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Alar Rim Graft to Reshape Nostrils and Columella?

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Sam85
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?

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