My right nostril seems to have extra cartilage in it. It also sort of pops if I touch it, as if it's going back into palce. I've noticed recently that my nostril is actually closing completely when I breath in... It looks like my nostril is becoming smaller and smaller... It also recently started getting sore, red, scabby and I think infected as it looks slightly white/green. Can you please give me an idea of whats going on and what the possible solution are.
April 9, 2017
Answer: My advice You need an open structure rhinoplasty with caudal (at least) septoplasty. The issue bothering you is of triple origin:1. the caudal septum is dislocated to the right into the nostril, making the medial wal of the nostril be closer to the outer ala >>> treatment is septoplasty, to release the caudal septum, counter score with unilateral chondrotomies and probably a strut to tutorize it2. broad columellar footplates making a wide triangle at its base, making the same approximation effect between inner and outer nostril walls >>> this requires removal the fibrous tissue between cruras and plicating them to the midline, eventually triming the ends, so that the triangle is drastically narrowed3. last but not least a congenitally weak and poorly suported nostril, probably due to weak and / or small lateral cruras of the alar cartilage, unable to stand the suction effect when breathing in >>> treatment is a strong batten graft to prevent collapse when breathing inOther aesthetic enhancements can be discussed. Your case is of very high technical difficulty, ranks 8-9 out of 10 scale in primary noses; do research well your surgeon's capacitation.If you wish better grounded opinion please do post or send privately well lit, focused and standard images: frontal, both lateral and both oblique views, also underneath the nostrils.
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April 9, 2017
Answer: My advice You need an open structure rhinoplasty with caudal (at least) septoplasty. The issue bothering you is of triple origin:1. the caudal septum is dislocated to the right into the nostril, making the medial wal of the nostril be closer to the outer ala >>> treatment is septoplasty, to release the caudal septum, counter score with unilateral chondrotomies and probably a strut to tutorize it2. broad columellar footplates making a wide triangle at its base, making the same approximation effect between inner and outer nostril walls >>> this requires removal the fibrous tissue between cruras and plicating them to the midline, eventually triming the ends, so that the triangle is drastically narrowed3. last but not least a congenitally weak and poorly suported nostril, probably due to weak and / or small lateral cruras of the alar cartilage, unable to stand the suction effect when breathing in >>> treatment is a strong batten graft to prevent collapse when breathing inOther aesthetic enhancements can be discussed. Your case is of very high technical difficulty, ranks 8-9 out of 10 scale in primary noses; do research well your surgeon's capacitation.If you wish better grounded opinion please do post or send privately well lit, focused and standard images: frontal, both lateral and both oblique views, also underneath the nostrils.
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Answer: Deviated septum. Collapsing nostrils. Hello and thank you for your question. The footplate of the right medial crura is displaced into your right nostril. This is usually due to a deviated septum and can be fixed with a septoplasty. The nostril or alar collapse you are referring to can be helped with cartilage grafts to the ala during your rhinoplasty procedure. I would seek consultation with a board certified rhinoplasty surgeon to obtain further answers to your questions. Hope this helps.
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Answer: Deviated septum. Collapsing nostrils. Hello and thank you for your question. The footplate of the right medial crura is displaced into your right nostril. This is usually due to a deviated septum and can be fixed with a septoplasty. The nostril or alar collapse you are referring to can be helped with cartilage grafts to the ala during your rhinoplasty procedure. I would seek consultation with a board certified rhinoplasty surgeon to obtain further answers to your questions. Hope this helps.
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