Is this a collapsed valve after Rhinoplasty? Advice? (photos)

From the photos it looks like there is some alar collapse. This can often be reduced with revision surgery and can include placing alar batten grafts and possibly rim grafts as well. The fact that there's some variation with certain foods also suggests that the turbinates may be too large or too reactive (these are folds of tissue in the nose that congest or decongest). Make sure to see someone who understands nasal function as well as nasal anatomy such as an ear, NOSE, and throat surgeon as well as a facial plastic surgeon or plastic surgeon.All the best,
--DCP
Pearson Facial Plastic Surgery®

Based on your photos, one nostril seems to collapse with deep nasal breathing. Depending on your condition and examination, you may benefit from a cartilage graft to support your nasal tip. The feasibility of this would require an examination. Hope this helps. Dr Joseph

Hello and thank you for your question. Alar collapse on forced inspiration is present in many people that never had surgery. In most instances, if the tip is wide,  there is compensation for the fact that the sidewall moves in and the airway is protected. When the tip becomes narrower, this airway advantage is lost, and the closure is more significant. Unfortunately, spreader grafts do not assist with this problem , but alar batten grafts can help.  The comment regarding certain foods suggests that there is some obstruction related to the lower turbinated which may become more swollen, and the close partially the internal valve, and then you are trying to take deeper breath which makes the external valve collapse. A similar event may take place with exercise. An examination with a rhinoplasty surgeon can help to untangle these aspects and offer you options for improvement. 

Spreader grafts are used to open the internal nasal valve and can be assessed with a caudal test.  Your photos suggest that you do have compromise of the external nasal valve which is a separate issue and could be fixed by supporting the nasal ala so that it would not collapse on deep forced nasal inspiration.

Bobby90- Thanks for your question and photos.  Based on the pictures you do appear to have collapse fo the external valve of your nose.  This can be the result of your anatomy, age, previous surgery or previous trauma (or a combination of factors).  Fortunately it can be remedied with revision surgery.  Find a board certified facial plastic surgeon for consultation.

You are having collapse on that side, indeed.  However, it should be readily addressable. The way to do this may be with a cartilage graft or it could be with something as simple as adjusting the inside lining of the nose or septum.An in person consultation will be the key to figuring out the answer.

Hi, thank you for your inquiry. Here is my answer.
Your left side alar is definitely collapsed, which means you have external valve collapse. Right side also looks mildly collapsed. External valve collapse is worse during forced inspiration.

Permanent treatment for external valve collapse is primarily surgical. Cartilage graft is used as a stent for the external valve. This stent will need to support the weakness in the lateral nasal wall (alar rim, lateral crura). Structural cartilage grafts are: alar rim graft, lateral crural onlay graft, lateral crural strut graft and alar batten graft. After examination of your nose, I can choose the best graft technique among these.