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?
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.
Helpful 1 person found this helpful
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.
Helpful 1 person found this helpful
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.
Helpful
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.
Helpful
