Excess cartilage on one side of the nose. How complicated would it be to remove it? (Photo)

Question

I have what appears to be a sliver of excess cartilage growing out of the left side of my nose. As a result, my nose looks crooked/ hooked from certain angles (mainly from the right side). It's been there since I was a teenager but appears to be worsening (I'm now 27). Is this possible? How complicated would it be to remove it?

Kenneth Hughes, MD · Answer

The bridge can be improved with a closed rhinoplasty in a few minutes.Kenneth Hughes, MDLos Angeles, CA

Ronald J. Edelson, MD · Answer

To achieve a result that is worthwhile, you need to have a complete rhinoplasty.  That would include addressing the tip, the bridge of the nose and breaking the bones as well. Attempting to try to address one aspect of your nose without considering it in its entirety is not likely to give you a satisfactory result,  however, if you have a full rhinoplasty performed, I think you could expect quite a nice result.  Go on a few consults with surgeons in your area who are known for their rhinoplasty work.  Good luck!

Elias G. Gikas, MD · Answer

I am not sure what you are referring to.  I see a dorsal hump on your bridge that could be easily shaved off to a smooth contour.  If it is an issue of the tip having asymmetric cartilage, that can also be corrected by a not too complicated rhinoplasty procedure.  An in person consultation by an experienced rhinoplastic surgeon would give you the answers.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question and pictures.This looks like it could easily be corrected with a tip rhinoplasty, without having to break the nose.

To be sure, see two or more experienced,
board-certified Plastic Surgeons for a complete evaluation to make sure you are
a good candidate and that it is safe for you to have surgery.

I hope this helps.

Burr von Maur, MD · Answer

From your photo,it appears that this small bump can be easily smoothed with a Rhinoplasty operation, either opened or closed. Judging from your skin quality,you should get a very nice result.

Robert Singer, MD · Answer

If the appearance of your nose concerns you enough to do something about
it, it can be cosmetically improved with a natural appearing artistically
performed rhinoplasty. The procedure
can be performed with a closed or open approach.

Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you exactly what to do based on limited two dimensional
photos without examining you, physically feeling your tissue, assessing your
desired outcome, taking a full medical history and discussing the pros and cons
of the operative procedure would not be in your best surgery. Natural appearing
results need to be individualized and what is appropriate for one patient is
not necessarily the best for someone else. I would suggest that you find a
surgeon certified by the American Board of American Plastic Surgery and one who
is ideally a member of The American Society for Aesthetic Plastic Surgery
(ASAPS) or facial plastic surgeon (otolaryngologist) with extensive experience
in performing cosmetic nasal surgery that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

Stephen Weber MD, FACS · Answer

Based on your photos and description I think you're bothered by the "shoulder" of bone and cartilage on the left side of your nasal bridge. This can be reduced through an endonasal approach rhinoplasty. If you have other concerns they could be addressed at the same time or changes could be made solely to the bridge of your nose. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

William Portuese, MD · Answer

The photographs demonstrate a cartilaginous/ bony hump which is asymmetrical, and asymmetrical upper lateral cartilages. Closed rhinoplasty techniques can address hump removal and placing a spreader graft on the concave upper lateral cartilage to smooth out the dorsal aesthetic lines. Rhinoplasty is the hardest operation to perform and the entire field of cosmetic surgery, so choose your surgeon wisely. For many examples, please see the link and the video below

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