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Can Alar Rim Grafts Be Removed Under Local Anesthetic?

Lady marmaladeJul 21, 2013
I had a revision tip rhinoplasty to address nostril flare after a nose job in 1995. This involved putting in alar rim grafts. I didn't realise how visible they would be in the nostril and I started become very conscious of them & I also noticed they were visible outside the nose so decided to have them removed. Can these be removed under local anaesthetic ?

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Stuart H. Bentkover, MD (retired)

Tip grafts can be removed or modified.  Tip grafts are used to hide irregularities of cartilage in the domes of the tip,to give more definition to the tip (especially in a nose with thick skin) and to change what is called the tip defining point.  If you think the tip is too wide, your...

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Evan Ransom, MD, FACS

Thank you for the question. Recovery after revision rhinoplasty is longer than primary rhinoplasty -- and certainly longer than 6 or 7 weeks.  Fascia grafts can be very helpful in patients with thin skin, as this can help to camouflage any slight irregularities in the underlying cartilage...

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Jonathan Kulbersh, MD

If you have a revision rhinoplasty to remove the nasal hump, your nose will not necessarily appear longer if you scoop the bridge. The goal is to create a nose that is balanced and in harmony with your other facial features. In general, a "scooped" nose does not always produce a desirable...

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