Some of my Houston revision rhinoplasty patients come in for consultation concerned about nasal collapse after their original rhinoplasty. Nasal hump reduction without support of the middle vault can lead to collapse and breathing issues after rhinoplasty. This typically occurs if the middle vault is not supported with cartilage grafts such as spreader grafts, there are not proper osteotomies performed, or the upper lateral cartilages are not reconstituted to the septum. Revision rhinoplasty to support the middle vault requires cartilage grafts such as spreader grafts which can be obtained from the septum, ear cartilage or rib cartilage. This will improve an inverted V deformity, nasal breathing, and any middle vault depression.
Dr. Funk is a top rhinoplasty surgeon in Houston, TX.