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What causes triangular nostrils after rhinoplasty? (photo)

nosey1
I have noticed that in some rhinoplasty patients, the nostril opening changes from round to triangular, making the nose look very unnatural and operated (please see pics). This seems to happen more in thick-skinned ethnic noses such as asian or african american noses but sometimes in caucasian noses as well. Is this due to trip refinement or alarplasty or something else? How can it be avoided? And if it does occur, can it be fixed? Thank you.

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Dr. Kenneth Hughes, MD
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Dr. Mohsen Tavoussi, MD, DO
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Dr. Kimberly Lee, MD
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