Can you advise on raised alar cartilage? 1 side of nose bigger than other (Photos)

Question

My left nostril has a bump on it that makes my nose look crooked. One side is larger than the other on the outside. The nostrils themselves are even and fine. I am a 33 year old male and I have only noticed this problem in the past two years. I did call around to a few plastic surgeons and they recommended I see an ENT first. I may have not explained my problem correctly because they thought it was a deviated septum issue. I am looking for a doctor in North Florida. Thanks!!

Eric M. Joseph, MD · Answer

Based on your photos, We can see that there is a bulge on one side of your tip and not the other. Depending on your examination, microdroplet Silikon-1000 may be considered for adding volume to your right tip for a more symmetrical tip appearance. Additionally, you appear to have an indentation along your right and left nasal side walls which can be filled as well. Hope this helps! Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos it looks like there is an asymmetry on your nose, especially on the tip and nostrils. It can be a deviated septum but we can't say anything for sure without a face-to-face consultation.Best regards!

William Portuese, MD · Answer

From the photographs presented, you appear to have a convex lower lateral cartilage on your right side, and a concave lower lateral cartilage on your left side. You also have a collapsed upper lateral cartilage on your right side as well. All of this can be improved with a closed rhinoplasty approach. Choose your rhinoplasty specialist wisely based on extensive experience

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.

In some cases a crooked nasal septum deviated to one side can displace the alar cartilages on that side and create the appearance that you have.

However I have seen patients that have an anomalous Alar cartilage which is simply congenitally displaced laterally on that side.

If you look at your nose from a "worms I" view you should be able to see the septal cartilage protruding into the nostril on the same side that you see the elevated Alar cartilage.  If this is the case then a septoplasty may improve the appearance.  If however your nasal septum is straight than a tip rhinoplasty to modify the the cartilage will be required.

The final option could be that your opposite side Alar cartilage is deficient or retracted.  I have seen patients with this deformity and corrected it by grafting cartilage on top of the depressed Alar cartilage.

Can you advise on raised alar cartilage? 1 side of nose bigger than other (Photos)

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Answer: Can you advise on raised alar cartilage? 1 side of nose bigger than other

Answer: Can you advise on raised alar cartilage? 1 side of nose bigger than other

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Can you advise on raised alar cartilage? 1 side of nose bigger than other (Photos)

Answers (4)

Answer: Can you advise on raised alar cartilage? 1 side of nose bigger than other

Answer: Can you advise on raised alar cartilage? 1 side of nose bigger than other

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.