Alarplasty: uneven alar base 8 weeks post op (Photo)

Question

I had alarplasty, rhinoplasty including osteotomy and currently at 8 weeks post op. There is asymmetry ever since the splint was taken off. Is this due to more swelling in the right nostrils than the left nostrils or should I plan for revision? When is the fastest I can get a revision?

Nima Shemirani, MD · Answer

Dear Andalouie,It is still early in your healing process to tell how your nose will turn outIf you have concerns, please bring them up to your surgeon so they can guide you It can take 6-12 months to fully heal from a rhinoplasty, even longer for a revision rhinoplasty, so patience is key.Best regards,Nima Shemirani

Alejandro Nogueira, MD · Answer

The alar wedge reduction you underwent looks perfectly planned and well executed, any present assymmetry is of very likely preoperative origin.Do compare your preop images with your current look.

Ashlin Alexander, MD · Answer

Thank you for your email and for providing your photos.  It's always difficult to say with certainty when looking at photos, but I do see the asymmetry you are referring to.  It is still early in the healing process so there is opportunity for this to improve with time.  However, I would recommend that you followup with your surgeon to have him/her have a closer look.  Best wishes!

Michael M. Omidi, MD, FACS · Answer

Thank you for your question! It is rather difficult to fully evaluate your situation without an in-person exam. However, you should keep in mind that you're likely to have some post-op swelling at 8 weeks following surgery. This would explain why your nostrils appear uneven. It may take 6 to 9 months for swelling to resolve completely. Then you will be able to observe your final results. Give it some time before you consider revision. If you don't observe gradual improvement over the next few months, make sure to alert your plastic surgeon. 
An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!

Alarplasty: uneven alar base 8 weeks post op (Photo)

Answers (4)

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