The initial step in treatment is to correctly diagnose the problem so a correct treatment plan can be established. Many different structural problems can lead to similar symptoms; the interior structure of the nose must be fully evaluated to determine the underlying reason for the symptoms.
In some cases, an exterior portion of the nose can be the problem, such as a drooping tip and can impact healthy breathing. In other cases, the source of the problem will be identified as a deviated septum or enlarged turbinates. Some patients may be experiencing breathing problems due to allergies or infections. Our full evaluation of your condition will allow us to determine how to best treat the functional problems you are experiencing.
The surgical procedure employed will be based upon the specific needs of the patient, and can be one of the following (or a combination of corrective procedures):
This procedure straightens the septum (the partition between the two sections of the inner nose structure). The septum may have been damaged by trauma, such as a broken nose. The outer structure may also need to be corrected to straighten the appearance of the nose, performed in the same surgery.
Some patients have had a cosmetic alteration of the nose that was too aggressive, causing problems in breathing.
The external nasal valves may narrow with age as the structures weaken, leading to breathing obstruction and additional symptoms such as heavy snoring or mouth breathing, which can be corrected surgically for improved quality of life.
An accident that impacted the nose structure may have damaged the internal or external structure of the nose, which can be repaired with a customized surgical plan.
The nose structure can be damaged due to impact or from a previous nose surgery. When this has occurred, breathing problems can arise, including trouble breathing enough air through the nose, or while performing vigorous activities. The nasal valves function to limit the quantity of air entering the interior structure of the nose.
Called “vestibular stenosis,” the nasal valves can collapse, restricting airflow. This can be corrected by one of several surgical procedures, chosen to address the underlying cause of the problem – and may include cartilage grafts to fortify the structure. Dr. John A. Kotis is a skilled plastic and reconstructive surgeon and known for his exceptional talents in correcting nose flaws, both functional and cosmetic.