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?
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.
Helpful 2 people found this helpful
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.
Helpful 2 people found this helpful
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.
Helpful
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.
Helpful
