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First and foremost you need to stop all cocaine use permanently. Usually cocaine use affects the septum and lining of the nose but can also cause damage to the alar and even the columella.If the nose is collapsing to one side it may be an effect of cocaine use continually through one nostril and it may be that the alar cartilage on that side has been damaged. It would be important to get an opinion from an experienced rhinoplasty surgeon to assess the damage and discuss what would be required to correct the problem. Usually a graft is needed to restore deficient tissue but if this graft is taken from the septum it would risk a septal perforation since cocaine will have weakened the septum. In your case one would need grafts from your ear in this particular case since it would not be wise to violate the septum.
Rhinoplasty surgery may not be considered in those who use cocaine even occasionally. Some people are sensitive to cocaine, or an illicit additive, that may lead to midline nasal destructive disease. In that regard, please stop sniffing cocaine, and consider consulting with a reputable ENT or rhinoplasty specialist so you could see what might be best for you. Dr Joseph
You should definitely see a plastic surgeon, ASAP!! The collapse of your nose is due to the damage caused by the cocaine to the nasal framework. This will require a proper reconstruction of the bones, cartilage and mucosa of the nasal framework that if not managed properly can cause further collapse of your nose and breathing problems.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
Cocaine causes the vessels in the nose to shrink. This results in cartilage weakening and resorption. You should be off cocaine for months before the support is reconstructed with cartilage (probably ear). You could have a normal looking nose again, perhaps one even prettier than before the collapse.
Your nose is collapsing because the cartilaginous structure is melting away. It can definitely be reconstructed using ear and/or rib cartilage. However, such surgery would only be performed after your nose has stabilized and you have been off cocaine for an extended period of time.