Dear rosiecon12 in Beverly Hills, California
Sometimes people have weak cartilages, the cartilage is too thin. Not very common but common enough for experienced surgeons to have dealt with it and can help you. The answer is a very comprehensive consultation and evaluation of all the nasal architecture and structures, and then you will know what options are available to you.
Robert Kotler, MD, FACS
Over 4,500 nasal procedures performed
What is a middle vault collapse? It's when the cartilages that are located between your nasal bones and your nasal tip and that reside on either side of the nasal bridge fall in a bit. Things may look a bit indented from the outside and your breathing may be compromised. Correction is generally done by placing small strips of cartilage inside the nose so as to lift up the collapsing cartilage, improving both your appearance and breathing. Surgery is generally quite successful and does not deform your nose.
Please see a surgeon who does rhinoplasty surgery for an evaluation.
The mid vault of to nose is located below the nasal bones and above the nasal tip. It is made up of the septal cartilage (the cartilage between the two nasal passages) and the upper lateral cartilages which make up the lateral wall of the middle third of the nose. If the angle between the septal cartilage and the lower edge of the upper lateral cartilages is very narrow, and/or the structure of the cartilages is relatively weak, the cartilages can collapse against one another when breathing in rapidly (causing the collapse). This can result in the sensation of restricted inspiration. This can occur naturally, in patients with narrower and more delicate nasal cartilages, or following trauma and/or nasal surgery. Sniffing or manipulating your nose probably won't cause or aggravate mid vault collapse. If you do have mid vault collapse, it is probably not progressive (i.e. it probably won't get worse). But, if it is bothersome it can be treated with a grafting procedure (spreader grafts) which can widened the mid vault and prevent the collapse. Best wishes, Dr. Lepore.