Correcting nostril asymmetry with lip lift. (photos)
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Doctor Answers 5
Lip lift and nostril asymmetry
- I suggest you have the nostril corrected first - it will affect the position of the lip lift scar.
- Your nostril asymmetry at least in part is from removal of too much cartilage from the lower lateral cartilage at the dome of the nose -
- You will need at least a cartilage graft and perhaps other procedures to restore the normal shape.
Always see a Board Certified Plastic or Facial Plastic Surgeon.
Lip lift with rhinoplasty
Revision Rhinoplasty and Lip Lift with Nostril Asymmetry
Thanks for sharing your photos. Your nostril asymmetry is caused by your nasal cartilages (lower lateral cartilages) being twisted and distorted. This may be related to a deviation of the caudal septum or inadequate tip support. It is difficult to make the nostrils perfectly symmetric, but they can certainly be improved with a revision rhinoplasty with restructuring of the tip cartilages.
The lip lift procedure usually involves an incision underneath the nose. In order to decrease the visibility of the scar, the placement of this incision is very important and depends largely upon the shape of your nose at the base. It's difficult to tell from your photos, but it appears that your columella is tenting the skin near the base, and this would affect the placement and visibility of the lip lift incision. Although a lip lift can be done at the same time as a rhinoplasty, in your case it may be better to do the rhinoplasty first and improve the asymmetry prior to making an incision under the nose.
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Lip lift with nostril asymmetry
The lip lift procedure is typically performed with an incision just beneath the nostril and along the nasal sill (inner/lower border) to camouflage it. It's an amazing procedure to rejuvenate a thinning upper lip, and you are a great candidate for this, but I would also consider a dedicated revision rhinoplasty procedure if your nose is a main concern.
Best of luck!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.