Alarplasty Revision - can my uneven nostrils be fixed? (Photo)

Question

Hi. I had alarplasty 2 years ago but the result was UNEVEN NOSTRILS. Can this still be fixed?!

Lexie Wang, MD · Answer

you could totally get that fixed. I think you probably need a little moree xcision on the right nostril.

Alejandro Nogueira, MD · Answer

I don't see much difficulty in your reasonable request, however you might consider adding structural grafting to improve the alar rim collaps and also to create a well defined tip, both typical technical goals in asian rhinoplasties.

Tanveer Janjua, MD · Answer

Your nostril can be improved but symmetry is never perfect. You also have some loss of cartilage in right tip causing a groove that will need to fixed with grafting. 
It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. 
Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone. 
In your case it is obvious.

Regards
Dr. Janjua

John M. Hilinski, MD · Answer

While an alarplasty can be an effective way to refine the shape of the nostrils, achieving perfect symmetry can be challenging due to natural variations in facial anatomy. It is not uncommon to see some degree of nostril asymmetry after surgery. Correcting this can be a complex undertaking. For this type of revision, a surgeon may need to use advanced techniques, such as cartilage grafting, to improve the contour and position of the nostril base. I recommend you schedule a consultation with a board-certified facial plastic surgeon who has specific expertise in revision rhinoplasty to discuss your options and set realistic expectations for the outcome.

Alarplasty Revision - can my uneven nostrils be fixed? (Photo)

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