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It is impossible to tell what may be causing any cartilage deterioration. It is important make sure that it's fixed and stable before going undergoing a rhinoplasty. The rhinoplasty procedure for this type of problem would include a combination of an onlay graft and a spreader graft to the patient's right side. For examples similar to this, please see our website rhinoplasty photo gallery link below
I am not sure why your nasal cartilages are changing. I have not seen this in 30 years. I suggest you first see your general doctor about your total medical condition. This may be a part of your general health status. My Best, Dr C