Alar retraction and tip refinement in African-American rhinoplasty?

Question

Can the cartilage in my bulbous, drooping nasal tip be transferred to my wide nostrils to correct alar flare and retraction?

Bora Ok, MD · Answer

Hi from Istanbul! Your concern is entirely fixable, but a different method is employed. The most efficient way is through a technique called suture shaping, where sutures help narrow the tip and create better tip definition. Some extra cartilage may be used to enhance your nasal bridge and give projection; these are quite common steps in ethnic rhinoplasty procedures to create a proportional and refined nose. The use of extra cartilage will improve the retracted appearance as well. Please share some pictures or consult in-person with a surgeon experienced in ethnic rhinoplasty for more specific recommendations regarding your case. Best of luck!

Tanveer Janjua, MD · Answer

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)

Regards
Dr. J

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided photographs.  However, the alar flare is not corrected by cartilage transfer but alar retraction is.  I would need photographs to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Kenneth R. Francis, MD, FACS · Answer

Dear MKE,
Although the suggested technical aspects of your question are not quite accurate, there are many technical maneuvers to correct a "bulbous, drooping nasal tip,"  "wide nostrils," and "alar flare and retraction" in African American rhinoplasty.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for an examination and discussion of your concerns and options.  Good luck!

Alar retraction and tip refinement in African-American rhinoplasty?

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