Can filler fix my high alar rims? (Photo)

Question

Hi I've been told I have a minor case of high alar rims, could this be fixed with filler?

Nelson Lee Novick, MD · Answer

The short answer to your question is that yes fillers can be placed in the alar rims. A small amount of filler can be injected very superficially into the rim to lower it enough to achieve the desired improvement. And I have from time to time treated patients for this problem in this fashion.  That being said, the long answer to your question is that filler injections anywhere on the sides of the nose carry a higher risk of causing vascular problems since important blood vessels track along this region.  An alternative approach is to place a bit of filler at the base of the columella directly in the midline. The slight nasal uplift achieved by this naturally reduces the mucosal show making the alar wings less uplifted. Make sure that you consult with an experienced board certified injector as this region is not for novice injectors. Best of luck.

Solomon Facial Plastic - Thornhill · Answer

Although this can be done, it is not advisable, because of a risk of tip necrosis, which means tissue death to the tip of your nose. There are blood vessels on you nostrils that feed into the tip of your nose, if one of these vessels get blocked by filler, the tip tissue could die due to lack of blood and oxygen.

Can filler fix my high alar rims? (Photo)

Answers (2)

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