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Creased Nasal Sill After Alar Base Reduction

asked 3 years ago by rtm in USA
Latest answer by Richard W. Fleming, MD
Question viewed 1,554 times

Several months ago, I had a procedure to correct one nostril that was much lower than the other (the doctor called it 'nostril reduction'). An excision was made running through the nostril floor and around the side of the nostril. Where the excision was made in the nasal sill, the skin now appears sort of folded together, like it's creased or wrinkled, as opposed to being continuous and smooth like the other nostril. Will this improve on its own? Is it expected? Can something relatively simple be done to correct it that doesn't involve incisions/stitches?

3 answers to Creased Nasal Sill After Alar Base Reduction

+1

Nostril Sill Scar

If you're seeing any improvement, wait a liitle longer. You probably will need a scar revision, which is a relatively minor procedure. There's no guaranteed improvment, but I would encourage you to do the operation.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Most likely to improve over time

The incision which was made around the nostril floor and around the side of the nostril can be made to look better by either a scar excision, dermabrasion, or cortisone injections. It most likely will improve on its own over time over the next one year after the rhinoplasty.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Scar Revision may be needed

It sounds as if you have an unacceptable scar on one side which would require re-excision or scar revision.  This should be very simple and can be done under a local anesthesia.  the would should be repaired with an extremely small suture like 7'O silk which will not leave needle marks. 
S. Randolph Waldman, MD

Lexington Facial Plastic Surgeon

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