Can fillers placed in nostril sill make it look like the nostril sill is restored?

Question

An alarplasty completely removed my alar sill which created a unnatural look. Will fillers to that area recreate the look of having an alar sill?

Donald Groves, MD · Answer

Hello and thank you for your question! It sounds like your primary concern is the shape and asymmetry of your nasal tip / nostrils—one of the most common reasons people seek out both primary and revision rhinoplasty. Since you've already had a procedure to your nose, the asymmetry is likely due to a combination of residual structural irregularities and scar tissue, which can be challenging to correct. That’s why choosing an expert in rhinoplasty—especially revision rhinoplasty—is critical.

Many surgeons overlook key techniques that can soften the appearance of underlying structures, significantly improving tip symmetry and refinement, and ultimately resulting in a more natural appearing and aesthetically pleasing result. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, a revision rhinoplasty would be the best approach to precisely reshape your nasal tip and both ala, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils), as well as both ala. This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

In general, after nostrils are narrowed, I don't believe there is a good way to make them wider again you may consider re-asking your question with photographs. Thank you for your question. Sincerely, Dr. Joseph

John Michael Thomassen, MD · Answer

Usually a skin/cartilage graft is used to restore an excessively treated alar sill.  Fillers alone will not restore the missing skin.

Can fillers placed in nostril sill make it look like the nostril sill is restored?

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