Is this due to a deviated septum or something with the nasal tip? (Photos)

Question

The tip of my nose, on the right side, pops out more than the left. I can press down on it and it feels like an air-bubble that springs back into place after lifting away the finger, unlike the left side.

Gary M. Horndeski, MD · Answer

The nasal tip is defined by the lateral crura. Your lateral crura on one side is fuller than the other. That is why when you press it in, the cartilage bounces back out. You will need the cartilage reshaped, repositioned and is done through open rhinoplasty.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. Your issue is due to your nasal tip being poorly supported and a little asymmetric. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose! I'd be able to give you a nose that perfectly balances and naturally fits your face!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Based on your two photos, the only asymmetry that I can see is a small indentation along your low right nasal sidewall, just above the tip. If this asymmetry is a source of concern, it may be treated in either a surgical or a non-surgical fashion, depending on your desires. Thank you for your question. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hi It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery 
process.

Lexie Wang, MD · Answer

This looks more like you have collapse of the  left (in photos) middle vault. The right side surprisingly enough is actually the normal appearing side. You can see it on the 2nd photo how you have almost a dent in that middle area. This can be easily corrected with even a closed surgery if you desired.

Ruslan Zhuravsky, DO · Answer

Hello, It appears you are referring to the fullness created by the lower lateral cartilages, specifically the lateral crural portion. These cartilages give shape to the tip and lower part of the nose. They can easily be manipulated but also have memory and a "bounce" effect as your are describing. To be sure you should consult with a qualified facial surgeon. Hope that helps!

J. Renee Booth, MD · Answer

The shape of the tip of your nose is due to underlying cartilages. These are called lower lateral cartilages and they tend to grow with time. The option that can refine the shape of the cartilage is surgery called rhinoplasty (also known as a nose job). Filler cannot make the cartilage smaller. However, a small amount of filler in between the lower lateral cartilages could partially camouflage the bulbosity of the right lower lateral cartilage.

William Portuese, MD · Answer

Are the diagnosis of a deviated septum must be made from a thorough internal examination of the nose. A rhinoplasty can accomplish refinement of the nasal tip cartilages, narrowing your nostrils, and narrowing the bridge line.

Mats Hagstrom, MD (license on probation) · Answer

Facial asymmetry is the norm for all people, and this can include small details on the nose.
The area you are concerned about is most likely affected by slight asymmetry of your alar cartilage.
If this bothers you enough to have surgical intervention, then schedule a few in person, consultations with plastic surgeons in your community
Mats Hagstrom MD

Is this due to a deviated septum or something with the nasal tip? (Photos)

Answers (9)

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