What is the least invasive permanent option for correcting an area of missing cartilage in the tip of my nose?

Question

I’ve had a few surgeries to fix major issues with my nose and the last over ten years ago resulted in an infection. I’m missing a sliver of cartilage in my tip that really bothers me. I haven’t touched my nose for over a decade and just live like this due to the fear of touching my nose again. What is the least invasive permanent thing I can do? I still have ear cartilage.

Eric M. Joseph, MD · Answer

I can see by your up close photo that you have an indent involving your left nasal tip along with retraction of your left nostril margin. Depending on your examination, microdroplet Silikon-1000 nasal injections maybe considered for restoring lost volume and for improving upon your tip symmetry. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a mastoid fascia graft of the left soft triangle to help smooth the contour in that area. 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

What is the least invasive permanent option for correcting an area of missing cartilage in the tip of my nose?

Answers (2)