I want to get Rhinoplasty to fix my bulbous tip, but I am not sure if I need alarplasty as well. If I decide to get Rhinoplasty, can I get alarplasty a year later? Would this be considered a revision rhinoplasty to fix existing rhinoplasty?
November 9, 2009
Answer: Yes it is. Though most patients have it done at the same time, some patients with only a small amount of alar width may prefer to do it in a year. There is no problem with doing it that way. The cost will probably be a little more since they will require 2 operations instead of one.
Helpful
November 9, 2009
Answer: Yes it is. Though most patients have it done at the same time, some patients with only a small amount of alar width may prefer to do it in a year. There is no problem with doing it that way. The cost will probably be a little more since they will require 2 operations instead of one.
Helpful
November 9, 2009
Answer: Alarplasty can be performed with or without Rhinoplasty I prefer to perform alarplasty simultaneously with Rhinoplasty for most patients, when indicated. However, in some circumstances I actually might recommend that patients wait close to a year for alarplasty. The two main reasons are, first if the patient has a very over-projected tip (sticks out too far), bringing the tip back is like dropping a tent pole, the walls can widen. If it is a dramatic change, I usually do the alarplasty with the Rhinoplasty. If there is a marginal change I may suggest waiting. The second reason is that this is the only external incision I perform on most primary rhinoplasties. I prefer the intranasal approach for most noses. So, if the patient doesn't have really wide nostrils and not sure if they are willing to have any external incisions, I offer to let them wait to see how they like the nose without the alarplasty. Unlike revision rhinoplasty, alarplasty can be performed easily under local anesthesia and will not require "opening" up the entire nose again and has little effect on the rest of the nose and other surgical maneuvers. I published on this topic last spring in the Archives of Facial Plastic Surgery.
Helpful
November 9, 2009
Answer: Alarplasty can be performed with or without Rhinoplasty I prefer to perform alarplasty simultaneously with Rhinoplasty for most patients, when indicated. However, in some circumstances I actually might recommend that patients wait close to a year for alarplasty. The two main reasons are, first if the patient has a very over-projected tip (sticks out too far), bringing the tip back is like dropping a tent pole, the walls can widen. If it is a dramatic change, I usually do the alarplasty with the Rhinoplasty. If there is a marginal change I may suggest waiting. The second reason is that this is the only external incision I perform on most primary rhinoplasties. I prefer the intranasal approach for most noses. So, if the patient doesn't have really wide nostrils and not sure if they are willing to have any external incisions, I offer to let them wait to see how they like the nose without the alarplasty. Unlike revision rhinoplasty, alarplasty can be performed easily under local anesthesia and will not require "opening" up the entire nose again and has little effect on the rest of the nose and other surgical maneuvers. I published on this topic last spring in the Archives of Facial Plastic Surgery.
Helpful