What is happening to the cartilage in my nose? (photo)

Your tip can be refined and your nose improved with rhinoplasty.Find a plastic surgeon with ELITE credentials who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Your columella tilts toward your left, which could be due to a deviated nasal septum. You also appear to have a dependent wide tip and a cleft between your tip cartilages consistent with thin skin.You may wish to consult a reputable rhinoplasty surgeon to see if rhinoplasty surgery would be right for you.Hope this is helpful.Dr. Joseph

You have matured to your genetic adult code in your family. The nasal lower cartilages are large and in need of surgery..

The fact that your pierced nostril is fine suggests that the issues that concern you now are most likely unrelated to the piercing. The photos appear to show prominent, robust and asymmetric tip cartilages. Looking at static images is not nearly as effective as examining a person's nose but the shape that concerns you appears to result from the underlying tip cartilage shape and asymmetry. This can typically be refined with rhinoplasty. I hope this information is helpful.Stephen Weber MD, FACS

You may be feeling some scar tissue from the piercing, however this is unlikely to change the shape of the nose. More likely these are normal age-related changes that stabilize after the teenage years. You may be a candidate for rhinoplasty. Consult with a board certified facial plastic surgeon to discuss your concerns. Good Luck!