Nose is collapsed on one side. How can I fix it?

It would be very difficult to comment on this case without any pictures. The most common cause for asymmetry of the columella is deviation of the nasal septum. The caudal (lower) portion of the septum has an intimate relationship with soft tissue of the columella and if significantly deviated , it can shift the columella with it. The definitive diagnosis can be made by palpation during a physical exam.

Septorhinoplasty for the deviated nose and septum. This surgery is what I think you need. I need photos or an examination to give a proper answer. See a very experienced rhinoplasty surgeon who can show you many noses like yours he has done. 

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty. What would be the best option and exact procedure would depend on an in person examination (not just an online consultation) and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.


Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how technically to do it without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.


Robert Singer, M.D., FACS 


La Jolla, California