Collapsed Rhinoplasty Nose Is Avoidable,
Also Fixable in Beverly Hills
Collapsed rhinoplasty is where the bridge has been lowered so much either by radical take-down. Or the internal support, the septum which was crooked, has been weakened so much that the buttress supporting the bridge has been inadequate and there is a large dip or “saddle” deformity. It is avoidable if the surgeon does the operation carefully and incrementally. Shaving down the bridge, a sliver at a time, helps prevent that problem. Likewise, when performing correction of the deviated nasal septum, one needs to constantly assess how strong the upper margin of the septum is and be wary not to remove too much of the higher septum that supports the bridge of the nose.
If the patient has a result which demonstrates a collapsed nose, it can be fixed. There are three techniques. One is to place a preformed plastic part or prosthesis under the skin to fill the “dip.” The second is using the patient’s own cartilage from the internal nose and external ear. And third, to use filling injections to raise the bridge to the point that it is satisfactory for the patient.
I recommend the patient consult very carefully before making a final decision about the preferred technique.