Dang, I got to see a nose surgeon now...rop

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starteeth
Posts: 22
Joined: Sun Mar 01, 2009 1:28 am

Dang, I got to see a nose surgeon now...rop

#1 Post by starteeth »

great, more surgery. Well it probably will be nothing compared to all the jaw stuff I had. I am trying to be positive. hehe.

We all noticed right away that my nose was crooked. However, I remember from my first surgery (a few years ago) that this happened b/c of the swelling. Upon closer examination, I discovered it was inside, and the septum had moved to the left a lot. Not only does it not look good, but I can't breath through the left side now. My surgeon observed the issue and we gave it few more weeks for the swelling to subside more, and was hoping that since the septum is flexible it may move back. Well it didn't, and he, being a real perfectionist, insists that I got to fix it as quick as possible, as the nose is throwing off my look as a whole, although my jaws do look good and symmetrical.

Well anyway, I went and saw a ear, nose, throat, doc today. He said that my case was pretty severe and he would rather rec me to a plastic surgeon who is a more specialized in this type of thing. How nice of him! lol. This surgeon is suppose to be the best in my state, and has supposedly had wealthy/celeb types come to him. so hopefully he will get me all fixed up. What's a little more surgery/swelling, after all? So I am going to see him next week.

Anyway what caused my septum to move was the nose tube. So those of you with tiny nostrils be warned. lol. I guess the nurse that put the tube up my nose, must have been rough. I also believe that the major impaction of the upper jaw may have gotten into my septum a little. Well at least I know my surgeon was not conservative this time, and really pushed it to the limit. He said that my first surgery he moved it up 7mm and this time 4mm, for a total of 11mm, and that that is huge movement.

just keeping you all up to date and also a little warning/lesson that you may want to be aware of your nose during the surgery.

phil
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#2 Post by phil »

starteeth,

In the case of impaction, the septum must be trimmed in order for everything to fit. It it is not sufficiently trimmed, deviation can occur.

I am not a professional, of course, but my opinion (based on what I've read) is that the impaction would have been a stronger contributing factor than the nose tube. Just a thought.

Be well, and at peace,

Phil
There are no ordinary moments.
Check out my blog! http://pcadams.wordpress.com/

Cali Girl
Posts: 15
Joined: Wed Aug 08, 2007 7:51 pm

Reply to nose job

#3 Post by Cali Girl »

Starteeth, Phil,

I am 3 weeks post op and my nose turns more to the left. I never heard of a nasal septum but when I read about it thought maybe this is what I have. The cartiledge on the tip of my nose goes more to the left. It's not real crooked but more noticeable than prior to the surgery.

I am very upset right now. Do you think after the swelling goes down it will even out a little bit more?

My nose kind of was slightly off line prior to the surgery but now to me is more obvious. Actually, my nose was perfect prior to SARPE and now seems worse after upper jaw surgery. Please advise?

phil
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#4 Post by phil »

The only advice I can give anyone is to talk to your surgeon, and if you're not satisfied, get a consult with another. It may be that your perception of your nose has changed with the surgery. It's not easy to be objective about such things. I never noticed the asymmetry in my mandible until my surgeon pointed it out! Of course it's still there after the surgery, but just not as pronounced.

Orthognathic surgery's purpose is not to give people "perfect faces," but healthy, functional bites. Just a thought.

I would also think that a good ENT would be qualified to tell you if your septum is deviated enough that it is causing difficulty.

Be well, and at peace,

Phil
There are no ordinary moments.
Check out my blog! http://pcadams.wordpress.com/

Cali Girl
Posts: 15
Joined: Wed Aug 08, 2007 7:51 pm

#5 Post by Cali Girl »

Phil,

You make a lot of sense. I will try to see an ENT and see what happens. Thanks.

starteeth
Posts: 22
Joined: Sun Mar 01, 2009 1:28 am

#6 Post by starteeth »

yes just talk to your surgeon. thats what I did. He may be like mine and just want to wait until some of the swelling subsides. But I am sure he will rec you to someone who can help. you may have something like I have. but I think it is fixable. I will let you all know how it all goes.

Cali Girl
Posts: 15
Joined: Wed Aug 08, 2007 7:51 pm

#7 Post by Cali Girl »

Starteeth,

What week post op was it determined that the swelling was not the cause?

Cali Girl
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Joined: Wed Aug 08, 2007 7:51 pm

#8 Post by Cali Girl »

Starteeth,

What week post op was it determined that the swelling was not the cause?

Cali Girl
Posts: 15
Joined: Wed Aug 08, 2007 7:51 pm

#9 Post by Cali Girl »

Starteeth,

What week post op was it determined that the swelling was not the cause?

starteeth
Posts: 22
Joined: Sun Mar 01, 2009 1:28 am

#10 Post by starteeth »

about the 5th week

starteeth
Posts: 22
Joined: Sun Mar 01, 2009 1:28 am

#11 Post by starteeth »

well update. saw the plastic surgeon yesterday and he said it will be easy to fix, and it is a fairly simple and easy to recover from procedure. But he wants to wait 6 months ( well he's going to evaluate me in 12 wks and we will have to have the surgery by the end of july, which will be 5 months, since my insurance will be running out). He said my nasal tissues are still healing and from the impaction are very irritated and soft/delicate, and that he wouldn't want to risk putting a hole in my septum, so I need to let the tissues heal further. Well maybe by then I will have the braces off, plus the swelling/numbness will be better, so he will have a better since of my facial contours.

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