Dermal Filler for Alar Retraction? (photo)

not a good move in my experience.

The volume required would compromise the viability of your alar skin.

Filler injections however would be useful to rebuild your over resected nasal dorsum and radix, alongside a small reduction of your collumelar septal cartilage which could be done under a local anaesthetic.

Kind regards

 

  There is a combination of alar retraction and columellar show which both need to be addressed with revision rhinoplasty.  To improve the columellar show, cartilage and skin is trimmed back from the inside of the nostril. If there is still alar notching present, then a composite skin/ cartilage graft from the ear is required to bring down the alar notching.  Fillers will not solve this problem and  run the risk of necrosis of the skin in  this area of the nose. Please see the link and the video below for how  we have repaired A hanging columella in our practice

Hi,

I don't think fillers will help this problem... There is more going on with your nose besides alar retraction. You have over-projected tip and over-reduced bridge. Only a revision rhinoplasty would help you situation.

Best,

Dr.S