However, around the two to three-month mark, I started to notice a shift. The midsection began to deviate to one side, just beneath the bridge, while the bridge remained aligned. The midvault area started pushing outward, creating an asymmetry in the centerline. Additionally, the area on that side feels firmer, while the slope appears broader in contrast to the opposite side, accompanied by significant difficulty breathing from that nostril. I have a comparison of images: one taken roughly three months post-surgery, and another from day twelve after removing the casts, illustrating the shift. Now, at six months post-op, the appearance seems unchanged from that three-month snapshot, showing no advancement in its condition. To be frank, I wasn't diligent with the aftercare, which likely contributed to the situation. Nonetheless, I am aware that factors such as cartilage memory and the formation of scar tissue can lead to alterations, even with proper post-operative care. Hence, I have a few questions: 1. What might explain this transformation from initial straightness to a crooked appearance after two to three months? 2. What structural issues could underlie this change? Is it likely linked to scar tissue, cartilage repositioning, valve dysfunction, or something entirely different? 3. Has anyone experienced a similar situation, and did your nose continue to evolve beyond the third month, or did it stabilize? 4. For those who opted against revision surgery, did any remedies (like sprays, rinses, steroid injections, fillers, etc.) offer relief or improvement? Ultimately, I’m eager to understand the potential causes of my nose's current state and explore any non-surgical options that might help without resorting to a revision procedure.
Answers (1)
9/9/2025, 9:20:48 PM
OpenHealth AI
I'm sorry to hear about your concerns regarding your nose after your surgery. It’s understandably distressing to see changes from what you were initially pleased with. Let’s break down your questions and look at what might be happening and possible steps you can take.
Main Points:
- Potential Causes of Nose Asymmetry: This may relate to normal healing processes, changes in cartilage, scar tissue formation, or possibly even breathing mechanics due to valve issues.
- Structural Changes: Problems like cartilage memory, scar tissue, or nasal valve dysfunction can lead to shifting even months after surgery.
- Healing Timeline: Many patients experience changes in the nose for up to a year after surgery due to ongoing healing.
- Non-Surgical Remedies: While non-surgical interventions may not completely resolve the issue, they could help with symptom relief or minor adjustments.
Explanation:
After septorhinoplasty, it’s typical for the nose to change as it heals. Initially, swelling and bruising can disguise asymmetry. As swelling decreases, more subtle irregularities may become visible. The symptoms you're describing, such as the firm feel and breathing difficulties, suggest possible complications related to scar tissue or cartilage re-positioning.
- Scar Tissue: This can develop quickly and might affect the shape of the nose.
- Cartilage Repositioning: The cartilage can change shape due to ‘memory’ from its pre-surgical state.
- Nasal Valve Dysfunction: If the structure that helps control airflow is compromised, it might affect breathing and contribute to asymmetry.
Next Steps:
- Monitor Symptoms: Take notes on any changes, especially regarding your breathing difficulties. Documenting this may be useful if you pursue further advice later.
- Nasal Hygiene: Consider saline sprays or rinses. These can help keep nasal passages clear and may assist with any swelling or discomfort.
- Consultation on Non-Surgical Options: Discuss potential treatments with a specialist, such as:
- Steroid Injections: These can help reduce inflammation and scar tissue.
- Fillers: In some cases, fillers can provide minor cosmetic adjustments without surgery.
- Time and Patience: Understand that healing can take up to a year. Changes may still occur, and it’s essential to stay patient.
If you find that these approaches don’t yield improvements, or if your breathing issues persist, follow up with a qualified healthcare provider for tailored advice and options, including a possibility of revision surgery.
Always keep in mind that open communication with your surgeon or healthcare provider about your concerns can lead to the best course of action for your individual situation.
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