Alar collapse possible after fourth Rhinoplasty?

This is my fourth Rhinoplasty. I had open rhinoplasty (two weeks post op). Everything seems okay except for nostrils. I'm noticing that one nostril is slanting in and other is straight up (it's not noticeable looking at my face, but when I lift my head up, I can tell).

My ENT said he will have to monitor my nose from collapsing because first plastic surgeon took all my cartilage to build up tip and dorsum. Will nose collapse within next couple of months or much later? I don't want another surgery!

What are the signs of alar collapse? Do I have the first sign of one nostril slightly slanting inwards? Will my breathing diminish over time? Is there anything I can do so I don't have to have another surgery?

Read my review "Third revision rhinoplasty - worried about nose collapsing (alar collapse)"

3 answers to “Alar collapse possible after fourth...”

A: Fourth revision rhinoplasty.

Eric M. Joseph, MD

I hope you get an excellent result! I'm glad your surgeon will monitor you closely. If you're breathing well through your nose, you won't need any further surgeries. In fact, a 5th surgery could lead to severe problems. If there are any visible signs of collapse due to insufficient cartilage, you might benefit... more

A: 2 weeks after 4th Rhinoplasty

Randolph Capone, MD

Hisako- At only 2 weeks from your 4th revision rhinoplasty, I imagine you understand your healing process has only just begun. Much healing has yet to be occur!  Because of your prior surgeries, we might only speculate on what may be causing the nostril asymmetry: It could be... more

A: Alar collapse is possible but there are ways to help prevent

Robert Kotler, MD

Ask your surgeon about inserting a plastic stent-like device that would sit, hidden, inside the nostril and help prevent overtighting that might cause the collapse. It is important to do as much as possible to prevent that, particularly after several surgeries. The doctor will be familiar with the types of... more

Post your question

Revision rhinoplasty: 44 reviews

58% said it was worth it

Revision rhinoplasty before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.