is "Alar base enlargement" possible? (Photo)

Question

Hi, after my first operation (18 Months ago) it annoys me too much that nostrils don't look same. that's because alar base reduction was only done on my left nostril. Now how can I have my left nostril "large" like before? does incising alar base and just suturing it some millimeters farther would enlarge the nostril or would you suggest skin graft from my ear? (would it look natural? is it not risky?) pls help

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, a revision rhinoplasty can likely help correct your nostril asymmetry. Placement of extended alar contour grafts will help with this. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Based on your photos, we can see that your left nostril flares a drop left less than your right. Since it is not possible to replace the nostril that was removed on the left, to achieve symmetry, a right alar base reduction may be considered. I hope this helps! Sincerely, Dr Joseph

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