Asian Rhinoplasty: Q&A
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Is Alar Rim Graft Suitable for Asian Male?
I just went for an appt with my doc with issues regarding my upturned nose. My concern is the flaring nostrils. I just wan it to be less visible. My doc recommended me the Alar Rim Graft. He explained it to me in details however i still have a lot of questions on my mind? Is Alar Rim graft suitable for me? Is it effective? How much can the alar graft bring down my openness?
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14 Doctor Answers |
Asked by
Mizuki_yona
in Singapore, 00
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Alar rim graft ?
Once your nose is lengthened during surgery, only then your surgeon can adequately assess you for need of alar rim graft. adjustment of the tip and the length of the nose can significantly alter the alar show, thus this decision should be postponed.
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Treating the short nose with flaring nostrils
For the short nose, you'll need an extension graft to push the tip lower - either a septal extension graft, an extended columellar strut, or a braced shield graft - all of these are to push the tip down.
An alar rim graft will prevent kinking in the nostril if you narrow it or if you lengthen the nose. You may need it as part of the nasal lengthening and nostril procedure, but it alone will not lengthen a nose.
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Alar rim graft may be useful
There really is no straightforward answer here. First of all, there is no way to definitively answer your question from analyzing one photo. Planning for a rhinoplasty comes from careful evaluation of all views, not just a frontal view (i.e. your photo). You may or may not benefit from alar rim grafts. If you indeed have any alar retraction, then I can tell you that alar rim grafts will benefit you. And if your nose requires any lengthening, then retraction of the ala can result. In...
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Alar rim graft for flaring nostrils
Alar retraction is best treated with a composite graft of both cartilage and skin harvested from the ear. The graft is inserted on the inside of the alar rim to bring it down. A collapsing inward alar rim is best treated with alar rim grafts harvested from the nasal septum or ear cartilage.
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Alar Rim Graft to Lengthen Nose
You do not need alar rim rafts - they will not lengthen your nose. A cartilage graft placed at the end of your septum will increase nasal length.
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Alar rim grafts
After 30 years experience and 3000 rhinoplasties I'll simply say this ... Alar rim grafts are one of those things (Operations) that sound good and make intellectual sense but in reality never turn out good or make a difference. I have done alar rim grafts on at least a dozen patients and have been dissappointed on all of them. Either I made little difference for their effort and cost or the good result dissappeared over a period of 18 months from thinning and resorption of the cartilage...
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Rhinoplasty questions
Prior to embarking upon this procedure, I would consult several of the most experienced plastic surgeons in your area. After all, you face is what you present to the public every day. I don't think an alar rim graft has a place here. You photo indicate a slightly upturned nose. One of the ways to correct this is to to add nasal length. This may be achieved through the use of spreader grafts and tip grafting. Cartilage is harvested from your nasal...
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Green, Yellow, Red
I think of rhinoplasty in terms of level of difficulty as being green, yellow and red. Your picture looks like a classic Asian nose for the most part.
From what I can tell in the frontal pic the tip of your nose appears to be short with the tip of the nose being elevated. This picture looks like you may have had a rhinoplasty augmentation to the upper part of the nose. It would be helpful to know whether you've had a previous rhinoplasty. Without that information I would classify...
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Alar Rim Cartilage Grafts do NOT correct Nostril Flaring
Regarding: "Is Alar Rim Graft Suitable for Me? I just went for an appt with my doc with issues regarding my upturned nose. My concern is the flaring nostrils. I just wan it to be less visible. My doc recommended me the Alar Rim Graft. He explained it to me in details however i still have a lot of questions on my mind? Is Alar Rim graft suitable for me? Is it effective? How much can the alar graft bring down my openness?"
From the single photograph you submitted...
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Alar Rim Graft
Thanks for the photo! As you can read from the other expert posters you need length not rim increase. Best is to see in person 3 boarded surgeons. From MIAMI Dr. Darryl J. Blinski 305 598 0091
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Alar rim graft for rhinoplasty
Based on the photo that you have submitted, I am a little reluctant to agree that an Alar rim graft be recommended so strongly at this point. I would ask you, "What are you hoping to achieve?"
There are many surgical maneuvers that can be used to improve nasal aesthetics. These obviously are determined based on the intended outcome and goals.
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Alar rim graft is not for a short nose.
You need to lengthen your nose with a septal graft and also a graft between the upper and lower nasal cartilages, not the rim.
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I would not suggest any kind of treatment based on the attached picture
I would not recommend any treatment because your nose looks fine. You may find part of your nose as you wish it to be ,but that does not mean you need to have it changed. I would strongly advise against any Silicone injection. There are so many severe complication from the silicone injection that we do not need to repeat the past mistakes.
Silikon-1000 is not FDA approved for facial injection and No Board Certified Plastic Surgeon will use it.
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You may consider a non-surgical rhinoplasty to decrease nostril show, and lower your nostrils.
I read your concern and reviewed the frontal photo you posted. In my practice, I prefer a non-surgical approach to lower the height of your nostrils. I prefer Silikon-1000, an off-label filler, for permanent results. I've attached a photo from my RealSelf gallery demonstrating this effect. I hope this is helpful for you.
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