Is this alar retraction? Should I trust the same surgeon? What are my options? (Photo)

Question

In Aug 2022, I had septorhinoplasty for a deviated septum and dorsal hump, with some tip work to lift. Nov 23 revision with same surgeon to lift tip again and rasp lump on bridge. Surgeon said they "caught" lateral cartilage, causing a asymmetric hump on the bridge. I also think I have alar retraction, and my nasal breathing is reduced. Same surgeon proposes trimming protruding cartilage and lowering nostrils but didnt mention grafts or alar retraction. What are your thoughts/advice?

Gianfranco Frojo, MD · Answer

Upon analysis of your photos I can tell you what I see as a plastic surgeon
1) alar retraction
2) inadequate tip projection
3) inadequate tip rotation
4) foreshortened nose
5) alar asymmetries
6) dorsal irregularities
7) complete nasal deviation
I would find a plastic surgeon certified by the American Board of Plastic Surgery. I always tell prospective patients to look at the plastic surgeon's training (ideally a 6 year integrated plastic surgery residency and a 1 year aesthetic fellowship accredited by The Aesthetic Society). In addition, examine before/after photos on social media platforms. I would also look at Google or RealSelf reviews. This will help you get a comprehensive understanding of your provider.

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