it is difficult to know if you have nasal valve collapse by the photos. A bulbous nasal tip is not caused by nasal valve collapse. You need a complete examination to determine the nature of breathing problems and pain.
Medical jargon can be very confusing. The term nasal valve collapse is used frequently when describing someone with difficulty breathing from their nose. This can mean something different in different patients. The site and mechanism of the obstruction can be different too. This means that different techniques may need to be used to improve nasal valve function.
#1: Location: There are external and internal nasal valves. The external involves the nostril rim and the band of skin in the middle of the base of the nose (columella).The internal valve involves the angle between the upper lateral cartilage and the septum.
#2: Static or Dynamic: The blockage may be occurring all the the time or only when air flows through the nose.
#3: It could be a combination of internal and external or static and dynamic collapse. The problem on the left may not necessarily be the problem on the right side.
An examination of the nose while breathing at rest and exertion may be necessarily to determine the source of valve collapse. Once the problem has been identified, the correct techniques to support the nose are selected for the individual patient.
It is very difficult to tell 100% from the photo, but you may have some collapse if breathing is difficult through this side. I would recommend an in person evaluation and they surgeon should be able to explain things to you in more detail.
Best of luck
Thanks for your question and photo. For you to get the best assessment, you need a consultation with a surgeon that specializes in nasal airways. You need a complete nasal exam and may need imaging to see if there is something more internally that is causing your issues. Unless there was trauma or scarring, you should not be having pain. All the issues that you are having are correctable if the cause of the pain is identified. Dr. Nassif would be the only who can answer your first question. Schedule several consultations and see what can be done. Good Luck!
All the best,
Carlos Mata MD, MBA, FACS
@breathingIssues @asymmetries @docmata #drcarlosmata
Board Certified Plastic Surgeon
You raise several issues. First, the valve doesn't look collapsed on the photo. An in-office exam can determine if you have valve collapse. Second, a bulbous tip won't cause valve collapse. However, an experienced rhinoplasty surgeon can correct the bulbous tip without aggrevating the valve collapse. Third, a valve collapse doesn't cause pain. An exam is required to determine the etiology of pain. Fourth, prior injuries can cause other reasons for nasal obstruction. These can be fixed at the time of your surgery. Best wishes.
There are many issues on the inside of the nose it can cause difficulty breathing is, such as a deviated nasal septum, turbinate hypertrophy, valve collapse, vestibular stenosis, and turbinate hypertrophy. Chronic pain and because from polyps in the sinuses known as chronic sinusitis. A thorough examination of the internal and external portion of the nose is required. In addition, a CAT scan of the sinuses is required to rule out chronic sinus disease. When valve collapse is present, a spreader graft is used to hold open the airway. For more information,please see the link and the video below
Hi and thanks for your question. Yes if there is internal valve collapse it can certainly be corrected by a rhinoplasty. Make sure you see a surgeon who is certified by the American Board of plastic surgery and a member of the American Society for aesthetic plastic surgery. That's my best advice after 30 years performing rhinoplasty surgery best of luck.
Triple Board Certified Plastic Surgeon
Your picture does not show nasal valve collapse but whatever is causing your breathing obstruction whether it be your valve, septal deviation, or large turbinates can be corrected by an experienced rhinoplasty surgeon.
Nasal obstruction with septal deviation and valve collapse can be repaired to give u a better airway. See a very experienced revision rhinoplasty surgeon and look at his results.
Thank you for the question and the answer is an affirmative YES it can b corrected. So see some experts in your area and after an examination find out how.