Hello I had a rhinoplasty almost 2 years ago and I’m unhappy with my breathing and appearance of my nose . I believe my doctor made my nose too small . I had a tip, hump , and nostril reduction. My nostrils collapse and and my breathing feels restricted. My nose feels so flimsy I’m scared it will eventually collapse . What’s the best graft to make my nose bigger and restore my breathing ?
Answer: Nose you have clear evidence of what we call a pinched tip. Most likely you are correct that your surgeon overly reduced your tip in attempt to making it smaller, and now you can't breathe because your ext nasal valve is very collapsed. to address this, you need to get new cartilage put in to support the valve area. the type of graft you may be looking at is something called an alar batten graft or a lateral crural strut graft. make sure you go to a good rhino expert if you plan to get a revision and while I am biased, I would recommend you specifically find someone who is ENT trained bc you are looking at improving both cosmetics and functional outcomes.
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Answer: Nose you have clear evidence of what we call a pinched tip. Most likely you are correct that your surgeon overly reduced your tip in attempt to making it smaller, and now you can't breathe because your ext nasal valve is very collapsed. to address this, you need to get new cartilage put in to support the valve area. the type of graft you may be looking at is something called an alar batten graft or a lateral crural strut graft. make sure you go to a good rhino expert if you plan to get a revision and while I am biased, I would recommend you specifically find someone who is ENT trained bc you are looking at improving both cosmetics and functional outcomes.
Helpful 1 person found this helpful
Answer: I Recommend Revision Rhinoplasty | Facial Plastic Surgery Nosejob Expert | Collapsed Nasal Valves Spreader Grafts | Los Angeles Hello and thank you for your question and pictures. You have a pinched tip and collapsed internal and external nasal valves- resulting in the appearance and poor function. A revision rhinoplasty can best address both your functional issues and your aesthetic concerns with your nose. I would be able to open up and solidly reinforce your internal and external nasal valves to improve the airflow through your nose (and to prevent distortion and retraction from scarring forces over time)! I'd also be able to adjust the size, shape, and definition of your nose.
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Answer: I Recommend Revision Rhinoplasty | Facial Plastic Surgery Nosejob Expert | Collapsed Nasal Valves Spreader Grafts | Los Angeles Hello and thank you for your question and pictures. You have a pinched tip and collapsed internal and external nasal valves- resulting in the appearance and poor function. A revision rhinoplasty can best address both your functional issues and your aesthetic concerns with your nose. I would be able to open up and solidly reinforce your internal and external nasal valves to improve the airflow through your nose (and to prevent distortion and retraction from scarring forces over time)! I'd also be able to adjust the size, shape, and definition of your nose.
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March 17, 2025
Answer: Revision Rhinoplasty I would recommend a revision rhinoplasty with rib autograft (using your own rib). It appears that the nose has completely collapsed on itself (visible inverted V deformity) and alar collapse. I would recommend using the rib graft to fix all the collapsed aspects of the nose which also includes the internal/external valves that permit airflow.
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March 17, 2025
Answer: Revision Rhinoplasty I would recommend a revision rhinoplasty with rib autograft (using your own rib). It appears that the nose has completely collapsed on itself (visible inverted V deformity) and alar collapse. I would recommend using the rib graft to fix all the collapsed aspects of the nose which also includes the internal/external valves that permit airflow.
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February 28, 2025
Answer: Nostril Support in/after rhinoplasty Thank you for your question and for sharing your photographs.
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February 28, 2025
Answer: Nostril Support in/after rhinoplasty Thank you for your question and for sharing your photographs.
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February 20, 2025
Answer: Nasal Airway Obstruction You have both internal valve and external valve collapse. The internal valve will need to be strengthened with spreader grafts with upper lateral cartilage overlayed on tension; additionally the lateral crura of the lower lateral cartilages need to be reset to a 90 degree resting angle, which would occur with a proper tip complex reset. The lateral crura of the lower lateral cartilages may also need batten grafts, as well. The external valve would also be strengthened by above maneuvers but would also benefit from alar grafts.
Helpful 1 person found this helpful
February 20, 2025
Answer: Nasal Airway Obstruction You have both internal valve and external valve collapse. The internal valve will need to be strengthened with spreader grafts with upper lateral cartilage overlayed on tension; additionally the lateral crura of the lower lateral cartilages need to be reset to a 90 degree resting angle, which would occur with a proper tip complex reset. The lateral crura of the lower lateral cartilages may also need batten grafts, as well. The external valve would also be strengthened by above maneuvers but would also benefit from alar grafts.
Helpful 1 person found this helpful
