Severe Nasal Collapse

asked 1 year ago by BenM in Jacksonville, FL
Latest answer by Ramtin Kassir, MD
Question viewed 476 times
Tags: crooked, breathing, collapse, deviated septum, hump, options, video

6-7 years ago I had rynoplasty and tubinectomy surgery, please excuse my spelling on those two procedures. The surgery was in attempt to fix a deviated septum, crooked nose, and hump on the front of my nose. below is a link to a video of my nose, you can see when i try to breath in, the side walls collapse severely, NO air comes in. This is how my nose is everyday, I’m not sick or stuffed up. The smallest bit of mucus in my nose feels huge. please help!

http://www.youtube.com/watch?v=aYG97upEing

9 answers to Severe Nasal Collapse

Nasal Collapse with Inspiration

The video demonstrates your problem quite clearly, and the issue is how much does that impact your daily life. If quite a bit then look to surgical options. You would need strong, structural cartilage grafting of your nose from likely a rib (assuming the nasal septal cartilage was removed during the first surgery). This will help give your "internal valve" more strength with a forcible inspiration. However, there is the risk that your nose could look wider as a result.... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Nasal Valve Collapse

I have reviewed your video, and although it does show a degree of internal nasal valve collapse, it would be prudent to examine your valve under conditions in which you were not taking such forceful inspirations. That being said, you seem to continue to display a twist to the nose. This is most likely secondary to continued septal deviation. I suggest you follow up with a skilled revision rhinoplasty surgeon for a detailed examination of the nose. You will require... more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

Airway problems

You seem to answer your question yourself. Even after turbinectomy and correction of a deviated septum, some people still have airway breathing problems. I'll bet even with midvault collapse and then surgery to provide support( spreader grafts), you may still have some breathing issues that can be related to your sinuses or allergies.

Steven Wallach, MD
Manhattan Plastic Surgeon

Pinched Nose From Nasal Valve Collapsed

With what appears to be moderate inspiration in your video, there is notable collapse of the nasal valve area. Most people, as indicated by Dr. Tavoussi, do not breathing in through their nose with that amount of force. That being said, you certainly might benefit from reconstructive rhinoplasty surgery to strengthen the valve area. This would require cartilage grafting to the nose to help improve your nasal breathing. I have included a quick link to one of our rhinoplasty tutorial pages... more

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

www.drhilinski.com

Severe Nasal Collapse

What you are doing is taking a hard and fast breath which will lead to collapse of upper cartilages but they bounce back. You don't usually breathe like that do you? I have not had rhinoplasty but the same thing happens when breathe really hard. Having said that, you do have continued deviation of nasal septum and nasal structure which may be contributing to airway compromise.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Severe Nasal Valve Collapse after rhinoplasty surgery

Your nasal valve collapse is severe, and most likely a combination of previous surgery and predisposing anatomy. It can be addressed with functional reconstruction, rebuilding the structural support of your nose using cartilaginous grafts. You're extremely weak in the internal and external valves, and also in the bony pyramid. We would have to examine you to see what septal cartilage if any is left in your nose, and what we would have to use (septal, ear, rib, cadaver rib,... more

Ramtin Kassir, MD
New York Facial Plastic Surgeon

Classic valve collapse--there is a reliable treatment

This is a common problem--sometimes due to previous surgery, sometimes just genetic. The treatment is functional rhinoplasty to add support to the areas of collapse and weakness. Alar batten grafts, lateral crural strut grafts, lateral crural grafts--these are all structural techniques which may help you. The selection of technique and the nuances of how the grafts are places would depend on your goals and your unique anatomy which would have to be determined with a... more

David W. Kim, MD
Bay Area Facial Plastic Surgeon

www.dwkimmd.com

Nasal valve collapse after rhinoplasty

Although everyone will have some degree of inward movement of their nose with deep inspiration your video does show quite significant weakness of the nasal valves (internal more so than external valves). A full nasal exam would point to the best method of correction but I suspect structural grafting using spreader grafts and possibly alar batten grafts would help supprt your nasal sidewall. An internal exam to check on the position of your septum is also in order. A question in your... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Nasal valve collapse after rhinoplasty

Your video clearly demonstrates collapse of the nasal valves. You may have had anatomy that predisposed you to this problem. There is a way to improve this with structural grafting using your own cartilage.