Can anyone advise about how to lower my arched nostrils? I like my nose other than this and wouldn't like to have it dramatically reshaped. I have spoken to one doctor and he says only ear cartilage will help and even then it won't be that effective. Are there any other techniques that could help please?
September 25, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you have alar retraction causing this appearance of your nostrils. You may benefit from alar rim grafts to lower the position of your ala. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 25, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you have alar retraction causing this appearance of your nostrils. You may benefit from alar rim grafts to lower the position of your ala. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
September 21, 2018
Answer: Lowering arched nostrils Lowering an arched nostril is one of the more challenging endeavors in rhinoplasty. The technique depends primarily on what the true problem is which can be multifactorial. Sometimes it truly is arching of the nostril margin which can be caused by previous surgery, weak cartilage and scarring. Other times it is less of an arched nostril and more of a hanging columella which is caused by excess cartilage in the septum and nasal spine. An in person exam will be more helpful with determining the true cause in you. But there are several powerful methods for lowering a nostril margin. Typically ear cartilage is too weak to hold the margin down, but septal cartilage and/or rib cartilage can usually hold the margin down longterm if used appropriately. Since this is a problem most frequently encountered in revision rhinoplasty, I would seek out a facial plastic surgeon who specializes in revision surgery and is comfortable with various grafting materials including rib grafts. Good luck!
Helpful 1 person found this helpful
September 21, 2018
Answer: Lowering arched nostrils Lowering an arched nostril is one of the more challenging endeavors in rhinoplasty. The technique depends primarily on what the true problem is which can be multifactorial. Sometimes it truly is arching of the nostril margin which can be caused by previous surgery, weak cartilage and scarring. Other times it is less of an arched nostril and more of a hanging columella which is caused by excess cartilage in the septum and nasal spine. An in person exam will be more helpful with determining the true cause in you. But there are several powerful methods for lowering a nostril margin. Typically ear cartilage is too weak to hold the margin down, but septal cartilage and/or rib cartilage can usually hold the margin down longterm if used appropriately. Since this is a problem most frequently encountered in revision rhinoplasty, I would seek out a facial plastic surgeon who specializes in revision surgery and is comfortable with various grafting materials including rib grafts. Good luck!
Helpful 1 person found this helpful