I had 3 Rhinoplasties before since I had a very big nose. Dorsum has a silicone implant.Presently, I'm not happy with Alar/nostril thickess, shape (v round). My nose seems to be pointed up. Nostrils are seen very clearly.My doc told me that he can do alar rim graft, reduce the alar/nostril thickness and push the columella back.Can this improve my nose and not make the nose short? Also, can the angle be improved?
Answer: Revision Rhinoplasty and the ala Alar rim grafts are quite useful for lowering the height of the ala, smoothing out the contour of the alar rims, and reducing the columella show on lateral view. The thickness of the ala can also be thinned. All of these maneuvers in rhinoplasty can have very nice results when everything heals just right, but, I would recommend caution in performing too many modifications of the ala rim at the same time. Thinning alar rims can lead to scarring and unwanted alar retraction even in the presence of rim grafts. I would suggest the rim grafts without too much alar thinning to help with contour.
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Answer: Revision Rhinoplasty and the ala Alar rim grafts are quite useful for lowering the height of the ala, smoothing out the contour of the alar rims, and reducing the columella show on lateral view. The thickness of the ala can also be thinned. All of these maneuvers in rhinoplasty can have very nice results when everything heals just right, but, I would recommend caution in performing too many modifications of the ala rim at the same time. Thinning alar rims can lead to scarring and unwanted alar retraction even in the presence of rim grafts. I would suggest the rim grafts without too much alar thinning to help with contour.
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Answer: You should consider a Non-Surgical Rhinoplasty instead of a fourth Nose Job. I have had wonderful success in lowering the height of retracted nostrils following Rhinoplasty Surgery using Silikon-1000. Whenever I mention this permanent, Injectable Filler, I suggest finding a dermatologist or facial plastic surgeon experienced in the serial puncture, microdroplet technique of silicone injection.
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Answer: You should consider a Non-Surgical Rhinoplasty instead of a fourth Nose Job. I have had wonderful success in lowering the height of retracted nostrils following Rhinoplasty Surgery using Silikon-1000. Whenever I mention this permanent, Injectable Filler, I suggest finding a dermatologist or facial plastic surgeon experienced in the serial puncture, microdroplet technique of silicone injection.
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November 13, 2018
Answer: Correction of columella and nostrils is possible, but difficult
Helpful 6 people found this helpful
November 13, 2018
Answer: Correction of columella and nostrils is possible, but difficult
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January 13, 2010
Answer: Correcting nostril and columellar asymmetries Correcting nostril shape and thickness can be accomplished with cartilage grafts referred to as alar rim grafts when placed along the ala and nostrils. In addition, you most likely will need plumping grafts to the columellar labial angle to bring the columella forward as well as columella struts and perhaps septal extension grafts. This is based just on one view and other views could change the recommendations. If you have had previous rhinoplasties there probably is a paucity of cartilage left in your nose and you would most likely need rib grafting for structural support of your columella and tip but you might get by with conchal or ear cartilage. I would recommend a surgeon experienced in revision rhinoplasty. I hope this information helps.
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January 13, 2010
Answer: Correcting nostril and columellar asymmetries Correcting nostril shape and thickness can be accomplished with cartilage grafts referred to as alar rim grafts when placed along the ala and nostrils. In addition, you most likely will need plumping grafts to the columellar labial angle to bring the columella forward as well as columella struts and perhaps septal extension grafts. This is based just on one view and other views could change the recommendations. If you have had previous rhinoplasties there probably is a paucity of cartilage left in your nose and you would most likely need rib grafting for structural support of your columella and tip but you might get by with conchal or ear cartilage. I would recommend a surgeon experienced in revision rhinoplasty. I hope this information helps.
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January 13, 2010
Answer: Alar rim grafts will correct the pinch of your nose. I would see an experienced revision rhinoplasty surgeon. If the doctor wants to do rim grafts, why weren't they done with the first surgery? Also you will need septal or ear cartilage grafts too lengthen the nose.
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January 13, 2010
Answer: Alar rim grafts will correct the pinch of your nose. I would see an experienced revision rhinoplasty surgeon. If the doctor wants to do rim grafts, why weren't they done with the first surgery? Also you will need septal or ear cartilage grafts too lengthen the nose.
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