Deviated Septum Cartilage (Lower Part) Effecting Nostril, Etc? (photo)

Your issue is a nasal septal deviation involving what's called the caudal septum (the portion closest to the nostrils). Your rhinoplasty surgeon should be able to make this part of the septum more in the midline during your procedure.

There are various ways to address this problem. It would be best for you to ask your surgeon about those details to get the most accurate information.

In the meantime you can check out my web reference link below to learn more about asymmetric nostril repair.

Dear vancityDS,


You are in luck because a septorhinoplasty will not only improve your breathing, it will also improve the look

We have surgical maneuvers that can move the septum so that it is more midline which will also address the deviation of the tip


Best regards,

Nima Shemirani

A routine rhinoplasty procedure is in order. 

You have a very typical situation.  The forward edge of the septum has somehow come off center and is leaning into the breathing channel to the left of the midline.  The standard septoplasty (surgery of the septum) procedure should render it back to the midline and behind the columella.  Othercosmetic changes you want are your choice, of course.  There should be improvement in your breathing.

Everyone wants to have a natural nose and be comfortable with the outcome.  I suggest you visit a lot of cosmetic plastic surgery websites and look at dozens and hundreds of before and after rhinoplasty (or, septoplasty) pictures.  Study the results in the before and after pictures that you like when you go for your consultation. 

Robert Kotler, MD, FACS
Facial Plastic Surgeon
Beverly Hills, California
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON