i had, Open septorhinoplasty, inferior turbinate reduction, repair of vestibular stenosis (nasal valve) and harvest of septal cartilage. Also rhinoplasty (dorsal reduction).Later I found out a cephalic trim was performed leaving 7mm rim strip. My nostrils were perfect (in terms of symmetry) and now I can't breath As my nostrils collapses on inhale. It's so bad.It was suggested having cadaver cartilage placed to hold my nostrils open. Is the cephalic trim is the cause of this? Does a septum move?
Answer: Revision rhinoplasty for alar collapse, etc. A revision rhinoplasty will be necessary to support both the alar rim and or valve. This is a procedure that should be done by a revision rhinoplasty specialist who has a great deal of experience. Look at the before and after photos
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Answer: Revision rhinoplasty for alar collapse, etc. A revision rhinoplasty will be necessary to support both the alar rim and or valve. This is a procedure that should be done by a revision rhinoplasty specialist who has a great deal of experience. Look at the before and after photos
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July 6, 2015
Answer: Valve collapse after rhinoplasty Thank you for your question and photos. Normally, 7mm of intact lower lateral cartilage is sufficient for support if the cartilage is strong and straight. It appears that yours may be overly curved (from the indents you can see on the lateral view along the alar groove). Collapse of the lateral wall is multi-factorial including weak lateral wall, or narrow aperture. Your right nostril is a little more narrow than the left. This will lead to more negative force on the lateral wall on this side when you breath in. You should discuss your concerns with your surgeon. If you are not comfortable with him, seek a second opinion. You have a residual dorsal hump that could be revised in the same surgery. You will likely need cartilage grafting to strengthen the area that is collapsing. All the best!
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July 6, 2015
Answer: Valve collapse after rhinoplasty Thank you for your question and photos. Normally, 7mm of intact lower lateral cartilage is sufficient for support if the cartilage is strong and straight. It appears that yours may be overly curved (from the indents you can see on the lateral view along the alar groove). Collapse of the lateral wall is multi-factorial including weak lateral wall, or narrow aperture. Your right nostril is a little more narrow than the left. This will lead to more negative force on the lateral wall on this side when you breath in. You should discuss your concerns with your surgeon. If you are not comfortable with him, seek a second opinion. You have a residual dorsal hump that could be revised in the same surgery. You will likely need cartilage grafting to strengthen the area that is collapsing. All the best!
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Answer: Nostril Collapse After #Rhinoplasty This issue can be fixed with additional cartilage grafting to your nose and nostril It is likely that you will need to have a rib graft harvested and a strong structural support added to the collapsing area. This can help to prevent the obstruction on inspiration. Please consult with a surgeon who has experience in rib grafts and revision rhinoplasty as yours is likely to be a complicated procedure considering your vestibular stenosis.Best of luck,Dr. Marin
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Answer: Nostril Collapse After #Rhinoplasty This issue can be fixed with additional cartilage grafting to your nose and nostril It is likely that you will need to have a rib graft harvested and a strong structural support added to the collapsing area. This can help to prevent the obstruction on inspiration. Please consult with a surgeon who has experience in rib grafts and revision rhinoplasty as yours is likely to be a complicated procedure considering your vestibular stenosis.Best of luck,Dr. Marin
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July 7, 2015
Answer: Nostril Collapse after Rhinoplasty The cartilage supporting your right nostril is likely insufficient. Internal airway exam is necessary to determine if any obstruction exists. You will likely need more cartilage support during a revision. This can be harvested from the ears. Cadaver cartilage is irradiated and has a history of resorption. Its use is more popular in Europe than in the United States.Express your concerns to your surgeon. Even in the best of hands, rhinoplasty revision rates are 5-10%. Continue with your surgeon if you have confidence in his/her ability to fix the problem. Otherwise, seek a 2nd opinion with a few true rhinoplasty experts.
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July 7, 2015
Answer: Nostril Collapse after Rhinoplasty The cartilage supporting your right nostril is likely insufficient. Internal airway exam is necessary to determine if any obstruction exists. You will likely need more cartilage support during a revision. This can be harvested from the ears. Cadaver cartilage is irradiated and has a history of resorption. Its use is more popular in Europe than in the United States.Express your concerns to your surgeon. Even in the best of hands, rhinoplasty revision rates are 5-10%. Continue with your surgeon if you have confidence in his/her ability to fix the problem. Otherwise, seek a 2nd opinion with a few true rhinoplasty experts.
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July 6, 2015
Answer: Collapse of the ala A frontal view would be helpful but from your base views it appears your tip is slightly off to the right side. The excision of cartilage in combination with other maneuvers is likely the cause of the collapse of your right nostril. I prefer to fix this issue by reopening the nose and placing several thin cartilage grafts to recreate some of the structure that is missing. A complete physical exam would also be helpful as if your septum is more deviated to your right side, a revision septo can help equalize the airflow through the nostrils so that the right side is not collapsing. Hope this helps.
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July 6, 2015
Answer: Collapse of the ala A frontal view would be helpful but from your base views it appears your tip is slightly off to the right side. The excision of cartilage in combination with other maneuvers is likely the cause of the collapse of your right nostril. I prefer to fix this issue by reopening the nose and placing several thin cartilage grafts to recreate some of the structure that is missing. A complete physical exam would also be helpful as if your septum is more deviated to your right side, a revision septo can help equalize the airflow through the nostrils so that the right side is not collapsing. Hope this helps.
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