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Uneven nostrils after alarplasty, 6 months post op. - can this be revised easily (photo)

Funny851078Dec 18, 2022
I had alarplasty performed 6 months ago. Immediately it was apparent that the left nostril was reattached lower than the right nostril but i was asssured by the surgeon that this would even out. It did not and now there is a clear difference between each nostrril, the left being lower and less wide and the right being wider and flared. It is especially evident when i smile. Can this be easily revised? Thank you

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Ronald J. Edelson, MD profile photo
Dr. Ronald J. Edelson, MD
Board Certified Plastic Surgeon
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Answered on Dec 20, 2022
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Robert Ciardullo, MD

Aylar plasty: an alar plasty can always be performed as a separate procedure if you are happy with the tip and rest of your nose. Bear in mind that the nostrils should bear a Pyramidal type relationship to the tip when viewed from underneath which is called the basil view. you did not provide a...

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Stephen J. Pincus, MD

The term "alarplasty" usually means bringing the attachment of the nostril to the face either inward or outward (to correct flaring or a prior alarplasty). What you are desirous of is technically also an 'alarplasty", but doesn't involve moving the attachment inward or outward. It is a common...

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Stephen J. Pincus, MD

There are 3 versions of what is meant by "higher". 1-Higher attachment of the nostril to the face. 2-Higher height and alar groove to that nostril. 3-Higher rim to that nostril. The last two are much easier to correct than the first! In any case, the surgical correction should be performed in a...

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