How to lift up the alar base and alar facial groove? After healing from an alarplasty my nose looks longer.

Question

I had an open rhino with lip lift then later, alarplasty. After healing my nose looks longer. My alar lobules & nasal sill pull downward. My alar facial groove sits lower. Can I lift my base & alar facial groove back up? My doctor says cinch sutures can be used (to narrow) but also lift. I tried to research cinch sutures & alar base lifting but find it difficult to understand. How/can this be done, are cinch sutures like suspension sutures? Can they lift and anchor onto a part of the face? Thx!

Steven J. Pearlman, MD, FACS · Answer

Altering the height of the attachment of the nasal ala is not easily achieved, if at all. However, the tip of your nose appears a little too high. Of course, you are not looking for a revision rhinoplasty, but lowering the tip of your nose with a lengthening procedure might achieve the same aesthetic result. The photo of your ala being manually pushed up is also making the tip angle less and making it look less upturned.

How to lift up the alar base and alar facial groove? After healing from an alarplasty my nose looks longer.

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