What can be done to correct irregularities along my alar margins 1 year after rhinoplasty? (photos)

In the revision operations that I perform, the most common problem is that the nose was left too long in the previous operation(s). Plastic surgeons are often taught that it's "easy" to elevate a tip (just shorten the septum, do some other stuff), but in fact, shortening a nose--raising the...

I see what you're talking about concerning the upper part of the nose. Is there a big rib graft in there? That graft might be wide, making the upper bridge and radix appear wide between your eyes and making those shadows. You mention that the nose looks Romanesque. Well, one really needs to see...

Hello and thank you for your question. Diced cartilage wrapped in fascia can provide a smooth surface when used a dorsal onlay graft and should not abnormally harden over time when good technique is used. I recommend that you seek consultation with a qualified board-certified rhinoplasty...

Hello and thank you for your question. Based on your photographs, the indents are due to poor collapse of the lateral crus. This can be fixed in a revision with placement of alar batten grafts and appropriate tensioning of the tip. With good surgical technique, you could have an outstanding...

Hello and thank you for your question. Based on your photographs, you will benefit from a revision with nasal tip deprojection. It would address all of the concerns you mention. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a...

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. The...