Can V-Y advancement flap help with alar base expansion? (Photos)

Question

Hi, I had my septo-rhinoplasty done 8 months back. I am unhappy with the alar base width reduction. Should I get V-Y advancement flap done to expand my nostrils or should I go for adding cartilage grafts to my ala? Alar base width reduction is excessive to me.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a nasal tip deprojection and placement of alar contour grafts to help improve the symmetry and support of your nostrils.  This can be designed to improve the basal view as well.  You do not need V-Y advancement flaps. 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

Can V-Y advancement flap help with alar base expansion? (Photos)

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Can V-Y advancement flap help with alar base expansion? (Photos)

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Everything you need to know about Revision Rhinoplasty

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