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

Question

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?

Thomas A. Mustoe, MD, FACS · Answer

A strong thin graft placed underneath the alar cartilages can give support without widening the nose too much.  Ear cartilage is not very strong and is thicker than septal cartilage so it is not ideal.  Rib cartilage is also strong and a thin piece can add little bulk.  I would discuss your concerns and look at before and after pictures from your surgeon.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello, thank you for the question and provided information, photos would help better. Based on the information you provided weak alas needs to be supported. Alar grafting versatile approach to provide additional support to external nasal valve and improve nasal base harmony. You need to have a detailed physical examination to analysis your nose. You can benefit closed technique as well to be provided maximal healing and eliminates a scar across your columella.Best Regards,

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

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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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