Can you still have revision rhinoplasty after placement of alar rim grafts? (Photos)

Question

I had an open revision. Then a second closed revision rhino with the same surgeon to fix a hump on the other side and fix unevenly retracted triangle shaped nostrils. The surgeon imp. alar rim grafts to reduce nostril show. Unfortunately he completely shaved/removed the diced cartilage side. I am left back with the dent. Can I still have revision after having the alar rim grafts implanted. After how long would operating be an option? And does it have to be an open one?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Yes it is safe to have a revision after previously placed alar rim grafts. This should be performed open. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Your up close photos are difficult to interpret, however, I believe I see an indentation in your mid bridge. If this is the case, microdroplet Silikon-1000 nasal injections maybe considered for improving upon this indentation without further surgery. I hope this helps! Sincerely, Dr Joseph

Can you still have revision rhinoplasty after placement of alar rim grafts? (Photos)

Answers (2)