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Do I need an alarplasty revision? (photo)

spliterNov 23, 2012
Hi! It has been almost 7 weeks now from my sill excision. The problem is i was pretty sure 5 mm from each side would give me a good change and the base width i was looking for. The surgeon told he indeed removed 5mm from each side but the results are so week. I mean i feel no more than 2 mm are removed.. i still have a large nose,and flaring nostrils..which bothers me a lot. Please could you confirm if this is indeed a 5mm skin removal results? and if i do revision will i hav the result i want?

Answers (3)

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Raffy Karamanoukian, MD, FACS profile photo
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 124 Reviews
Answered on Dec 3, 2012
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Donald B. Yoo, MD, FACS profile photo
Dr. Donald B. Yoo, MD, FACS
Board Certified Facial Plastic Surgeon
4.5 | 179 Reviews
Answered on Nov 29, 2012
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Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Nov 27, 2012
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Paul S. Nassif, MD

In general, we have patients avoid wearing any type of heavy glasses for the first 4-5 weeks following surgery. If your nasal bones were fractured during surgery, they will heal 6 weeks after your procedure. It is not abnormal to still be a little sensitive at this time, and it is unlikely you...

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Donald B. Yoo, MD, FACS

Based on your photos it's not clear to me where your surgeon is planning to use a skin graft.  Without a base view it's difficult to ascertain whether or not the alar base modification is too aggressive or not.  From the base view the curvature of the ala can be evaluated....

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Francis R. Palmer, III, MD (retired)

 Yes, I believe that it is one of the things that causes the nose to heal very poorly after a Rhinoplasty.  Most likely the chemicals contained within the smoke.  

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