As humans, we breathe through both the nose and the mouth. However, the mechanism we use to get air to our lungs is essential. Breathing through the nose is a complex condition. Internally we have three sets of tissue called turbinates which humidifier and moisten the air.
We also have a cartilaginous and bony septum separating the two chambers of the nose. Moving air through the nose is what we refer to as breathing. The nose has pressure and temperature sensors. It does not have a flowmeter measuring the amount of air moving through these two chambers.
Essentially breathing through the nose is a sensation that may or may not is impacted by the internal anatomy. During my examination of the nose and internal look and characterization of these tissues is essential. I also asked the patient about a history of breathing issues through the nose.
Terminate enlargement, and or deviation of the septum may be present. The presence of these issues anatomically may or may not be reflected in the patient’s history of breathing through the nose. Essentially when we create a more aesthetic-looking nose, we often may change the internal structures and the sensation of breathing.
Therefore, the answer to the question is yes. Cosmetic rhinoplasty may but not frequently change breathing sensation through the nose. My initial exam may indicate that septal straightening and or termination reduction may be indicated. Also, sinus openings may be enhanced as well.
Therefore, a history of breathing issues preoperatively and a discussion of the possibility of breathing changes postoperatively after cosmetic rhinoplasty is essential to be discussed. Early postoperative breathing issues are most likely due to swelling of the internal tissues. Scabbing and some bleeding may occur further compromising the nasal passages. These issues subside postoperatively oftentimes with the aid of moisture station and internal cleansing. In my practice, postoperative breathing issues are very rare.