How to Repair Twisted Cartilage

asked 1 year ago by Jasonlives2 in Fort Lauderdale, FL
Latest answer by Talmage J. Raine, MD
Question viewed 516 times
Tags: male, asymmetry, cartilage, curved, options, twisted

How do you repair twisted lower cartilage? The bottom half of my nose is off center with a C curve in it. It also is developing a parrot beak. The upper bone was straightened years ago but the cartilage was never addressed.

5 answers to How to Repair Twisted Cartilage

Twisted lower nose

The twisting of your lower nose is due to warping and displacement of the septal and lower lateral cartilages of the nose. This can be address with a septoplasty and rhinoplasty. Consult a board certified plastic surgeon. All the best, Talmage J. Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon

Repairing twisted nasal cartilage

The best way to repair twisted lower cartilage is usually with osteotomies and a spreader grafts. Osteotomies are used to straighten nasal bones and spreader grafts are used to straighten out the midthird of the nose and upper lateral cartilages. This involves using a piece of patient’s own cartilage from either the nose or the ear and inserted up underneath the concaved upper lateral cartilage and skin to tent out that area.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Twisted nasal issues

From your pictures it appears that at the time of taking down the bone the lateral cartilage on the left may have been separated from the nasal bone creating an indentation just below the bone on the left. In addition there is prominence of the septum in your side view which is creating the fullness in the side view. I feel the best approach would be an open rhinoplasty taking down bone and cartilage in the central third and placing a spreader graft on the left to lift... more

Roger J. Friedman, MD
Bethesda Plastic Surgeon

Twisted Nose Repair

The cartilage and bone in a nose need to interrelate in a smooth transition. Under the skin the upper one third of the nose is bone and the lower two thirds are cartilage. It looks like there is an "inverted V" problem in which you can see the bone above and then you can see that the cartilage lower down has separated or collapsed in. This usually requires spreader grafts, and in the case of a twisted nose, also osteotomies or a rearrangement of the nasal bones. The tip... more

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon

www.todaysface.com

Septal deviation

The photos are slightly out of focus but it looks like a c-shaped septal deviation concave to your left. That is usually addressed by removing a window of cartilage from the septum inside your nose. There are likely other issues that need to be addressed but cannot be discerned from these photos alone. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

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