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Can skin be too tight for revision rhinoplasty alar rim graft? (Photo)

J
Jake2121Jan 28, 2019

My doctor said my skin may be too tight and the scar tissue too hard. Is this something that Doctors see in a Revision aIar rim graft for notching? I’m going in for revision 11months post op.

Answers (2)

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Dr. Thomas A. Mustoe, MD, FACS
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Dr. Thomas A. Mustoe, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jan 31, 2019
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Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Feb 1, 2019
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Steven J. Pearlman, MD, FACS

The tip of your nose does appear a little high, although without pre-op photos, it is impossible to tell if it is much higher than it was than before your surgery. I find a full examination with computer imaging can demonstrate how you will look with a longer nose. Lengthening then nose and ...

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Nima Shemirani, MD

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Suleyman Tas, MD, FEBOPRAS

 A detailed examination; internal and external  is required and as silicon implant you have is big, it made your nose bumpy, your implant can be removed, then tip can be refined with closed and atraumatic Revision Rhinoplasty can fix your Problem. Kind Regards,

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Suleyman Tas, MD, FEBOPRAS

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Nima Shemirani, MD

Dear oppsiepoopsie,You can find a nice middle ground between your old nose and your current oneRemoving the implant and deprojecting the tip would be a good startAs a revision surgeon, I would probably replace the implant with temporalis fascia to give some element of projection for the bridge,...

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Tanveer Janjua, MD

A revision alarplasty would be a good option. The wide nostrils are making the nose look big. The tip is also bulbous. It can appear more bulbous after the nostrils are narrowed. So make sure to discuss that with your surgeon.RegardsDr. J

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