Revision Rhinoplasty needed - is there a possibility to enlarge the alars to reach a similar appearance like before? (Photos)

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone I agree that you can benefit from a revision to your dorsum, in addition to tip refinement. The question is how to do address the dorsum and your implant -- my experience in Gore-Tex (or...

Short answer -- Yes. Long answer... There are grafts that move the nose closer to the lip (aka "de-rotating" the tip). I typically perform this by creating extended spreader grafts, locked into a columellar strut to maintain the tip at tension, and thus at the appropriate length. This...

Hello and thank you for your question. It is possible to remove the SEG and replace it with a softer graft. I never recommend using ear cartilage as it lacks structural integrity needed for this type of graft. There are much better options available depending on your anatomy.. With good surgical...

Hello and thank you for your question. Based on your description, you may benefit from a revision rhinoplasty. A mastoid fascia tip graft can be placed to accomplish your goals. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a...

What you’re describing is a valid concern, especially this far out from surgery. At 2½ years after a closed rhinoplasty, what you’re noticing is not normal swelling. In my opinion, the denting and asymmetry especially the area that sinks in when you smile are most consistent with loss of cart...

Surgery shouldn't make the nose look worse, because it's up to the surgeon to *not* do the surgery if he feels that he doesn't have an excellent chance of making the nose look better. You posted a 3/4 view that doesn't really show completely how protruding the tip is; a direct profile would be...