How To Fix A Collapsed Nasal Valve | Dr Moustafa Mourad | Mourad NYC

A nasal valve collapse can happen for a number of reasons. Dr. Moustafa Mourad of Mourad NYC explains why this may happen and what kind of surgery can be done to fix it.
#rhinoplasty #nasalvalve #nasalvalvecollapse #collapsednasalvalve #nosejob #nosejobbeforeandafter #cosmeticsurgeon #fixmynose #howtofixmynose
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Types of Nasal Valves (0:01)
Internal Nasal Valve Collapse Signs & Symptoms (0:20)
External Nasal Valve Collapse Signs & Symptoms (0:37)
Other Signs of Nasal Valve Collapse (0:56)
Nasal Valve Collapse Causes (1:18)
Treatment of Nasal Valve Collapse (2:20)
Patient Photos (3:05)
Other signs that you might have as nasal valve collapse is that your nasal airway obstruction gets better with certain maneuvers. Oftentimes, patients will say, "I feel better and I can breathe better when I lift up on the skin of my cheeks." The reason that makes you feel better is that it's pulling you on the face, also pulls open the nasal valve, which is on the side of the nose here. It helps you breathe better.
Nasal valve collapse can occur for a lot of different reasons. The number one reason is aging. So a lot of times, patients will present with worsening breathing as they get older. And because of the cartilages that have gotten so weak, you have collapse in what we call the Mid valve area, the internal nasal valve area, and you get pinching of the nose. Other causes of nasal valve collapse include patients that have undergone surgery. Anytime you alter the structure of the nose through a prior rhinoplasty in which you did not address the valve areas, the nose continues to get weaker and you get collapsing of the nose. So prior surgery is also a cause of valve collapse. And another reason that people develop valve collapse is nasal overuse. What we found a lot is in patients that are very athletic, that exercise a lot, and use their nose a lot, and are chronic nasal breathers, distance runners, a lot of swimmers, they present with external valve collapse, especially. And then it becomes problemsome for them as they get older that they can't breathe or exercise as much.
The goal standard treatment of valve collapse is typically through surgery, through an open rhinoplasty approach. Now, these are typically covered by insurance because it does represent a reconstructive procedure to improve your quality of life and your breathing.
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[@lisanewgen]

Please keep uploading videos like this on nasal conditions and procedures! Currently on my plastics rotation and your videos and explanations are a huge help!

[@nycfacedoc]

Thank you for the kind sentiment! I am so happy these are helping you!

[@faraz1231]

Agreed

[@jsmith1899]

Everyone who pulls on their face with that maneuver at around 1:00 feels as though they can breathe better, it does not mean you have valve collapse. There is a whole nasal strip industry aimed at doing the same thing and these nasal strips can be beneficial to everyone.

[@nataliemeenakshithegreat7780]

This doctor apparently doesn’t care to answers all your questions and iam sorry for me and for you guys

[@LexaTerrestrialx]

yah I'm noticing he hasn't responded.. most people don’t know to check theeir youtube comments or rarely have the time to remember.

[@SurgeCess]

I need the surgery but our healthcare system is so bad here I have to wait 2 years. Toronto is bad, this isn't a world class city, there is no help for nasal problems here.

[@LexaTerrestrialx]

that is sad but good to know I was always curious about this... my friend said they wait until its an absolute emergency before they treat. Can you pay to have it done sooner or they don't allow that there?

[@djbrown4648]

Hi 🤚 Moustafa, you're a HANDSome Dr, And funny too I' LOVED you

[@helunanova]

Dear Doc, I dont have enough septal cartilge left because my nasal valve collapse is due to 2 plastic surgeries :-(. In that case, would you recommend ear or rib cartilage? Every doctor tells me something different... i'd love to hear your opinion, as I feel like ear cartilage is too weak. Thank you so much!

[@JMcMac4t]

After surgery to repair deviated septum and never being able to breathe thru my nose, my nose collapsed… It was repaired by same ENT, but not well.. 20 years later I was diagnosed with Ehlers Danlos which few docs even understand… sad…

[@WolfHunterJason]

your nose looks fine though? unless that’s an old picture on your profile.

[@JMcMac4t]

@@WolfHunterJason ty,.. but it dips in on profile and have never been able to breathe properly thru my nose.. the year of surgery was 2000… he tried to repair the repair, I liked my ENT so I just lived with it.. but EDS is responsible for anything cartilage or connective tissue related sadly… Feel like Gumby… only a boomer would get that… lol

[@WolfHunterJason]

@@JMcMac4t haha, well don’t worry because I have Nopey’s ears. I’m sure you’re one of few, if not the person that thinks you have some kind of hideous nose. we’re all our own worst enemy

[@ediekristen8364]

I had a rhinoplasty/septoplasty in 2016 for collapsed nasal valves and other issues, and am about to have a suture suspension repair because the valves collapsed again.. I also just found out I likely have EDS.. so I might just have to keep dealing with this?? :(

[@JMcMac4t]

Hopefully you have an ENT who has some insight into how cartilage is effected by hEds… Mine was onto something, prescribed antihistamine spray, tabs, and gastro meds… had zero idea why (then) but I’ve never been able to successfully breathe thru my nose… As a trained dancer it was twice as difficult… This occurred 20 years ago.. My hope is all docs attend professional seminars on the subject of Eds… Best of luck to you~

[@Alpha_fitz]

Does the donation of the middle septal cartilage itself also cotribute to addional opening?

[@Sharylanne]

I don’t see how cutting the nasal septum leaving just that L strut is smart!! Eventually this nose will collapse. Risky surgery, sir.

[@RosemarieTM]

Can this also cause mucus to accumulate in the sinus and chronic one sided sore throat that the nasal blockage is on? I have had to move my skin on my right side to actually breath through my nostril so I can fall asleep. This has been a complete nightmare for me for many many years.

[@ThoughtswithFelix]

Look into nasal dilators (work for me) in order to sleep until you get surgery to address the issue.

[@nataliemeenakshithegreat7780]

Sorry to hear I also cants breathe after 18 months surgery in fucking turkey I gonna need grafts

[@LexaTerrestrialx]

I actually made a Breathing Device to help with this problem exactly... Nasal valve dialtors often don't fit, and are uncomfortable & don't solve these kinds of problems

[@Lisa-zr2su]

Can you recommend someone in Omaha?

[@incrediblepoland6662]

I have the very similar issue. Please guide me how to fix it I can better give your more information on that. #waiting

[@nycfacedoc]

Hello, thanks for reaching out! I hope we're able to help you. You can book a consultation here: www.nycfacedoc.com/request-an-appointment/ Or you can call us directly at 212-832-0444.

[@TheDdm1234]

I want a nose bypass!

[@dilkiawaz9153]

I need help in Germany please guide me where I can go to

[@galnasherki]

i think i need this. i was implented a wengen breathe implantant 4 months ago but it didnt help for the collapse issue. I think this is how you did it,is the right method. or would you rather think the wengen breath titan implantat is the right thing? But it didnt help with the collapsing valves... what do you think I should do ?

[@LexaTerrestrialx]

Means the collapse is too strong & needs a stronger support placed in a certain area, almost like a door stop. I got a latera implant but my nose is so screwed up it didn't do. much. I wear Q-Tips in my nose to hold it open. Which caused me to actually make my own breathing device to help me

[@galnasherki]

@@LexaTerrestrialx does breathe right strips help you breathe better? I had a wengen titan implantat planted and now the next surgery will be the nasal valve collapse. I hope this next surgery will end this journey of pain. Hoping the same for you.

[@LexaTerrestrialx]

@@galnasherki wow what is a Titan implant? that sounds incredible... although strangely enough i am watching Titanic footage rn haha... i've always been fasinated with it... What is a Wengen TItan Implant & what does it do? I've had latera but it didn' do much however I got threads Put in my face & that helped a bit too. I also deal w/ Turbulent airflow. Breathe right strips don't even stay on my nose so I manually do it with Paper Tape!!! Try it!! helps in lifting my nose so it doesn't collapse. also placing it near the bones helps too. I actually made a breathing device that looks like a nose ring & helps w/ a multitude of nasal issues, especially collapse.

[@LexaTerrestrialx]

@@galnasherki P.S did you have surgery prior to needing an implant.. like did any type of surgery cause the collapse???

[@galnasherki]

@@LexaTerrestrialx Wengen titan implantat was invented by a swiss guy called "wengen". Its a "M" shaped little piece of metal called titan that they will put on your top of your nose in a surgery. You can also search in youtube for it. Titanic news is tragic but Iam worried more about my health then I can consider paying attention to the news. The Wengen implantat helps keeping the inside nose entry open but in my case the nose walls (the sides of the nose) are collapsing and the nose entry inside close too. With the breathe right strips I can breathe good so the nasal valve collapse surgery will adapt this function. Prior the wengen implantat surgery i had mainly the nasal septum surgery which caused this all. This was 10 years ago. I can recommend you a Doktor in germany for this issue if you like. The others doctors tell me she is perfect.

[@reardelt]

Hi Dr - Do you do video consultations?

[@madfitmalayali1861]

Is your service available in india

[@vitalianchristopherenapone]

Is there a doctor like here in Philippines? Can you recommend someone you know?

[@nycfacedoc]

Hi! I am sorry, I do not know of any providers in the Philippines. Our office is located in New York City. We do have information for out of town patients here: www.nycfacedoc.com/out-of-town-patients/

[@yahyaelmi8435]

@@nycfacedoc Dr I want to ask you for research purposes, which procedure is better alar batten cartilage graft or an open rhinoplasty

[@reardelt]

Cant latera be used?

[@iamdanish6298]

where are you from i want to do rhynoplasty

[@nycfacedoc]

Hi! Thanks for commenting. Our office is located in Manhattan, New York. To book a consultation, you can go to my website www.nycfacedoc.com/ or call 212-832-0444.

[@lynlyn8159]

Good pm doctor were is the location?

[@nycfacedoc]

Hi! Thank you for contacting us. We are located in Manhattan, NY. You can visit our website here - www.nycfacedoc.com/

[@malakabdelhadi850]

@@nycfacedoc 🥺 unfortunately you are far away from my country I had septoplasty surgery , and it went wrong . I will have another one soon I,m scared I have difficulty breathing I don't know what the real case for me and I,m not sure what the results going to be I wish you were near I need you help doctor but it's my bad luck as always may Allah bless you and have mercy on me

[@flatebinginneh5048]

Great video, I cannot breath 4 months after my septorhinoplasty ( which was complicated by infection and abscess) can I suit my surgeon ( bcz my septum is still deviated and now internal valve obstruction?

[@Alpha_fitz]

Yes you can. Surgeons always hide behind stacks and stacks of disclaimers. But none will protect them from gross negligence.

[@LexaTerrestrialx]

@@Alpha_fitz you're not joking!!! sounds like what happened to me & many other patients would got this procedure. the ENT shows lack of concern or covers it up. Hopefully you did or are not going to develop empty Nose Syndrome. Once your sinuses settle from thee infection which hopfully didnt do any damage it should be less obstructed. But the surgeries they do, do not help, they need a new method. Medical Malpractice is Sadly extremely common. Do not worry though - there is help out there