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Is it possible to do an alarplasty to bring nostrils up & & skin/fat graft to columella to bring it down? (Photos)

dsmalls22Apr 17, 2023
Had reconstructive revision rhinoplasty last December with rib graft and then a small fat transfer procedure to the bridge of my nose recently. The revision left me with a retracted columella and small dent to my nose as well as uneven nostrils. Don’t want any further cartilage grafts but is it possible to do an alarplasty to bring nostrils up and in as well as skin/fat graft to columella to bring it down and improve scar as well as fat graft to fill in dent? Thanks

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on May 2, 2023
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Stephen J. Pincus, MD

Yes, I think you are a very good candidate for an alarplasty to reduce your bilateral flaring. In your case, you do not need any of the nasal floor excised, but just the alar walls!

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William Portuese, MD

Much more information is needed, such as a full set of facial photographs from all angles, and any operative reports from previous nasal surgery, to make a determination about how best to proceed. The cost of a rhinoplasty is determined by three factors which includes operating room costs,...

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Stephen J. Pincus, MD

It appears that too much alar wall was removed from your left nostril, which shortened and straightened it, with a concomitant loss of curvature. It would seem that you would benefit from a composite (skin + cartilage) ear graft to lengthen it and restore the curvature as it attaches to the face.

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