I am one year post op and looking for a highly experienced surgeon to fix my botched nose job. One nostril is almost half the size of the other. The colemella deviates way over to the left. I recently consulted a surgeon whom I really liked and he said he would use rib cartilage to recenter the columella which I think is perfect. However he was unsure how to even nostrils. How would nostrils be adjusted after uneven alar base reduction?
July 6, 2016
Answer: Revision rhinoplasty From the pictures shown, the correction of the base and the tip does not require a rib graft. This opinion might change on an in-office exam, but the pictures are fairly clear. The right alar root needs to come down, the septum and the columella needs to be moved to the right, the alar footplate needs to be reduced on the right, and the tip needs to be thinned (more on the right). This would improve your nose significantly. Best wishes.
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July 6, 2016
Answer: Revision rhinoplasty From the pictures shown, the correction of the base and the tip does not require a rib graft. This opinion might change on an in-office exam, but the pictures are fairly clear. The right alar root needs to come down, the septum and the columella needs to be moved to the right, the alar footplate needs to be reduced on the right, and the tip needs to be thinned (more on the right). This would improve your nose significantly. Best wishes.
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July 6, 2016
Answer: Deviated Columella, Asymmetrical Nostrils Straightening your septum and correcting the deviated columella will significantly reduce the nostril asymmetry. Although I have not examined you I question the need for rib cartilage to accomplish this. Remember that perfect symmetry rarely exists and would not be a reasonable surgical goal.
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July 6, 2016
Answer: Deviated Columella, Asymmetrical Nostrils Straightening your septum and correcting the deviated columella will significantly reduce the nostril asymmetry. Although I have not examined you I question the need for rib cartilage to accomplish this. Remember that perfect symmetry rarely exists and would not be a reasonable surgical goal.
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