Is it possible to remove a piece of cartilage inside of the nose without major surgery? (Photo)

Question

As shown in the picture attached. There is a small piece of extra cartilage in my right nostril. Is it possible to remove this without going forward with major surgery/rhinoplasty. I do not have breathing problems, and am happy with the rest of my nose.

Eric M. Joseph, MD · Answer

The bulge in your nostril is either a cartilage graft, or the bottom of your nasal septum. Is firm, and immobile, you may simply require a septoplasty. Generally, we do this in the operating room with sedation. If it is a misplaced columella strut graft, or a septal extension graft, many times these can be removed in the office with local anesthetic. I hope this is helpful, and I wish you all the best moving forward. Sincerely, Dr Joseph

Arash Moradzadeh, MD · Answer

It is hard to say from the picture if your issue is septal deviation or if the cartilage from the tip of your nose is pushing into your nostril. If it is from your septum, you would need a septoplasty to correct this. If that is from your lower lateral cartilage (the cartilage from the tip of your nose, it would need to repositioned to the correct position. I recommend you see a facial plastic surgeon for further evaluation of the cause and counseling on your options.

Karthik Ram, MRCS, DNB · Answer

Hi therecorrection of the columella (columella plasty) can be done under local anaesthesia or intra venous sedation provided that you don't have any other problem in the nosethe results are usually really good.best of luck

William Portuese, MD · Answer

a better set of photographs of the base of the nose required from the front, base view, three-quarter view, and side view to make a determination about being a candidate for a columella-plasty. This is still considered a partial component rhinoplasty is usually performed under a brief general anesthesia for patient safety and comfort. For many examples of columella-plasty and more information, please see the link and the video below

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