My Nostrils Close when I Breathe Through my Nose?

This is not uncommon. Small cartilage graft can be used to add structure and support to your nostrils or anywhere else it is needed at the time of rhinoplasty. It is critically important to find an experienced rhinoplasty surgeon who can create the changes you want in the appearance of your nose without further compromising your breathing. I hope this information is helpful.Stephen Weber MD, FACS

This observations is not that unusual in patients seeking combined functional and cosmetic nose work. This usually implies a weakness in the cartilage structure of the nose near the nasal tip region. It can often times be corrected by reinforcing this cartilage with additional cartilage taken from inside of the nose (a process termed cartilage grafting). Make sure you consult with a board certified facial plastic surgeon who has a background in the functional aspects of rhinoplasty surgery.

Nasal appearance and function can be addressed during rhinoplasty surgery. The nose has both internal and external nasal valves which can collapse during inspiration. The collapse of the nostrils is considered external valve collapse. Cartilage grafts can be harvested from the septum or ear and  used to improve this collapse. When selecting your surgeon, be sure  that they are skilled in addressing both the form and function of your nose, as not all rhinoplasty surgeons have this expertise.

    All of your other concerns can be addressed with a rhinoplasty as well as nostril collapse.  If you have what is called external valve collapse, this can be corrected at the same time that everything else is done.  Find a board certified plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA

Pinched or collapsed nostrils when breathing through the nose often gives the symptoms of congestion or difficulty breathing. Rhinoplasty is often required to improve the condition, with surgery on the outside of the nose, inside, or both. Cartilage may be placed to support the nostrils to prevent them from collapsing. Alternatively, a septoplasty for a deviated septum will open the nostrils from the inside reducing the collapse on inspiration.

Only after a comprehensive evaluation by a board-certified surgeon can help determine appropriate options for you. Ideally, one would have one nasal surgery to address both the cosmetic and functional breathing concerns, instead of two separate procedures. Best of luck.

Dr. Chaboki