My lower portion of nose not improve even after 3rd revision. Alar rim curve looks worse (Photo)

Question

Hi, I had 3rd revision. My lower portion of nose looks worst. I mean the alar rim is not in curve ,overall nose width & length got shortened. Middle support is missing in right side nose due to which right alar rim getting closes. Huge emotional rollercoaster for me. Please guide any external material helps (to achieve round alar rim , Add middle support in right side nose,right alar rim elevation, Increasing width of alar rims. Surgeon already extracted composite graft from back ear). Is right nostril third time collapse even after 3rd revision Is something link with neurological issue ? I'm having juvenile diabetes since 18 years & have hypermetabolism.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, your nostril asymmetry can likely be corrected with placement of extended alsr con-your grafts and appropriate tip tensioning during a revision rhinoplasty. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Based on your photos, I can see that you have slight asymmetry of your nostril margins, along with nostril retraction on both sides. This may be associated with a slightly crooked nasal appearance as well. Depending on your examination, microdroplet Silikon-1000 nasal injections maybe considered for achieving a permanently straighter nasal appearance, with improved nostril symmetry and nostril lowering on both sides. I hope this helps! Sincerely, Dr Joseph

My lower portion of nose not improve even after 3rd revision. Alar rim curve looks worse (Photo)

Answers (2)