What can be done for my alar retraction? (Photo)

Hello,
Thank you for providing these photos. I think you're exactly right that alar composite grafts will help and there are also additional tweaks that can be done under local to improve symmetry.
Mark G. Albert, M.D., F.A.C.S.New York, NY

Based on your photos, you are a candidate for a revision. If your nostrils were completely symmetrical before the initial surgery, then the cartilage making up the right side of the tip is either over resected or just weak. While there is no guarantee that surgery can fully correct it, placing a graft to fortify the lateral cartilage of the tip can often times improve things significantly. Be sure to see a rhinoplasty specialist for consultation.