Q: I am looking to get my nose fixed after it has been traumatized in the past. I believe the problem is what is called the tip of the right-dorsal horn has separated or fractured from the left cartilage. In doing so, it is no longer held to symmetry as it extends away from the cartilage it separated from. Because of this it has created an appearance of a hook on the right side of my nose as well as a bumpy tip. I noticed that by pushing the cartilage in toward the fracture point the hook is no longer significant and the tip looks less bumpy. This is what my nose use to look like before the separation of the right cartilage from the left side. Is it possible to have a closed procedure where you stitch the right tip back to its natural foundation with the left tip. I am hoping to remedy this permanently with a less invasive procedure; hopefully removing the hook and smoothing out the tip of my nose. Thank you very much for your help.
A: Thank you for sending the pictures and clarifying exactly where the problem is. The problem is in the tip of the nose which is created by the union of two pieces of cartilage. It is a difference in the shape of the two domes or lower alar cartilages. They are separated and apparently the right dome or alar cartilage has been displaced to the right. You were correct in assuming that it can be fixed by a simple closed rhinoplasty using suture techniques. That is a relatively simple fix that is as close as it gets to minimally invasive for the nose.
Dr. Barry Eppley