Is this an upper lateral cartilage collapse, if so what are my options?

Question

The right side of my nose or your left seems a bit concave from different angles and by touch. I recieved an elbow to my nose several times when I was younger, that could have something to do with it.

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.
Through rhinoplasty we make small changes, but that is quite noticeable.

After having analyzed all the info. and photos provided to us, i recommend you perform a Full Rhinoplasty, includding narrowing of the nasal base, with nasal bones treatment, and alar and triangular nasal cartilages shaping.
With this procedure you get a delicate nose, better harmonize with your other facial features.
Respectfully,
Dr. Emmanuel Mallol Cotes.-

William Portuese, MD · Answer

From the photographs presented, it does not appear that there is a collapse of the upper lateral cartilage, however the nasal bones are slightly twisted.  Osteotomies placed in the nasal bones are required to straighten them. When patients have a concave and collapsed upper lateral cartilage  on one or both sides, spreader grafts are used to support that area.  Spreader grafts are harvested from the patient's own nasal cartilage and placed underneath the concave upper lateral cartilages in the midportion of the bridge line.  For more information about spreader graft placement, please see the link and the video below

Fred J. Bressler, MD, FACS · Answer

An examination is best to confirm the nature and cause of the right concavity, but it appears that your right nasal bone may have sustained a displaced nasal bone fracture and now appears too medial. Since the nasal bone is attached to the upper lateral cartilage, your upper lateral cartilage may also be involved, but the indention appear too high and most likely represents a nasal bone problem. Correction may involve "reverse" osteotomy and/or placement of a cartilage spreader graft for the upper lateral/ nasal bone region or rhinion. An open approach may be best to diagnose and correct your nose. Consult with a trusted rhinoplasty specialist for an examination. Best wishes.

Richard W. Fleming, MD (retired) · Answer

While it does appear that there is narrowing of the mid-portion of your nose this is probably your inherited anatomy and  I doubt this is secondary to cartilage collapse. On the basis of these pictures I suggest you consider a full rhinoplasty including a change in the position of your nasal bones, placement of spreader grafts, and narrowing of your tip and nasal base. All of this should be addressed in a consultation with an experienced rhinoplasty specialist after an examination and discussion of your goals.

Is this an upper lateral cartilage collapse, if so what are my options?

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