Fountain Valley Rhinoplasty doctors
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Chase Lay, MD
Bay Area Facial Plastic Surgeon
10050 Bubb Road Suite #1, Cupertino |
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34 answers |
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Thomas T. Nguyen, MD
Orange County Plastic Surgeon
11190 Warner Ave. Suite 400, Fountain Valley |
2 answers | |
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Robert M. Lowen, MD
Bay Area Plastic Surgeon
305 South Drive Suite 1, Mountain View |
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Alan Tran, MD
Fountain Valley Plastic Surgeon
11160 Warner Ave Ste 113, Fountain Valley |
Recent Answers
Hello thanks for viewing,I have been wanting to do this for over a decade but I just dont know what the problem is . My mom tells me that it would be ugly to reduce the alar, that I should just opt for an implant to augment the bridge cause she says it will raise the sides of my alar, reducing the ridiculous flare (it looks like mickey mouse ears). I want the alar trimmed but I am scared if the results are bad, its irreversible. Whats the safest approach? I really hate the flare. Please help!:(
Hi Uluala1,
You can have a very concervative alar base reduction. You can't really reverse it so it's good to be conservative. . .if you wanted to do a bit more much much later you could. Keep in mind, when you smile your nasal ala will still flare a bit, even if you had an aggressive reduction.
You could start small wit just the alar reduction. As for the bridge, it's pretty nice. I would do minimal augmentation as most and you should probably "try it out" with a filler first.
What I see when you smile that adds to the flared look is that your tip (which is a nice tip) just minimally droops when you smile. If you were to refine that and reinforce it with a cartilage graft it would look great.
But you know, you're nice fits your face. Make sure you consult with a few facial plastic surgeons before doing anything.
Six months ago, I had a closed rhino-septoplasty. Now, it feels like I have one thin, unconnected bone running down my nose, and when I touch the sides of my bridge, it feels like I have three separate bones. When I lightly squeeze both sides together, I get this strange sensation in my nose. Do I have an open roof deformity? I think this would also explain why one side of my nasal tip somewhat leans. My surgeon suggested a revision to correct my tip, but made no mention of ORD...Help?
Hello,
This does sound a bit like an open roof deformity but hard to say without an exam. When comes to revision work, especially in one's own patient, surgeons tend to look at the cost-benefit to the patient and how much work they have to put out. Often a surgeon will charge something for a revision. I'm not saying this as a negative critique of your surgeon but this might be the case. I would ask specificially, "Do you think I have an open roof and could your refer me to someone for another opinion?" Gauge the response.
If you need a revision for an ORD it may be as simple as soft tissue grafting to the nasal dorsum with fascia from behind the ear or cartilage from the ear. It could also require redo osteotomies and soft tissue grafting. In either case it can be as much or more work than the original rhino.
Get a few consults. If your surgeon is resistant then look into a revision at an academic center with a facial plastic surgeon or one in practice that actually enjoys revising noses. It really can be difficult so you may not find a lot of true revision specialists.
Best of luck
Chase Lay, MD
I recently had a consulation, and my doctor and I agreed to leave the tip of my nose untouched and focus on the dorsal hump. I'm having surgery in 3 weeks and I'm having second thoughts about the tip. I still feel its too bulbous. I would love a second opinion.
Hi Fonix,
At risk of sounding silly I think your nose is quite cute from the front. Could it be narrowed a bit. Sure but I would keep it very concervative. I'd remove a minimal strip of your lower lateral cartilages to narrow the tip just a bit. I'd prefer to do this without opening the nose so the rest of your alar cartilage is not dissected or effected. Keep it minimal.
Best of luck
Chase Lay, MD
