What procedure can fix enlarged nostrils after a bullhorn lip lift? (Photos)

Question

I had a revision bullhorn lip lift in February because of bad scarring (I tried everything before - laser treatment, ointments) The scar looks a bit better now but It deformed the appearance of my nostrils - they look very large and weird now. I feel horrible. Very horrible and vulnerable. I never loved my nose but I didn’t hated it - it looked pretty normal. now it’s the worst part of my face. I want to get a Rhinoplasty with alar base reduction, but I’m scared that the incision lines of the alar base reduction make the scar worse.

Young Min Im, MD, PHD · Answer

Generally, scars start to gradually improve around three months after surgery. Over time, they continue to fade and eventually remain as fine, white lines.
It seems that the scar resulting from the philtrum reduction is causing you significant concern. If alar reduction is performed during the rhinoplasty, the area of the current scar will need to be re-incised, which will create a new scar. Depending on the surgeon’s technique, the size of the new scar can be minimized.
After surgery, it is important for the patient to follow proper aftercare to help the scar gradually fade. Scar maturation typically takes about 6 to 12 months, so improvement will occur gradually over time.

Eric M. Joseph, MD · Answer

Based on what I see, you appear to have visible scarring after your lip lift. There is also excessive nostril show. Since we do not have experience with lip lifting, I am not sure if the feasibility of trying to revise your scars. If you are looking to achieve less nostril show, microdroplet Silikon-1000 nasal injections may be considered for lowering nostril margins for decreased visibility of the inside of your nose. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. 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

What procedure can fix enlarged nostrils after a bullhorn lip lift? (Photos)

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What procedure can fix enlarged nostrils after a bullhorn lip lift? (Photos)

Answers (3)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.