Pain on Middle Vault After Rhinoplasty 7 Months Ago. Will It Collapse?

I had a primary rhinoplasty/septoplasty 7 months ago, and I've been noticing a little bit of pain when pressure is applied to the middle vault area on the right side of the nose. This has been going on for about a month or two. Does this mean that the middle vault on the verge of a collapse?

Doctor Answers 6

Pain in middle vault

Some patients do have lingering sensitivity over the middle vault and dorsum especially if they wear glasses. This is not at all associated with middle vault collapse.

West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews


Pain and tenderness can peersist for a long time after rhinoplasty. Consult your surgeon. However, I don't think what you are experiencing is a sign of a problem

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Middle vault soreness

I don't think that soreness of the middle vault of your nose necessarily means that it will collapse.It may be helpful to have your surgeon examine your nose, though, to make sure nothing worrisome is going on.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Nasal Pain after Rhinoplasty

Hi sc251,

Some degree of discomfort, pressure, or pain in the nose is expected after rhinoplasty, even weeks or months afterward. The feeling can be in the bridge, middle, or tip of the nose. The degree of discomfort is largely to due to the degree or complexity of the rhinoplasty. While it may be noticeable, most patients are not bothered by routine post-operative nasal discomfort.

The pain that you're feeling is unlikely to signify impending collapse or alteration to your nose. Speak to your rhinoplasty surgery if you haven't already. Only after a comprehensive evaluation can he/she help determine appropriate options for you. Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Pain over bridge after rhinoplasty

Pains after nasal surgery can persist for some time, especially with pressure over the bridge. I have never had patients refer to their middle vault before but times are changing. Middle vault collapse is a painless constriction over the mid bridge which occurs very slowly for most with a change in the aesthetics, and a reduction of the nasal air flow. You should stop pushing on your nose and move on.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Middle Vault Collapse After Rhinoplasty Does Not Present As Pain

Lingering discomfort over the middle vault of the nose after rhinoplasty is not a sign that it will collapse. There is no association between pain and middle vault collapse in the nose. Middle vault collapse is marked by an external deviation or inward concavity of the dorsal line and breathing problems. I would go back to your rhinoplasty surgeon for an evaluation.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.