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What are the pros and cons of alar strut grafts? Does the nose look bulky/bigger by using them?

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Witty2150Jul 16, 2019

I need revision rhinoplasty because my nasal wings are a bit weak and my internal nasal valves are a bit too narrow. My surgeon wants to use alar strut grafts from ear cartilage. Do they change the appearance of the nose? I don't want that my nostrils, the area of the nasal valve and my nose in general look bigger afterwards. What do you think about alar strut grafts? What are the pros and cons? What are alternatives to alar strut grafts?

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Dr. Thomas A. Mustoe, MD, FACS
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Dr. Thomas A. Mustoe, MD, FACS
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Answered on Jul 20, 2019
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Dr. Suleyman Tas, MD, FEBOPRAS
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Dr. Suleyman Tas, MD, FEBOPRAS
Plastic Surgeon
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Suleyman Tas, MD, FEBOPRAS

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Thank you Skyyylar for your message and for the photos.  I can definitely see how markedly upturned your nose looks but it is a little difficult to fully assess the alar base and nostril shape from the single view I could see.  But, pushing the tip down should not only make the nostrils less v...

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