Why do nostrils become like this? (photo)

what is the reason why nostrils become like this at the tips . Pointed , almost triangular, if not triangle from underneath. What are the causes and how could I avoid this ?? They are not round like a regular rim would be. Was there collapse?

Doctor Answers 5

Nostril shape.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Your nostril shape is due to weak alar rims.  This is usually correctable by cartilage grafts to the alar rims to give them a slightly more rounded shape.

Nasal rim collapse

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Sometimes with surgery there can be weakness of the alar rim causing them to pull in a bit.  Sutures reinforcement or grafts may help stabilize them.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Postoperative recovery after septorhinoplasty / nose surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The appearance of the nostrils may or may not change after rhinoplasty.. it is also key to see how the nostrils appeared before surgery, and naturally what area was addressed during surgery

Nose evaluation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hello and thank you for your question. Based on your photograph, there may be some element of collapse.  But your full history would be needed to really know.  This can be corrected with alar batten cartilage grafts.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 174 reviews

Nostirl collapse

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Nostrils can develop contours like this if the lower lateral tip cartilages become concave when their shape is changed at surgery or with the tightening of scar tissue over time due to the healing process - they can be corrected by straightening them placing cartilage grafts underneath 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.