I have no lower cartilage on one side of my nose. I want to know if this could be permanently fixed by rhinoplasty? (photos)

Question

I have a pretty bad looking nose. Even if I do a nose job, do I have to do it multiple times?

Philip S. Schoenfeld, MD, FACS · Answer

Although it appears as though you are missing cartilage in the lower portion of your nose, what you are seeing is a combination of thick skin and weak , malpositioned lower lateral cartilage.  You would be an excellent candidate for rhinoplasty.  I would suggest discussing your concerns with an experienced rhinoplasty surgeon where we will be able to discuss your surgical options with you in detail.

Guray Yesiladali, MD, FEBOPRAS · Answer

Thank you for the provided photos. The rhinoplasty might be performed using the rib cartilage transfer if needed in order to fix the tip of the nose. Also, the nasal hump reduction should be done in order to give your nose a better shape and make the bridge of your nose visually thinner. 
  
Thus, the rhinoplasty surgery can definitely fix the aesthetical and functional problems of your nose in case if the Surgeon is qualified.
  
I would also suggest a consultation in person in order to explain and give the detailed treatment information.
  
Best Regards, 
  
Member of International Society of Aesthetic Plastic Surgery
  
Doctor MD Guray Yesiladali

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from an alar batten graft to help provide improved symmetry.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Matthew Bridges, MD, FACS · Answer

The lower lateral cartilage could be replaced using ear cartilage.  Hopefully this would be a permanent solution that would not require further surgery.  However, achieving symmetry is very difficult and certainly could require further procedures.

Shlomo Widder, MD · Answer

Dear anmol,    Thanks for posting your pictures. From observing your pictures, you appear to lack the left lateral crura of the lower lateral cartilage, which supports the nostril.. That can be corrected by placing a strut of cartilage graft to support the nostril and improve on the alar notching.   Additional maneuvers can be performed in order to improve your nose - flattening  the dorsal bridge, refining the tip, narrowing the bony slopes and the nostrils.   You have to realize that not all results are the same, because experience, technical skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures to make sure that they are numerous, consistent and attractive.                         Best of luck,                                        Dr Widder

Thomas Trevisani, MD · Answer

Based on your photos- you appear to be a good candidate for Rhinoplasty. Although you have a unique condition- it can be improved significantly -with closed Rhinoplasty techniques. Although you may have some residual asymmetry post-operatively- you can expect a significant improvement - in the right hands.

William Portuese, MD · Answer

A thorough examination of the nose going to be required to make a determination about why there's no cartilage on one side of your nose. More information is needed such as, have you had a previous rhinoplasty? The alar notching can be addressed for the composite graft harvested from skin and ear cartilage.

Shervin Naderi, MD, FACS · Answer

Hi. You most certainly have your LLCs but one side is weaker and smaller and more retracted.  It is very rare for both sides to be symmetric but yours are a bit more extreme.  Yes this can be corrected with Alar strut and rim grafts.

Robert S. Schmidt, MD · Answer

Thanks for your question. You have what's called a "parenthesis deformity" where your lower lateral cartilages run up the middle of your nose instead of fanning out. This is something that can be addressed with a variety of rhinoplasty procedures, but be sure you go with someone who is experienced. Good luck!

Anup Dhir, MD · Answer

Hello and thank you for your question. You are a good candidate for rhinoplasty. Please consult a board certified cosmetic surgeon who will be able to guide you on how the shape of your nose can be improved. You should need only one surgery.therhinoplastysurgeon.com

I have no lower cartilage on one side of my nose. I want to know if this could be permanently fixed by rhinoplasty? (photos)

Answers (10)

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