From the Research
Constant external pressure on nasal cartilage can potentially reduce its size over time, even if breathing is not impaired, as supported by the concept of tissue remodeling 1. This process works through sustained pressure causing cartilage to gradually reshape. However, results vary significantly between individuals based on age, cartilage elasticity, and genetic factors.
- Younger individuals typically see more pronounced effects as their cartilage is more malleable.
- The process requires consistent pressure application for extended periods, often months or years, and results are usually modest.
- This principle is similar to how orthodontic appliances reshape bone structure. While external nasal devices like clips or splints exist for this purpose, they should be used cautiously as improper pressure can cause complications including skin irritation, pain, or even cartilage damage. Before attempting any nasal reshaping, consultation with an otolaryngologist or facial plastic surgeon is essential to assess individual suitability and avoid potential breathing complications that might develop during the process, as highlighted in studies comparing surgical outcomes and cartilage graft preferences in rhinoplasty 2, 3. The most recent and highest quality study on septorhinoplasty using septal L-strut extension grafts demonstrates the long-term stability of cartilage grafts in nasal dorsal augmentation and tip projection 1, which supports the concept of cartilage remodeling under constant external pressure.