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!
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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