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Collapsed External Valves Breathing In, Do I Have Open Roof Deformity?

asked 9 months ago by Rhinoseptoplasty2011 in Portugal
Latest answer by Toby Mayer, MD
Question viewed 344 times
Tags: male, collapse, open roof deformity

Septorhinoplasty done in March 2011. Seems to me that i have a deformity in the bridge and a hump(pollybeak?)or supratip which causes the tip to go downward (tip ptosis?).Do i have an inverted V or open roof deformity? Also it looks like my tip was too pinched and ULCS and LLCS overresected causing external valve collapse(please see pictures).I also have the impression that there's a slight septum deviation to my right side.Oppinions are welcomed.

4 answers to Collapsed External Valves Breathing In, Do I Have Open Roof Deformity?

+1

Malposition of the alar cartilages in rhinoplasty.

Malposition of the alar cartilages in rhinoplasty is an anatomical variant some patients have. If an alar graft is not used they get "pinching" of the tip. Furthermore, when the bridge is reduced one has to have spreader graft placement ot keep the mid airway open.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

You appear to have a nice cosmetic result after Rhinoplasty Surgery.

I read your concerns and reviewed your photos: The 2 photos on the left demonstrate nostril-collapse with inhalation. Many patients that never had rhinoplasty surgery are able to collapse their nostrils with maximum effort. You're collapsing your nostrils, but it is not clear how hard you're inhaling. If you're having chronic nasal obstruction you may want to consult a qualified ENT to discuss your treatment options. You do not appear to have an open-roof deformity,... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Collapsed External Valves Breathing In, Do I Have Open Roof Deformity?

Thanks for the photos showing internal valve collapse. As for an open roof deformity it is a maybe. Best to seek in person evaluations from expert rhinoplasty surgeons.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

External valves require cartilage support

The external valves--essentially the skin along the lower nasal third and the nostril rims--need support or the nostrils collapse like yours do.. All of your problems have been caused by resection--of the dorsum and tip cartilages. You also have a normal anatomical variant--malposition of the alar cartilages--that complicates the problem. Your airway is probably 25% of what it was, according to my published research in 600 patients. Cartilage grafts to your bridge and tip... more
Mark B. Constantian, MD

Nashua Plastic Surgeon

drconstantian.com

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