I have cartilage loss due to drug use & need septorhinoplasty for severe deviated septum. What technique would you use? (photo)

Question

Scared of getting a flat nose if I get septoplasty and rhinoplasty for severe deviated septum and crooked nose deformity.  cocaine 2 years ago when I felt the cartilage right by the nose bone had vanished around the middle third area. Headaches and face pain ensued. No nose bleeds or perforation. Seen an experienced ENT in London who wants to remove and straighten the septum using scoring and the swinging door technique. Does this carry a risk of saddle nose or boxers nose as doctor has ruled out grafts?

Stephen Weber MD, FACS · Answer

As long as you have a stable cartilage and bone "strut" and that remains after surgery you should not develop a saddle nose. During septorhinoplasty, a weak or absent strut can usually be repaired using your own cartilage to prevent settling of the bridge over time. As long as your septoplasty surgery is very meticulous this shouldn't raise your risk of a perforation as it sounds like your septum is currently intact. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Somyos Kunachak, MD - Account Suspended · Answer

Conventionally, your nose will need septorhinoplast. However, if you don't have functional nasal obstruction, a conservative method of cartilaginous grafting or permanent filler to the right side and the dorsum will significantly improve your nasal harmony.

I have cartilage loss due to drug use & need septorhinoplasty for severe deviated septum. What technique would you use? (photo)

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