I think one alar cartilage is deformed or buckled. I have long nose and deviated septum as well. Any suggestions? (photos)

Rhinoplasty can be used to achieve those goals for your nose that you have listed.Kenneth Hughes, MDLos Angeles, CA

You seem to have made a pretty accurate assessment of your nose.  It does appear that you have asymmetry of the lower lateral cartilages.  This is accentuated by the fact that your nasal skin is quite thin.  I would not be surprised if you are having some breathing compromise as well.  Consultation with a surgeon who specializes in the face and in rhinoplasty procedures should help to create a good plan for your nose.

Yes you have  asymmetrical alar tip cartilages and the buckling can be corrected easily. You also have a long nose and a small dorsal hump as well as a slightly droopy tip from the limited views. Your deviated septum along with the above issues can all be corrected by a septorhinoplasty procedure. The goal should be a natural looking nose that matches your facial proportions and the ability to breathe better. Seek an experienced rhinoplasty surgeon.Best Regards,

I love the drawing on your photo and think you are right.  Your skin is thin, making the underlying cartilage more visible.  The techniques I use for the tip (endonasal, dome division with a columella strut graft) allows for a nicely shaped and refined tip and will completely correct the buckling you are seeing.  There are some other changes you can make at the same time (deprojection and rotation, lowering the bridge, etc...).  Here is a link to our rhinoplasty gallery.  We do hundreds of rhinoplasties each year and would be happy to see you for a consultation.  

I agree with you that you have some apparent buckling of the cartilage of the nose.  The nose is also a bit long with a hump on the bridge of the nose.  I would advise you to see an experienced rhinoplasty surgeon.  I'd be happy to see you for a free consultation in either my Salt Lake City or South Jordan office to further discuss.

The Bossa on the nasal tip does appear to be a buckled lower lateral cartilage which can be addressed with shaving it down and suturing it together to match the opposite side lower lateral cartilage. This  can be accomplished with suture techniques similar  to what is done with a bulbous tip repair. The dorsal hump can also be shaved down along with de-projecting the tip. A septoplasty is performed in the back of the nose to address the deviated septum which involves removal of bone and cartilage that is blocking the air flow in the back of the nose. A rhinoplasty is performed for cosmetic purposes, while a septoplasty is performed for airflow improvement, once medical necessity has been documented. For more information, diagrams and examples, please see the link and the video below

From the base view, it does appear that you have asymmetries within the lower lateral cartilages that create the shape and size of your nasal tip. This is something that is certainly correctable with a rhinoplasty. The process involves using sutures and cartilage grafts to create strength and symmetry to the complex. From your oblique view, it looks like you also have a dorsal hump which can create the illusion of a long nose. All of these changes are correctable by an experienced rhinoplasty surgeon.

Thank you for the photos and question and your problems can be corrected with further surgery so go on some in person coosultsDr Corbin