I have no centre to my nose as I destroyed it with cocaine use in my youth. Is there anything I can do to fix this?

There are ways to correct nose deformity both septum (perforation) and external nose. However, your first step should be to stop cocaine use for at least one year before surgery. Correction of septal perforation (hole inside of your nose) can be done using local flaps and cartilage grafts taken from ear; correction of external nose deformity may require cartilage or bone grafts depending of the extent of deformity.Once you are clean of cocaine for at least 6 months you should schedule a consult with an experienced board certified plastic surgeon with expertize in nose reconstruction and discuss your options. Good luck.

Dear Orange Banna,Thank you for your questions.do you any symptoms? Crusting? Nasal whistle while talking?First, have you stopped using? If no....no reason to consider nasal reconstruction.If yes, you have several options depending on how large the hole is in your septum:1) local intra nasal flaps and cartilage grafts2) create a one chamber nose3) non surgical insertion of a "septal button"I suggest you make several consultative appointments with different experienced  Plastic Surgeons who are Certified by the American Board of Plastic Surgery and who are ideally members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes, R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Yes there are definitely many options for reconstruction.  First we need to determine which structures are damaged and thereafter define a plan to reconstruct each of them.  Generally cocaine damages the septal cartilage which results in a collapse of the nasal dorsum.  The reconstruction can include repair of the inside of the nose (cartilage and linings of the nose) and the outside (the skin layer).   Visit an experienced plastic surgeon to discuss your options.  I wish you the best of luck.  Dr. Michael Omidi.An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.