Can nose collapse after rhinoplasty due to no nose retainer?

Question

I was wondering if the noseratainer prevents the nose from collapsing? Or does it depend of the surgons work?

Laura Garcia-Rodriguez, MD · Answer

Hi there! Nose collapsing following rhinoplasty is typically due to lack of supportive nasal cartilage. Lack of cartilage may be due the request of narrowing the nasal tip, fracturing the nose to narrow at the nasal bones. This can also happen following dorsal hump reduction. There has to be a balance in the external aesthetic and creation of a smaller nose and breathing.

Justin L. Bellamy, MD · Answer

Hello, I assume you are referring to the nostril retainers that some surgeons (myself included) use after surgery to support your nostrils? These are different than the internal splints (Doyle splints) that are used after some rhinoplasties to support the bones and septum.
For the nostril retainers, they are indeed used to reduce the risk of nostril shape asymmetry or collapse during the healing phase. The majority of patients would likely heal fine without them, however in my experience using them, the rate of nostril asymmetry is significantly improved with the extra support that they add.
In summary, they aren't always required, but they certainly help reduce the chance of problems.

Ozan Erol, MD · Answer

Hello, the nostril retainers using depend to surgeon's preferences. But yes, it's true that the retainers prevents the nose from collapsing. If you have the weak alar cartilage it's good to use the retainer in order to avoid the collapsing. bests

Muhammed Fatih Evcimik, MD · Answer

It is not necessary to use a nasal retainer after rhinoplasty. If there is already collapse, a nasal retainer cannot prevent it. It is sometimes used to shape the nostrils.

Eric M. Joseph, MD · Answer

When we talk about collapsing of somebody's nose after rhinoplasty, this typically happens with an over resection of septal cartilage. This can lead to a saddle nose deformity. I am not sure what a nose retainer is but we do not use them. I hope this helps! Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can understand your question, It will be a better way to listen your surgeon about the after care because many things can affect the collapsing. It would be better the talk with your surgeon. Best Regards!

Ali Alaiye, MD · Answer

A nostril retainer can help maintain the shape of the nostril area while the tissues heal after a rhinoplasty. It is not directly related to conditions that affect the overall shape of the nose, such as “nasal collapse.” The long-term stability of the nose and preservation of the surgical shape depend on many factors. One of the most important factors, which we carefully focus on during surgery, is respecting the tissues and maintaining normal structures, as well as strengthening the nasal framework when necessary.
In some patients, cartilage memory, healing tissues, and subtle changes in tissue tension may cause minor differences in appearance. In summary, a nostril retainer is a helpful aid during short-term healing. The main factors that determine the long-term appearance of the nose are the surgical process, the individual structure of the nose, the surgical techniques used, and the tissue reactions during recovery.
In our daily practice, we professionally manage all these processes with our extensive experience. Patient satisfaction is always our top priority.

Ayhan Isik Erdal, MD, FACS, FEBOPRAS · Answer

Nostril retainers won't prevent collapse in noses with significantly weak/damaged cartilage support, but they may be helpful in some near-term cases. There's no harm in using them. Worth a try. Best wishes.

Mehmet Dogru, MD · Answer

Hello! it is not for saving nostrils from collapsing. is is used for making nostrils more symmetrical when it is necessary.

Thomas Spalla, MD · Answer

The surgeon's work is the most important factor when it comes to long-term success in rhinoplasty. There are some factors that are out of the surgeon's control, however. Certain people may have a tendency to heal differently than others, and scar tissue does have the ability to pull and change the nose over time.

Nasal shaping devices, taping, and such are sometimes used in the early post-operative period but should not be relied upon for long-term success in the form and function after rhinoplasty.

Can nose collapse after rhinoplasty due to no nose retainer?

Answers (11)

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