I have extra cartilage protruding in one nostril. Can this be corrected in office under local anesthesia? (Photo)

It looks like the very base of your nasal septum is deviated to the left side causing the visible bulge that you were referring to. In general, septoplasty surgeries should be performed with general anesthetic, in our opinion, since the nasal airway can bleed and it is safer to protect the lower airway with an endotracheal tube. I do not believe this would be an office procedure with local anesthetic. I hope this helps. Sincerely, Dr. Joseph

Hi from Istanbul! It seems like the extra cartilage in one nostril might be due to a deviated septum. This can potentially be corrected under local anesthesia. However, a curvature at the base of the nasal tip cartilage could also be causing this issue, which is known as a 'foot plate' deformity. If both conditions are present, it might be better to address them under general anesthesia. Hope this helps, best of luck.

The protrusion you describe is most likely the foot plate of the medial cura. If your septum is deviated then that will make it more difficult to correct under local anesthesia. The foot plate can be resected but if the septum is deviated then you will need something more invasive to reset the septum back in the correct position.

Best Wishes,

Gary Horndeski, M.D.

Overall you have an excellent result. The cartilage you see is either a graft or part of your septum. It should be able to be removed under local anesthesia. I’ve seen this before in my own patients

From the photographs, this is most likely the foot plate of your cartilage called the lower lateral cartilage. It might also be a slight caudal septal deviation. In any event, this cartilage can be removed under local anesthesia with one small incision placed on the inside of the nostril. No open rhinoplasty is required.

We need a much better view to see what this is before giving a quality assessment.
The will require an intra nasal exam with good lighting and preferably some magnification.
I suggest you follow up with your provider who is the correct person to assess and treat you. All aspects of rhinoplasty surgery can be done using local anesthesia. Sone providers prefer their patients asleep or properly sedated to keep them from moving during the procedure.
Best,
Mats Hagstrom, MD