Asymmetric collapsed nostril: Do I have a caudal problem?

The base view of your nose indicates that you have asymmetrical swelling of the columella or deviation of the caudal margin of the septum. When was your surgery? If the tip collapses when taking a deep breath you could have some weakness of the tip cartilages. Is there asymmetry of the nostril rim?  Your surgeon is aware of the problem but you need to be examined if you want a second opinion.

this is a good question, but I would not be able to fully answer your question.  A full examination as well as a review of previous surgery would always be of help if you were to obtain a second opinion.  The best person to ask these questions of would be the original Surgeon.  If your left nostril collapses in with an inspiration, it would appear that a cartilage graft support would be needed.  If the septum can't be used, perhaps you would need a graft from the ear.  Hopefully your Plastic Surgeon will be able to give you proper guidance as to what to expect for the future as further healing occurs.Good luck to you.Frank Rieger  M.D.  Tampa Plastic Surgeon