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.

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.

Hello, regarding nasal surgery after cocaine use, reconstructive surgery is involved but can be done.  Usually the defect involves destruction of the nasal septal cartilage, resulting in saddle nose deformity, in which the mid-vault or middle bridge of the nose is collapsed and depressed.  Often we use cartilage from the rib or ear to reconstruct to give your profile back.  A proper intranasal exam is also necessary to evaluate the nasal passages.  The surgery can be rewarding in terms of improving appearance and breathing.  Please consult with a surgeon who does many rhinoplasties. Hope this helps and good luck!

Hello Orange Banana,There are ways to help fix this problem.  It also depends on whether you mean the bridge of the nose (what you see on the outside) or just the septum (the midline partition dividing the nose into two sides).  The ability to correct it also depends on how much of your septum is left (smaller holes are easier to fix than larger ones).  The best way to see if you are a candidate for correction is via an in person consultation with a facial plastic surgeon that is skilled in these types of correction.  I hope this helps and 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