My nostrils are too uneven and wide. I don't like how much nostril shows from the front view. Would Alar Sill or Weir Excisions help my nose? Rhinoplasty/revisions to try and fix my nose & now considering Silikon 1000 & Alar Base or Sill Surgery. #1 Concern is nostril show too much from front. Nose didn’t have this prior surgeries. #2-3 Concerns are nostril irregularities and dents/divots in alar and lateral cartilage. Not interested in temporary fillers
Answer: Revision Rhinoplasty Thank you for your question, and I am sorry you didn’t achieve a satisfactory outcome from your initial rhinoplasty. It does appear from your photos that revision surgery with a highly-qualified surgeon could produce better results for you. Keep in mind that revision surgery is even more complicated than the original procedure, since there may be grafting material and scarring to deal with on top of the necessary corrections. Make sure you work with a board-certified plastic surgeon with extensive experience in revision rhinoplasty to ensure an optimal outcome. I wish you all the best!
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Answer: Revision Rhinoplasty Thank you for your question, and I am sorry you didn’t achieve a satisfactory outcome from your initial rhinoplasty. It does appear from your photos that revision surgery with a highly-qualified surgeon could produce better results for you. Keep in mind that revision surgery is even more complicated than the original procedure, since there may be grafting material and scarring to deal with on top of the necessary corrections. Make sure you work with a board-certified plastic surgeon with extensive experience in revision rhinoplasty to ensure an optimal outcome. I wish you all the best!
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April 9, 2019
Answer: Rhinoplasty Closed and Atraumatic Technique Hello, thank you for question and provided information, overall shape of photos would help more,based on them it seems that you have thick nasal skin and asymmetry, a Rhinoplasty would help to refine the nasal appearance and to improve some asymmetries, so that you cna have symmetrical balanced and natural nose.
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April 9, 2019
Answer: Rhinoplasty Closed and Atraumatic Technique Hello, thank you for question and provided information, overall shape of photos would help more,based on them it seems that you have thick nasal skin and asymmetry, a Rhinoplasty would help to refine the nasal appearance and to improve some asymmetries, so that you cna have symmetrical balanced and natural nose.
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April 11, 2019
Answer: Revision Rhinoplasty For your concerns, I recommend researching and scheduling an in-person consultation with an experienced revision rhinoplasty surgeon. Depending on what type of surgery (or surgeries) you've had in the past, the treatment can vary slightly. I do agree with you that fillers are not a good option and I do not recommend them in your case.
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April 11, 2019
Answer: Revision Rhinoplasty For your concerns, I recommend researching and scheduling an in-person consultation with an experienced revision rhinoplasty surgeon. Depending on what type of surgery (or surgeries) you've had in the past, the treatment can vary slightly. I do agree with you that fillers are not a good option and I do not recommend them in your case.
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April 10, 2019
Answer: Fixing excessive nostril show You may get differing opinions on this, but the reason for nostril show in your case is that your lower lateral cartilages are either weak or deficient causing a notched appearance. This is most commonly seen after rhinoplasty when there has been an excessive cephalic trim of the lower lateral cartilages. In your case, this is compounded by the fact that your alar base is lower than the columellar base. This will give someone the appearance of flared nostrils. In this setting, a conservative Weir excision can help bring the balance of the nose into better harmony. For the excessive nostril show, I typically will reorient and strengthen the lower lateral cartilages with alar batten grafts to improve the appearance and function of the nose. This will also take care of the unusual notching (parentheses) you see in your tip. Just a word of advice, please be careful when trying to Google answers regarding something as complex and individualized as rhinoplasty. There is no single maneuver that will apply to a specific issue in rhinoplasty and especially revision rhinoplasty. Your nose and issues need to be examined carefully both inside and out to determine the best plan of action.Read about Dr. Panossian's rhinoplasty technique.
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April 10, 2019
Answer: Fixing excessive nostril show You may get differing opinions on this, but the reason for nostril show in your case is that your lower lateral cartilages are either weak or deficient causing a notched appearance. This is most commonly seen after rhinoplasty when there has been an excessive cephalic trim of the lower lateral cartilages. In your case, this is compounded by the fact that your alar base is lower than the columellar base. This will give someone the appearance of flared nostrils. In this setting, a conservative Weir excision can help bring the balance of the nose into better harmony. For the excessive nostril show, I typically will reorient and strengthen the lower lateral cartilages with alar batten grafts to improve the appearance and function of the nose. This will also take care of the unusual notching (parentheses) you see in your tip. Just a word of advice, please be careful when trying to Google answers regarding something as complex and individualized as rhinoplasty. There is no single maneuver that will apply to a specific issue in rhinoplasty and especially revision rhinoplasty. Your nose and issues need to be examined carefully both inside and out to determine the best plan of action.Read about Dr. Panossian's rhinoplasty technique.
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April 9, 2019
Answer: Unwanted Nostril Show The pictures suggest you have a short nose which can cause unwanted nostril show. This can be corrected with a septal extension graft. A nostril sill excision may decrease the convexity of the lateral nostril rim. Consult with a revision rhinoplasty specialist.
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April 9, 2019
Answer: Unwanted Nostril Show The pictures suggest you have a short nose which can cause unwanted nostril show. This can be corrected with a septal extension graft. A nostril sill excision may decrease the convexity of the lateral nostril rim. Consult with a revision rhinoplasty specialist.
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