My Nose has a gap in the cartilage but also have a deviated septum, would a septoplasty and turbinate reduction reduce the gap?

Question

Okay so I feel like I worded my question wrong next time so I will do it correctly this time. I got hit by a metal door as a kid and that caused me to have a deviated septum and my nostrils are too small and they were not like this before. Furthermore my nose has developed a gigantic dent in the cartilage and for some reason it's growing at an alarming rate. I was wondering if a septoplasty and nasal turninate reduction would also reduce the catilage in my gap and over all fix some of the issues

Jay Calvert, MD, FACS · Answer

The gap sometime seen between the tip cartilages is due to separation of the medial crura and the bend of the lower lateral cartilages.  The way to repair this is with a tip rhinoplasty.  The septum is generally not responsible for surface problems at the tip.

William Portuese, MD · Answer

The gap  you are referring to the cleavage between the left and right nasal tip cartilages. This gap must be closed with the rhinoplasty procedure which is considered cosmetic to change the shape of it. Expect to pay for this component yourself. Suture techniques or cartilage graft can accomplish improvement of the cleavage between the two nasal domes. A septoplasty and turbinate reduction are performed in the back of the house for airflow management and will not change the shape of the nose whatsoever. Septoplasty and turbinate surgery are functional procedures. For more information about the differences between cosmetic and functional nasal surgery, please see the link and the video below

William B. Rosenblatt, MD · Answer

You really need to be seen -- but it appears as if your tip cartilages are split apart and would need to be put together. At a minimum a tip plasty would do that. The septum is not involved at all.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Based on your photos, you seem to have a crooked nasal bridge deviation and an indented bulbous tip. Depending on the reason for your bulbous tip- surgery may require defatting the tip, cartilage grafting, and/or reshaping, this will reduce the indentation and bulbosity of your nose. The bridge of your nose can be slimmed down and straightened. I recommend doing research on facial plastic surgeons who have experience in rhinoplasties and scheduling a consultation. During the consultation you can ask to have your nose computer imaged so you and the surgeon can discuss what changes you would like to make. This will also give you a realistic picture of what your nose could look like. There are many before/after pictures on line that can help you decide which surgeons work you like. Feel free to email me your pictures for computer imaging.Best,Dr. S

My Nose has a gap in the cartilage but also have a deviated septum, would a septoplasty and turbinate reduction reduce the gap?

Answers (4)

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