Revision Rhinoplasty: Q&A

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What Can I Do About Right Alar Notch?

I had a revision rhinoplasty about ten weeks ago. The only problem is my nostrils are very uneven. The right nostril is very notched and arched giving me a snarl look. I really don't like it and would like to know if there is anything that can be done? I know that it is still too early and I have to wait for my nose to completely heal. I also do not want another open rhinoplasty. Thanks

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4 Doctor Answers | Asked by peace1

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Right Alar Notch After Rhinoplasty

Yes, it is too early to even make any final assessments. However, after another 8 weeks or so, you can begin to investigate some type of alar sculpting procedure, of which there are several types to achieve different goals. I'd be happy to review your photos and provide you with my recommendations.

Treatment of Alar Notch

Wait another 6-8 months before placing a small cartilage graft at the alar rim to correct the contour of the nostril rim. This can be done under local anesthesia with a small incision inside the nostril.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Correction of an Alar Notch or Retraction

Thanks for the question. There are three commonly used maneuvers for correction of alar notching, all of which can generally be done through a closed or endonasal rhinoplasty approach. For mild notching or retraction, a rim graft can be placed. This is a thin sliver of cartilage which is placed along the rim of the nostril through a tiny incision made just inside the nostril. This can be done without any external visible incisions. The cartilage can be taken from the septum... more

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