Nose basically symmetrical/no indentation before. Cartilage splits from bottom to top. Unfortunately, does not seem to be slowing down. Have seen 2 ENT doctors, they have not seen this in other patients. No past trauma/surgery/drugs. 50 year old male, physical/blood work, CPR High Sensitivity, ESR normal, no hypermobility. Anyone seen this in other patients? If so, were they fixable? Need help. Thank you for your input!
Answer: Aging of the nose I can't imagine this is being anything other than age related changes causing cartilage bowing. I'm willing to give you the benefit of the doubt, that 2 previous surgeons said they'd never seen it before, and so you went off the deep end with Dr Google and annotated anatomical images. Otherwise, a 50 year old male is already ringing warning bells for me, so I'm going to say this. It's not 'fixable'. It's 'possibly improvable'.
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Answer: Aging of the nose I can't imagine this is being anything other than age related changes causing cartilage bowing. I'm willing to give you the benefit of the doubt, that 2 previous surgeons said they'd never seen it before, and so you went off the deep end with Dr Google and annotated anatomical images. Otherwise, a 50 year old male is already ringing warning bells for me, so I'm going to say this. It's not 'fixable'. It's 'possibly improvable'.
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Answer: Cartilage loss/splitting without rhinoplasty Dear ctwr,The changes you are describing are pretty normal for someone who is 50. The ligaments loosen over the years and this causes the "splitting" of the cartilages. The loss of fat, just under the skin, creates a thinner blanket of cushioning over your cartilages, thus exposing them more. This happens to almost everyoneBest regards,
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Answer: Cartilage loss/splitting without rhinoplasty Dear ctwr,The changes you are describing are pretty normal for someone who is 50. The ligaments loosen over the years and this causes the "splitting" of the cartilages. The loss of fat, just under the skin, creates a thinner blanket of cushioning over your cartilages, thus exposing them more. This happens to almost everyoneBest regards,
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April 27, 2021
Answer: Dent in nasal tip: what is the cause? I have seen a similar situation before that was due to changes in nasal tip cartilage with age combined with thinning of nasal skin and subcutaneous tissues which made cartilage asymmetry more visible. It could be improved with a tip rhinoplasty or possibly with a fat graft to soften it and thicken the subcutaneous tissue coverage.
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April 27, 2021
Answer: Dent in nasal tip: what is the cause? I have seen a similar situation before that was due to changes in nasal tip cartilage with age combined with thinning of nasal skin and subcutaneous tissues which made cartilage asymmetry more visible. It could be improved with a tip rhinoplasty or possibly with a fat graft to soften it and thicken the subcutaneous tissue coverage.
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February 13, 2019
Answer: Bifid nasal tip It is probable that you have a high septum that is displacing your tip cartilages and creating some of the asymmetry. In addition, the two lower lateral cartilages that form the tip unit can separate over time especially if they are overly convex as yours appear to be. There is some truth that the nose grows with aging and that really means that the supporting cartilage and bone can weaken due to the weight of the skin and diverge. This can be corrected with a rhinoplasty procedure that takes some of the convexity out of the lower lateral cartilages, reduces the tension from the septum and then brings the two lower cartilages back together in the midline to straighten the tip and correct the asymmetries. I would recommend seeing a board certified facial plastic surgeon in your area since they typically have the most expertise in rhinoplasty procedures and septal surgery.
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February 13, 2019
Answer: Bifid nasal tip It is probable that you have a high septum that is displacing your tip cartilages and creating some of the asymmetry. In addition, the two lower lateral cartilages that form the tip unit can separate over time especially if they are overly convex as yours appear to be. There is some truth that the nose grows with aging and that really means that the supporting cartilage and bone can weaken due to the weight of the skin and diverge. This can be corrected with a rhinoplasty procedure that takes some of the convexity out of the lower lateral cartilages, reduces the tension from the septum and then brings the two lower cartilages back together in the midline to straighten the tip and correct the asymmetries. I would recommend seeing a board certified facial plastic surgeon in your area since they typically have the most expertise in rhinoplasty procedures and septal surgery.
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February 12, 2019
Answer: Nasal tip asymmetry. In some patients, the nasal tip complex can droop more as they age. This can accentuate any depression or irregularity in the lower lateral cartilage. This is not that uncommon and can usually benefit from a rhinoplasty procedure. Tip defining sutures and a columellar strut are usually used to provide a more symmetrical and supported tip complex. If the plastic surgeons you are seeing are not familiar or comfortable with this, then I would recommend another consult. Good luck.
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February 12, 2019
Answer: Nasal tip asymmetry. In some patients, the nasal tip complex can droop more as they age. This can accentuate any depression or irregularity in the lower lateral cartilage. This is not that uncommon and can usually benefit from a rhinoplasty procedure. Tip defining sutures and a columellar strut are usually used to provide a more symmetrical and supported tip complex. If the plastic surgeons you are seeing are not familiar or comfortable with this, then I would recommend another consult. Good luck.
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