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Hi. Yes, it is possible for rhinoplasty to define the supra alar crease. However, it is difficult to make a proper recommendation based on photographs. A personal evaluation of your nasal profile, including the thickness of your skin, is necessary to determine the aesthetic results that can be achieved.I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon with expertise in African American rhinoplasty. They will be able to assess your nose and determine the best course of action to achieve your desired results.
The supra-alar crease can be created with a closed approach, tip plasty. However there are many more options available to treat and African American Nose. African american rhinoplasty typically involves 4 different components. Some patients need them all, some only one or two. Here are the 4 components.1. Improvement of the bridge height with an implant.2. Narrowing of the wide upper nose (bony part) with osteotomies.3. Narrowing of the tip (Tip-plasty)4. Narrowing of the nostrils (Alarplasty)RegardsDr. J
Hi ovorsmakefa! I'm so sorry this is happening to you. I highly doubt that the hump removal alone did this but it is possible that depending on how they fractured your bones, this could have happened. I would definitely consult with your first surgeon to see what they think is going on and if...
After Tip-plasty the scar tissue can feel hard. It is difficult to tell initially as the edema can hide a cartilaginous bossa. It can take up to a year for all the swelling to resolve before you see a cartilage poking. If you feel a bump but don't see it then leave it alone. Regards Dr. Janjua
Hi, thanks for sharing this question. The nasal bridge needs to be raised to address the issue you are describing. The best way to do this is providing some support with extra cartilage tissue that can be harvested from the rib. This will help achieve a more proportionate nose with better...
Hi Janeconnor. First, I always recommend talking to your original surgeon about your concerns because you are completely correct- s/he knows exactly what maneuvers were performed and can best tell you what can be done to achieve your goals. However, if you've lost trust in that surgeon or want...
Alarplasty is almost impossible to reverse without causing significant scarring. However, the tip can be softened by removing any cartilage or implant that is making it more defined or giving it more projection. It is not possible to get your exact nose back but the ethnic appearance can be...
It sounds as though the bottom part of your nostril walls was excised in an attempt to decrease the flare. By so doing, it shortens & straightens the nostril wall and brings it down medially. The correction for this is usually a composite (skin + cartilage) ear graft to replace the excised...
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