Some surgeons on here were looking at pictures of my nose and told me it appeared as if I had "mid-vault" region area collapse. What does this mean?
Answer: Mid vault collapse The midvault is the middle third of the nose between the tip and the bone portion of the bridge. If it is collapsed the cartilage in that portion of the bridge is not providing proper architectural support so the airway can collapse during inspiration. if the collapse is significant the lower edges of the nasal bones in the upper third of the bridge are visible as an inverted V. The condition is treated with cartilage grafts.
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Answer: Mid vault collapse The midvault is the middle third of the nose between the tip and the bone portion of the bridge. If it is collapsed the cartilage in that portion of the bridge is not providing proper architectural support so the airway can collapse during inspiration. if the collapse is significant the lower edges of the nasal bones in the upper third of the bridge are visible as an inverted V. The condition is treated with cartilage grafts.
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February 23, 2016
Answer: Mid vault collapse? Mid vault collapse means that the central part of your nose is pushed in so that your nose looks like an hourglass. This can be corrected with cartilage grafts. If you look on my website as well as those of other surgeons you'll see examples of this correction as well as the photo of my patient next to this answer under featured doctors.
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February 23, 2016
Answer: Mid vault collapse? Mid vault collapse means that the central part of your nose is pushed in so that your nose looks like an hourglass. This can be corrected with cartilage grafts. If you look on my website as well as those of other surgeons you'll see examples of this correction as well as the photo of my patient next to this answer under featured doctors.
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February 23, 2016
Answer: Mid Vault Collapse Hello,The mid vault is an area between the top of your nasal tip and the bony part of your nose. It feels firm like bone on top but softer on the sides. The side walls are cartilage, and they are crucial for proper airflow as well as for linear visual lines of the bridge, especially when viewing the nose in a 'three quarter view' (the way we look at the side of our nose in the mirror).These side wall cartilages are 'stuck' to the inside of the nasal bone, but after hump reduction surgery can fall away from them towards the midline septum, creating a visual 'step off', which kind of looks like a hump. Best of luck!
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February 23, 2016
Answer: Mid Vault Collapse Hello,The mid vault is an area between the top of your nasal tip and the bony part of your nose. It feels firm like bone on top but softer on the sides. The side walls are cartilage, and they are crucial for proper airflow as well as for linear visual lines of the bridge, especially when viewing the nose in a 'three quarter view' (the way we look at the side of our nose in the mirror).These side wall cartilages are 'stuck' to the inside of the nasal bone, but after hump reduction surgery can fall away from them towards the midline septum, creating a visual 'step off', which kind of looks like a hump. Best of luck!
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Answer: Mid vault collapse is not a true collapse; it is a weakening of the cartilages of the midportion of the nose. Dear rosiecon11 in Beverly Hills, CA: The word “collapse” is a bit scary. It is not a collapse like when a roof collapses under 10 feet of snow or collapses during a fire. While this is analogous to the roof of the nose, the reference to collapse is that there is a little bit of weakness and sometimes a structural “dip” between the nasal bones and the cartilage called the upper lateral cartilage that occupies the upper third of the nose. Sometimes it can come from injuries, sometimes it comes from surgery, and sometimes people are just born with weaker cartilages. In itself it is a cosmetic issue, but when the cartilages are very, very weak, if the patient has a particular type of nasal obstruction, one may see these cartilages move inward with deep inspiration. If the problem is a cosmetic nuisance and not impinging on the breathing or worsening it, then it can be corrected either with surgery or by a non-surgical technique including temporary or permanent fillers. The best advice is to have consultation with a surgeon who majors in rhinoplasty and has a long run of experience and a high degree of specialization. Check out the websites, look at the patient reviews on review sites such a RealSelf and the others, and look at the doctors’ before-and-after photos and see how similar cases have been managed. When you do go for consultation, be sure to have computer imaging and ask about whether if a weakness of the middle third of your face is indeed a problem that can be corrected using a temporary or permanent filler. Best wishes, Robert Kotler, MD, FACS Over 4,500 nasal procedures performed
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Answer: Mid vault collapse is not a true collapse; it is a weakening of the cartilages of the midportion of the nose. Dear rosiecon11 in Beverly Hills, CA: The word “collapse” is a bit scary. It is not a collapse like when a roof collapses under 10 feet of snow or collapses during a fire. While this is analogous to the roof of the nose, the reference to collapse is that there is a little bit of weakness and sometimes a structural “dip” between the nasal bones and the cartilage called the upper lateral cartilage that occupies the upper third of the nose. Sometimes it can come from injuries, sometimes it comes from surgery, and sometimes people are just born with weaker cartilages. In itself it is a cosmetic issue, but when the cartilages are very, very weak, if the patient has a particular type of nasal obstruction, one may see these cartilages move inward with deep inspiration. If the problem is a cosmetic nuisance and not impinging on the breathing or worsening it, then it can be corrected either with surgery or by a non-surgical technique including temporary or permanent fillers. The best advice is to have consultation with a surgeon who majors in rhinoplasty and has a long run of experience and a high degree of specialization. Check out the websites, look at the patient reviews on review sites such a RealSelf and the others, and look at the doctors’ before-and-after photos and see how similar cases have been managed. When you do go for consultation, be sure to have computer imaging and ask about whether if a weakness of the middle third of your face is indeed a problem that can be corrected using a temporary or permanent filler. Best wishes, Robert Kotler, MD, FACS Over 4,500 nasal procedures performed
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February 25, 2016
Answer: Mid vault collapse Mid vault collapse usually is related to previous surgery or other trauma. This refers to the cartilaginous dorsum . The collapse refers to a weakening and narrowing between the upper lateral cartilage and septum known as the "internal nasal valve" . Patients will usually complain of nasal obstruction and may have an inverted V shape/deformity seen on frontal view.This is corrected with "spreader grafts" of cartilage placed between the upper lateral cartilage and septum to open the internal valve. This usually rectifies any esthetic issues also. These grafts are typically harvested from the septum but if not enough is available on account of previous nasal surgery, auricular (ear) cartilage can be used.
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February 25, 2016
Answer: Mid vault collapse Mid vault collapse usually is related to previous surgery or other trauma. This refers to the cartilaginous dorsum . The collapse refers to a weakening and narrowing between the upper lateral cartilage and septum known as the "internal nasal valve" . Patients will usually complain of nasal obstruction and may have an inverted V shape/deformity seen on frontal view.This is corrected with "spreader grafts" of cartilage placed between the upper lateral cartilage and septum to open the internal valve. This usually rectifies any esthetic issues also. These grafts are typically harvested from the septum but if not enough is available on account of previous nasal surgery, auricular (ear) cartilage can be used.
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