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20 months post-op closed rhinoplasty. Underprojected tip and wide alar - possible revision? (photos)

Graceful903651Mar 11, 2022
I’m 10 months postop closed rhinoplasty. I’m generally happy with it but now have an underprojected tip and wide alar. I want an alarplasty or revision to project the tip + make it less rounded. Tip is still swollen so it may become less rounded. I don’t mind the under projection as much as the tip shape and wide alar. My pre-nose was more projected which I preferred, I like long noses. What should I do? Would an alarplasty without fixing the tip be ok? Would just adding projection fix the alar?

Answers (1)

From board-certified doctors and trusted medical professionals
Man Koon Suh, MD profile photo
Dr. Man Koon Suh, MD
Plastic Surgeon
4.8 | 23 Reviews
Answered on Apr 8, 2022
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Nima Shemirani, MD

Hi @DreamCatcher19. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of luck, Dr. Nima

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Jonathan Kulbersh, MD

Hello, and thank you for your question. It is far too soon to assume you’ve had an unsuccessful rhinoplasty, because it isn't until a full year after the procedure that results are truly definitive. Your nose is still recovering, and it will still change. Patience is key for now. After a full y...

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Hello, and thank you for your question. It isn't until a full year after a rhinoplasty that results are truly definitive. At this point, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio....

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