Am I experiencing a nasal valve collapse and will a revision rhinoplasty address it? (photos)

Question

(1st photo is taken when I'm laying down on my side) I had a rhinoplasty about 3 years ago mainly to address a hump. I'm fairly happy with it from my side but not from the front and it feels like my nose has just gotten more crooked over the years. (2nd photo is recent front view, 3rd is about 6 months after my surgery) Is there a collapse and is it a cause for concern? How can I fix this with a revision rhinoplasty? I don't have any major breathing problems as of now. Just when sleeping

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have relatively thin nasal skin, and a concavity along the right side wall of your nose. Depending upon your examination, microdroplet Silikon-1000 injections maybe considered for achieving a permanently straighter nasal appearance without the inconvenience and cost of further surgery. I hope this helps! Sincerely, Dr Joseph

Jeffrey H. Spiegel, MD · Answer

It is odd for your nose to fall in like this. Does it also happen when you breathe in strongly?  Either way, it will likely need cartilage grafting during a revision rhinoplasty to address.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to help stabilize your mid-vault and open the internal nasal valves. Placement of spreader grafts would be helpful. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

An in-person examination is going to be required to look inside the nose to be able to to diagnose external valve collapse, or internal valve collapse upon inspiration. Choose your revision rhinoplasty specialist wisely based on extensive experience, since this is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery.

Am I experiencing a nasal valve collapse and will a revision rhinoplasty address it? (photos)

Answers (4)

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