Rhinoplasty: Q&A
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Can a Nostril Wedge Excision Be Performed on my Nose?
Hi there, I had an open rhinoplasty about 1 month ago now. Bulbous tip reduced, tip rotated upward and Alar base reduced with a Sill excision. After removing the cast I noticed my nostrils still retained the flare they had before the surgery, granted my nostrils were smaller they retained the same flared shape. He said a Wedge excision could not be done on my nose because of the way my nostrils inserted into my face (my nose lacked a nostril overhang he said). Is he correct?
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18 Doctor Answers |
Asked by
Vancouver2036
in Vancouver
+5
Nostril Wedge Excision/Resection Will Likely Reduce Breathing Through Your Nose
Thank you for your question. I agree that you should wait a year before considering revision Rhinoplasty.
That said, your result so far looks excellent and you are still swollen.
My concern about further wedge excision of your nostril base is that it will reduce air flow through the nostrils and create difficulty with nasal breathing. Be very cautious. Consult your Plastic surgeon, he has done a good job so far.
+2
Timing for Nasal base resection
At one month it is very difficult, if not impossible to make any assessment of the final shape of the nose. It appears that you are off to a good start. I would recommend waiting one year and if you still have concerns then peform a simple procedure in the office. Assymetries are common at one month. They will often balance out as the swelling resolves. If you reach the year mark and the left nostril still flares a little. The weirs procedure could be performed on just that side. Hang in...
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+2
Nostril Wedge Excision
It's only been 1 month since your surgery - you know swelling is present. If you want, reconsider alar base narrowing with your surgeon after you see the final result.
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+2
Alar base nasal revision surgery
Your appearance is excellent, especially for one month.
It appears that in addition to the open rhinoplasty incision you may already have incisions at the alar bases that are healed.
Patients who chase perfection will end up with a lot of surgeries and not much perfection.
+1
Alar base reduction by wedge resections.
A decision to reduce the nostrils is based on the width of the eyes.From these pictures it is hard to make the comparison.SInce it is very early after the surgery I'll give it about 6 months to recover from surgery and if the alar base remains wider than the palpebral aperture width I'll consider resection.
+1
Too hard to tell from these photos
A very important aspect ot consider when narrowing the nostrils is the width of your eyes and the distance between your eyes. Without those to see it is hard to tell. In general a wedge excision can be done with very inconspicuous scars left behind.
Atlanta Plastic Surgeon
+1
Wedge resection
1 month is too soon to tell what your final nasal shape will be. I'd give it a little time before you rush in to another surgery. It will take a few months before you will see the final result. Continue to see your rhinoplasty surgeon. After 6 mo - 1yr passes and you still feel that your ala are too big, you can have another discussion with him/her about doing a small wedge resection.
Dr. Cat Begovic M.D.
+1
Nostril Flare Reduction With Wedge Resections As A Secondary Rhinoplasty Revision
Further alar reduction can be done but at the 'price' of potentially more visible scars at the alar base. I would give what appears to be a good early result much more time to heal and you adjust to the new nose look. If the amount of alar flare is still bothersome at 6 months after surgery, then you should discuss with your plastic surgeon the adviseability of further alar base modification.
+1
Can a Nostril Wedge Excision Be Performed on my Nose?
Yes, a wedge excision can be performed, but I think it is prudent for you to allow more healing to take place before pursuing this. Also keep in mind that, from the frontal view, there is a balance between the width of the nasal tip and width of the ala. If you reduce the ala too much it may make your nasal tip look less refined. Things to keep in mind.
+1
Repeat wedge excision on nostril PHOTOS
The wedge excision could be performed but the angle that your nostril forms with your cheek/lip will make the incision more visible. You could benefit from an alar cinching suture to bring the soft tissues of the base closer together.
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