Lateral Wall (Rim) Excision to Lift Lateral Point of Nostrils?

Hi! A year ago I had an alar base reduction to correct a deformity caused by orthognathic surgery. These surgeries left me with tiny flared nostrils, making my tip look large when it is in fact not. I have asked rhinoplasty surgeons in real life, they mainly said there is not much you can do. I stumbled accross a technique called "Lateral wall (rim) excision" but cannot find much info on it / doctors that perform it. I am seeking information and/or experience doctors who have a reliable solution

Doctor Answers (2)


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Rim retraction is a troubling issue.  Consult an experienced Cosmetic Rhinoplastic specialist who performs revision surgery.

San Diego Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Looks like alar rim retraction to me

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Looking at your photos it looks more like alar rim retraction to me.  The 'preferred' appearance that you have posted can be achieved with a 'rim graft'.  I would not recommend the excision you have posted.  Find a reputable and experienced rhinoplasty surgeon in your area and ask about a 'rim graft'.  Good luck. 

Farzad R. Nahai, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 4 reviews

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