Rhinoplasty: Experiences and recovery tips?

Alex Moore62 said:Well, there she goes—just a total femme fatale. 😉 What more could anyone possibly ask for? 🙂

It’s the truth, plain and simple. 👍

Betty Edwards22 said:To address sinus issues and polyps, you absolutely have to clear out the mucous membrane and polypoid tissue to ensure proper sinus ventilation. At Mount Sinai, the specialists handling that area are Prof. Mladin, Dr. Poje, and Dr. Vukovic K.
Regarding your second question, it all depends on the scale of the initial procedure and the current reality where Medicare has significantly cut coverage for rhinoplasties.

Thanks for the response. I did some digging through previous threads and found that several women were satisfied with Dr. Poje, so I will be scheduling an appointment with him.

Hello to everyone on this forum. I was wondering if perhaps someone here might have dealt with a situation similar to mine. About two years ago, I underwent surgery—a septorhinoplasty—because I had a deviated septum and found it quite difficult to breathe through my right nostril. While the functional aspect of my breathing has improved, I’ve been left with a significantly enlarged nasal turbinate on one side. The real issue, however, is the aesthetic outcome. My nose looks quite deformed; there are visible bumps where the nose meets the upper jaw, and the surgeon also trimmed the columella (if that's the correct term for the tissue at the tip of the nose), which makes the whole thing look unnatural, almost like a pig's snout. It’s particularly noticeable in bright daylight, which, I must admit, has been causing me a fair amount of psychological distress. I have sought out three different consultations so far, and I've received three entirely different opinions. One specialist suggested it's a bony callus, another mentioned that the lateral nasal bones are misaligned, and a third claimed it involves the jawbone itself. I suppose I am feeling rather lost and unsure of whose advice to trust. Has anyone successfully resolved a problem like this? If you could please reach out, I would be very grateful. Thank you.

If they actually went through with lateral osteotomies, then what was said is absolutely spot on.

Betty Edwards22 said:If they performed lateral osteotomies, then what was said is accurate.

Does that apply to all three explanations?

analoghound6 said:Does that apply to all three explanations?

Without a hands-on physical exam, you obviously can't say anything for certain. However, displacements can definitely happen when you're dealing with lateral bone fractures where the pieces just don't line up on a single plane.
I don't want to overstep by commenting on every single theory, but I'll stick to the one that seems most aligned with my own expertise—which, from what I've been reading, is the second point mentioned here.

loneowl68 said:hey everyone

I'm totally new to this thread, so I was wondering if anyone could recommend a doctor over at Mount Sinai? My primary care doc suggested that hospital, though back home in SI, they told me they wouldn't really recommend going there just to have them poke around too much.

Basically, my head MRI showed some sinus polyps and a deviated septum. I was also thinking... maybe I could get my nose touched up a little bit while I'm at it? It’s been such a huge insecurity since I was a kid, and honestly, even now, it’s not that big, but it has this kind of "boxer" shape to it.

thanks so much

One thing I definitely would NOT recommend for polyps or a deviated septum is Dubrava.
And honestly, major props to you for getting the MRI—they were so insistent on pushing a CT scan on me... 😠

I went in for a CT scan, but since I saw a private neurologist regarding my migraines, she recommended an MRI as well.
Fortunately, because the CT came back completely clear. Everything looked normal?!! No deviations, no polyps.
Now, I find it hard to believe that nothing could have been caught on the CT...

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loneowl68 said:So I ended up getting a CT scan, but since I was seeing a private neurologist for my migraines, she actually recommended an MRI too.
Luckily enough, because the CT didn't show anything—the results were totally clear??!!!! Like, no deviations, no polyps or anything.
Though, I don't know... I find it hard to believe they wouldn't have caught something on the CT if it was there....

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Are you dealing with actual migraines, or is it just really intense sinus pain? 😁 Because, honestly, my headaches definitely improved after surgery. A CT scan should technically give a better look at the sinuses since it’s better for bone and cavities, whereas an MRI is usually the go-to for soft tissue. But, I guess maybe it wasn't even about the machine being lower quality, but more about the technician who ran the CT scan. One thing is for sure, though—you'll see everything on an MRI, and you won't have to deal with any unnecessary radiation...

Oh, and one more thing... 😁 My colleagues actually performed my CT scan, so I’m positive they did their absolute best and used top-tier equipment, but the results just didn't reflect reality. See, I was originally supposed to just have FESS, but it ended up turning into a full-blown rhinoplasty because my septum was in way, WAY worse shape than the "slight deviation" shown on the scan. Anyway, I feel amazing now! My sinuses have finally settled down, though I'm still getting used to having a nose that isn't constantly stuffed up... What a trip. 😍

Ashley Edwards91 said:Are you dealing with migraines, or is it just intense sinus pain? 😁 Personally, my headaches have definitely improved since I had a CT scan. A CT usually provides a much clearer look at the sinuses because it’s superior for imaging bone and sinus cavities, whereas an MRI is generally the go-to for soft tissue. That said, it might not be about the machine itself being "worse," but rather the skill of the technician performing the scan. One thing is certain: an MRI can show everything too, and you don't have to deal with unnecessary radiation...

I hate to be that person, but I have to step in here because what you're saying doesn't quite align with the facts. Whether you agree with me or not, I feel the need to correct this, even though you did point out the technical differences correctly.
For sinus issues, you always want a CT scan—primarily because that superior bone imaging is absolutely critical in this case.

Ashley Edwards91 said:Are you dealing with migraines, or is this just severe sinus pain? 😁 My headaches definitely subsided after surgery. A CT scan should technically provide better sinus visualization since it excels at imaging bone and cavities, whereas an MRI remains the gold standard for soft tissue. However, it is entirely possible that the issue wasn't the machine itself, but rather poor technique by the technician performing the CT. One thing is certain: an MRI will show everything without the unnecessary radiation exposure...

The pain is intense—sharp, stabbing sensations concentrated on the right side, specifically above the right brow. It happens daily, lasting several minutes at a time, and has persisted for a year now. It’s bad enough that I get nasal discharge; it isn't yellow or green, but sometimes it looks dark blue.
Because of these headaches, my doctor ordered an EEG, a CT, and a neurology referral, but the neurologist insisted on an MRI instead.
Additionally, my EEG results were abnormal, so my neurologist prescribed Topamax.

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Dark blue?

Are you kidding me?
I find myself questioning my own sanity every single time. Some days, I simply cannot deal with it anymore. I actually ended up calling my husband over just to confirm what I was seeing—hoping it wouldn't be a frequent occurrence, but there it is: dark blonde? Seriously?

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Betty Edwards22 said:Look, sorry, but you're saying things that just aren't right, so I really have to step in and correct you—whether you want to hear it or not, regardless of the specific distinction you made.
For sinus issues, you always go with a CT scan, mostly because the bone detail it provides is just so incredibly important in cases like this.

But... isn't that exactly what I was getting at? Just that... 🙂
I mean, looking at the example from that other user, it's pretty clear an MRI actually ended up being more helpful for her. And honestly, it’ll be a useful option for anyone out there who wants to avoid radiation altogether.

loneowl68 said:My head just hurts constantly... they're more like these intense, stabbing pains on the right side, right above my brow bone. It's been happening every single day for like a year now. They last a few minutes at a time, and it gets to the point where my nose starts running—not yellow or green stuff, but sometimes it’s even dark blue.
Because of these headaches, my doctor told me I should get an EEG, a CT scan, and see a neurologist, but then the specialist suggested I actually need an MRI instead.
Also, my EEG results weren't great, so my neurologist put me on Topamax.

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I went to see a neurologist too, but they wouldn't even bother with the advanced imaging because they thought it was unnecessary given how bad my sinus issues were. They basically said once I deal with the ENT problems, we can look into more testing if the headaches don't stop. I guess some people just get congested, and others just get hit with migraines. Just one of those things, I suppose.😁

Ashley Edwards91 said:But honestly, isn't that exactly my point? 🙂
It’s pretty obvious from the example this other user shared that getting an MRI actually ended up being more beneficial for her. Plus, it’s going to be super helpful information for anyone else out there trying to avoid unnecessary radiation exposure.

I'm not going to get dragged into a debate here; what you're saying just feels contradictory and ultimately counterproductive.
EOD.

loneowl68 said:Are you serious?!!
I honestly lose my mind every single time. I start questioning my own sanity! One day I just couldn't take it anymore and had to call my husband over to come check it out—just so it wouldn't get too crazy—but it actually looks dark blue??!!!!

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You really ought to take a look at it just like I suggested.

Yes, I went ahead and scheduled my appointment with Dr. Smith for January 29th.
I am going to try to find a way to see him even sooner if possible.
Thank you very much.

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loneowl68 said:Seriously?!!
Every single time I see it, I start questioning my own sanity. One day I just couldn't take it anymore and called my husband over to check—just in case it wasn't happening too often—but yeah, it looks dark blue....

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Android using Reddit medical answer to question (Mark C. Loury):

Blue eyeshadow or mascara getting into the tear ducts and running down into the nose.

https://www.healthtap.com/topics/dar...asal-discharge

4th reply in order.