What Should I Do for my Cleft Nose? (photo)

Deciding "what to do now" will be based on: 1) what techniques were performed for your surgery at age 21, and 2) what part(s) of your nasal shape bother you.  Cleft lips impact lower 1/3rd of the nose most commonly and to the greatest degree. Accordingly surgical correction of cleft nasal deformities often centralizes and adds projection to the nasal tip, balances the nostrils, and improves the additional skin that is present to the front part of the nasal opening.  Occasionally, the middle and upper 1/3rds of the nose benefits from surgical correction, too. Plastic surgeons who emphasize cleft rhinoplasty are fairly rare, so seek out a surgeon with significant experience, and share the details of your past surgery and your present concerns.

you need an open nasal reconstruction to elevate and support tip, augment bridge, narrow base and narrow nostrils
one stage procedure with predictable improvement

Prior to selecting a surgeon, it's best to clearly identify what bothers you.  Is it the asymmetry of the nostril rims, for example...or is it the slight cleft seen on the frontal view?  Once you can better identify your concern, the solution will become more apparent.  For example, the nostril rim height can be adjusted will filler injections.  The cleft and projection can be enhanced with a variety of different implant and graft options.  Rest assured, your nose can be refined....maybe even without surgery!