19 days ago
The treatment of nostril retracation all depends upon the extent of the retraction. If it is minimal, cartilage grafts alone are reasonable. If it is significant composite grafts are better.
Nostril retraction
Steven Wallach, MD answers: Which nostril grafting method is better?
I had retracted nostrils even before my surgery, not as a result of it, but am only deciding now that I want the nostrils lowered. I have gotten conflicting opinions from two different surgeons on how this should be addressed. One suggests that composite auricular grafts are best for alar grafting. The other doctor says that auricular grafts wouldn't be ideal and that septal cartilage would be necessary to graft the nostrils. I am trying to figure out which route is best. Please help me.
More answers to “Which nostril grafting method is better?”
A: Alar Retraction
18 days ago
Hi,
Septal cartilage is definately stronger than auricular cartilage. This is why many surgeons prefer to use sepptal cartilage. However, sometimes the septal cartilage has been removed or is not enough, then auricular cartilage can be harvested as well.
Both cartilage should be adequate to augment the nostrils, I would start with septal cartilage.
Best,
Dr. S.
Web reference: http://www.facechange.org
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