Posts by Jesse Sanchez90

Karen Cooper51 said:Hey Betty Edwards22, hope you don't mind me jumping in here—I actually have two quick questions for you! 🙂

I'm actually dealing with some pretty similar symptoms to what Chloe Gray5 described—and honestly, we’re even talking about the exact same sport! 😁

I’ve been struggling with shortness of breath lately, even when I'm just power walking instead of running. Now, unlike Chloe Gray5, my septum isn't exactly centered—it’s relatively mediocre—but I do have ridges on both sides, plus a history of a broken nose from a few years back. It feels like ever since that break, I've been dealing with much more frequent sinus infections. I'm wondering if I can actually link these recurring sinus issues back to that old nasal fracture, and if I can expect things to settle down and cause fewer problems after getting SP. Just asking generally, of course; I know you can't really give a definitive answer without getting a good look inside those lovely nasal cavities of mine! 😁

When it comes to rhinosinusitis—especially the chronic kind—it’s not always about a specific injury or trauma that kicks things off. That said, you can't ignore the fact that structural issues or anatomical irregularities definitely play a huge role in making everything so much more difficult to manage.
You really have to tackle these issues one by one and treat each problem separately. My advice would be to start with conservative management first—things like lifestyle changes or medication—and only look into surgery if those options just aren't cutting it. But, like you already noticed, the final call really depends on your overall health status and how the clinical treatment progresses for things like chronic nasal issues or sinus membrane inflammation.

wanderingstag9 said:Since Betty Edwards22 is totally ignoring me, does anyone know when osteotomies for nose narrowing aren't recommended?

Also, if anyone has had surgery done by Liviev Kalogjera, please reach out and share your experience—you can even shoot me a private message.

I'm not ignoring you! It's just that the question is way too broad to give a real answer.

Sinuses? Are you breathing through both nostrils equally?

Chloe Gray5 said:Thanks for getting back to me!

So, I guess I should probably get my checkups started now if I want to have my nose sorted out by this time next year! :P.

As for where to go—you really ought to look into that on an individual basis.

In your case, we're looking at an obstructive septal deformity caused by trauma, which carries a clear medical indication for correction. That said, everything will become much clearer once you've had a formal consultation.

I’m all for looking at this from different angles—it's always good to get a second opinion.
If we're truly dealing with keloid scarring, then it's basically just the body's way of overreacting to surgical trauma. We don't all heal the exact same way; some people have a much stronger reaction than others.

To’s a tough one for me to say for sure—your sister would probably be your best bet for getting the real scoop on that. Honestly, even your doctor should be able to pull up all the available appointment slots through the online scheduling system.

He runs his own medical clinic.

You really don't need to worry about that, and honestly, your fears are totally unfounded: the number of times you've had anesthesia doesn't change anything.

Anything is possible if you give it enough time. You just need to be patient and wait to see what the final outcome of this procedure looks like—it’ll take at least six months for the tissue to fully heal and settle back into place.

Hi everyone,
I’m honestly not sure why someone would consider appearance as a deciding factor for the number of procedures needed, though the total count definitely matters because of how much postoperative scarring and fibrosis you might deal with.

But from what I can gather about this case—it’s all still very recent following the surgery.
Determining the exact course of action really comes down to the surgeon's judgment and a thorough clinical evaluation. Generally speaking, osteotomies are indicated if the spinal pyramid shows scoliotic tendencies; however, for kyphosis specifically, a kyphectomy is often sufficient if the issue lies within the cartilaginous portion, or perhaps some minimal paramedial osteotomies if we're looking at the bony pyramid.

You’ve hit the nail on the head with your conclusion—based strictly on what's been written, the current condition of your nose doesn't necessarily scream "surgery is required." That said, things really need to be evaluated in person during an actual exam. Nowadays, X-rays are pretty limited when it comes to evaluating paranasal sinuses and are being used less and less; a CT scan is far more informative here.

To play devil's advocate regarding your point
From a layman's perspective, corticosteroid sprays are actually fantastic tools—when prescribed for intranasal use, they have very minimal systemic absorption.
Your issue isn't something that can be solved through surgery right now, but rather through long-term (with occasional breaks) intranasal therapy.

But of course, the first step is determining just how clinically significant that septal deviation actually is.

These are all just different ways of looking at the situation, but without a formal physical exam, it's tough to make any definitive decisions.

Ryan Ruiz7 said:Hey everyone. I've been bouncing between hospitals—Rockefeller, Mount Sinai, and so on—since June because of some serious breathing issues. The diagnosis came back as allergic rhinitis paired with allergic asthma. I finally saw an ENT, and they sent me for a CT scan of my paranasal sinuses. The imaging shows polypoid mucosal thickening in the right maxillary sinus reaching up to 1 cm near the roof, and about 0.8 cm at the base of the left one. There’s also hypoplasia of the right frontal sinus, though transparency in both remains intact. My doctor is putting me on Avamys—a corticosteroid therapy I’ve actually used before, but it just hasn't done the trick this time. Breathing is a struggle, and since I'm an active person, this really hits hard; my sleep is a total disaster and I feel completely wiped out during the day. I've been dealing with these issues for over 15 years now. I'm pretty sure this mucosal thickening and those nasal polyps are primarily triggered by allergens—pine, dust, ragweed, and even certain grasses. My body reacts with asthma while my nose stays constantly congested. For me, these allergens basically feel like toxic gas. I've been dragging this problem along for a very long time, but I finally understand what's going on, and I believe I can turn things around starting with nasal surgery. I know exactly what triggers me, I have my allergy season meds ready, and I know what to avoid, but I’d really like to move forward with surgery because, honestly, it's become my biggest hurdle and I can't live like this. Does anyone have recommendations for surgeons, or any experiences regarding the different methods used? THANKS!

What you're describing is located specifically within the maxillary sinuses, which shouldn't be the primary cause of your breathing difficulties. There are several other factors we should look at here:
1. The current state of your nasal septum,
2. Since you're allergic to dust—which is essentially everywhere—how long have you been using Avamys on a continuous basis?
3. If I were in your shoes, I'd also be asking about potential sleep apnea. Given your sleep struggles, you should definitely undergo a polysomnography—that's a sleep study that would record whether apnea is present and determine how significant it actually is.

wanderingstag9 said:How can someone get an appointment with that doctor if they aren't living in New York City? Does he have a private practice anywhere?

I'm not entirely sure, but there are two clinics open in the Vinogradski area on weekday afternoons.
You can either book an appointment in person, or your primary care physician can set one up for you through the online referral system.

Joshua Murphy7 said:Hey! If you're looking for help with those sinus issues, you should check out Dr. Baudoin over on Vinogradska—well, the US equivalent would be somewhere like a specialist clinic in Manhattan. He has a bit of a unique last name, but he’s great. He primarily works with kids, but he actually performs surgeries on adults too. It might be worth giving him a shot!

To be honest, Professor Baudoin is a heavy hitter in the field of rhinology. Along with Professor Kalogjera, he’s actually one of the only experts in the country actively involved in developing the clinical guidelines for treating both non-allergic rhinitis and nasal polyposis.
His kids have completely turned on him. 🙂 He just has this incredible way with people. His interpersonal skills are top-notch, which is probably why his clinic is booked solid months in advance.
He specializes in functional endoscopic sinus surgery, functional rhinoplasty, and pediatric surgery of the face and neck. Most notably, he was the one who introduced navigational endoscopic sinus surgery to this region—and it’s not just some fancy new gadget sitting on a shelf; it’s a tool they use regularly to get real results.

neonhawk78 said:Actually, since you're an expert in this field—especially when it comes to noses—who would you recommend for a tip reduction and narrowing surgery? My nasal tip feels really wide and bulky, honestly.

Forgive my bluntness here, but does it even matter?
There’s no such thing as a "perfect" surgeon; there’s only the one you can communicate with most effectively to get the results you want.

analogseal18 said:Glumičić is actually a maxillofacial surgeon with an American subspecialty in aesthetic surgery, which means he isn't a true plastic surgeon and is technically only supposed to work on the face. I've heard rumors that he does body work too, but I honestly can't say for sure. Personally, he did a great job on my nose—he slimmed it down just enough that nobody even realizes I had surgery. I can see the difference myself; the bridge is narrower, that little bump is gone, and the tip looks much more refined. Still, if I’m being totally honest, I'm not 100% thrilled. If I had used my brain better, I would have told him, "Hey, cut away as much as you possibly can."

John Myers7, it's only been seven days! You really need to give that swelling around the tissue some time to go down first.

On his own website, he mentions specializing in head and neck surgery, but there's a bit of a gray area there because that's not quite the same thing as maxillofacial. It might just be a matter of how he phrases things. He also mentions attending various courses, but those are more like professional training sessions rather than official, board-certified subspecialties.
He also notes that his practice is registered for general surgery, even though he doesn't hold that specific specialization.
Ultimately, he makes it very clear that his primary focus is on aesthetics, not on functional repairs.

neonhawk78 said:Is there a doctor in the US who specializes in both plastic reconstructive surgery and ENT? I need someone to fix my nasal tip without messing up how my nose actually functions.

You definitely have options—Dr. Davor Džepina and Dr. Vagić are great names to look into.

The thing is, plastic and reconstructive surgery as a subspecialty doesn't always prioritize the nose specifically. The actual structure of the nose falls under the realm of rhinoplasty specialists, which is really what dictates the external look. But hey, if that's what you're looking for... In the US, the way specialties and subspecialties are categorized can sometimes feel like a matter of semantics. For instance, some might argue certain plastic surgeons shouldn't be touching facial structures at all, while maxillofacial surgeons might not get much ENT training during their residency. It just depends on who you consult!

neonhawk78 said:Is he a plastic surgeon? Honestly, right now I feel like I need a plastic surgeon more than an ENT. Does anyone have photos of his work? I really can't afford to just walk into some random guy's office just because someone told me he was "good."

Prof. Kalogjera is a top-tier ENT rhinoplasty specialist and a total legend in the American ENT community.
You asked, so I'm answering—I'm not sure what else you're looking for...

neonhawk78 said:Oh my gosh, I am officially out of patience. Where is that one doctor who always gives great advice on here? Does anyone have a plastic surgeon they can recommend? This is the final finishing touch, and I absolutely cannot afford to pick some amateur after what happened with my last surgery. Seriously guys, help me out. We're talking about the tip here and a corrective plastic procedure. 😢
I’m done with hospitals. They’re all just glorified barracks. It’s terrible!
P.S. While you're at it, throw a psychiatrist recommendation my way too!

Professor Kalogjera handled cases like this before. The whole goal is to slightly reduce the cartilaginous structure of the nasal valve without messing with how you actually breathe.
But from what I understand—he performs his surgeries in a hospital setting, and his weekly check-ups happen in a super crowded outpatient clinic.

briskmason42 said:I know I really need to give this thing some time to settle, but honestly, looking at my nose right now, it doesn't look the best. It’s a bit of a prominent feature for me, so I'm just crossing my fingers that the swelling actually goes down like it's supposed to. Regarding the narrowing part—since there's been a lot of discussion about it lately—given that the bone feels somewhat scattered or uneven, is it actually possible for it to narrow further? Or am I just dealing with lingering inflammation? I'm trying to figure out if what I'm feeling is just temporary swelling or if I should actually be worried about the structural outcome.

That’s a far cry from being a done deal—honestly, it’s not exactly a "cool" haircut, is it?🙂