@johnbishop-Hi John. Thank you for asking. I think what you had working in your favor when you met with a Mayo ENT is that they are paid in salary and not by surgeries performed.
Most ENTs go over some of the major risks, but not the more common risks to patients.
The nose is a highly subjective area. ENTs know this. No ENT can visually make adjustments to your nose and know what you will be feeling or how you will be breathing. When dealing with as much as millimeters, there is just no way. Every surgery brings scar tissue. The nose is the worst place you can possibly have scar tissue.
The risks are far too many for the little to no improvement these subjective based surgeries might provide.
To work properly the nose needs to have tight junctions. When these areas are altered and opened, your airway is changed in a way that can not be reversed. This damages your entire respiratory/pulmonary reflex.
Causing damaging effects to the autonomic nervous system.
John-could you share the risks that your ENT covered with you?