I Feel Like I Have a Pug Nose After Alar Reduction, Will It Improve in Time? (photo)

asked 3 months ago by oc2012 in california
Latest answer by Francis R. Palmer, III, MD
Question viewed 186 times
Tags: 1 week post-op, alar reduction, expectation, swelling

I had alar base reduction performed 5 days ago ( i know it' still early), and I'm still swollen. But I'm very concerned with the fact my nose now has an upturned appearance. It looks like the doctor pulled the edges of my nostrils too low, so now my tip is upturned. Can the swelling cause this? Or am I going to need to have my columula cut to make up the difference? Help!

5 answers to I Feel Like I Have a Pug Nose After Alar Reduction, Will It Improve in Time? (photo)

I Feel Like I Have a Pug Nose After Alar Reduction, Will It Improve in Time?

Aesthetically, the nasal tip is at approximately 120 degrees and as such is over-rotated making it appear short. The ideal angle is between 105 and 115 degrees. The nose may drop with time, after your Rhinoplasty, and there are manipulations that can encourage downward tip rotation. Understanding and following the proper aesthetics of facial (and nasal) beauty is paramount, IMHO, for the creation of a naturally, more attractive nose and face. This should, IMO,... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Alar reduction at five days

It is so hard to tell after just five days, though the photo looks like you are off to a good start. Alar reduction alone should not cause tip rotation, so relax and let things settle. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Will my pug nose improve (photos)?

You are correct in understanding it is too early after your procedure to evaluate aesthetic factors, and probably inappropriate for other surgeons to comment on your outcome at this time. It appears you've had rhinoplasty previous to this most recent intervention. Small contour and proportion issues can often be corrected non-surgically. Major changes can be accomplished surgically, but only after comprehensive review of your complaints, previous procedures, and... more

Steve Laverson, MD
San Diego Plastic Surgeon

feelbeautiful.com

Patient Is Paramount In Any Form of Rhinoplasty

At just five days after surgery, it is too early to judge the final aesthetic outcome...unless alar base reduction was the only procedure you have done. But if you have had a tip or full rhinoplasty done at the same time, which is likely, then you need six months before you should be critically analyzing the relationship between the tip of the nose and the alar bases.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Give it some time

Just curious but was anything else done besdies the alarplasty? It looks to me as if the alar width was only minimally reduced and that alar hooding was present prior to the procedure. In my mind, the main thing that needs to be done is to increase the nasal tip projection and to create a more defined nasal tip. You should wait at least 2-3 months and then if you are not happy you should see someone very experienced with complex nasal surgery and who is skilled in the... more

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

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