Dermal Filler for Alar Retraction? (photo)

Question

Hello. I had a closed septo-rhinoplasty in 2010 and have retracted alar rims as a result. I really do not want to go under the knife again so I'd like to know if temporary injectable fillers will correct the issue and are there possible risks? Also, what other issues are obvious? I know it doesn't seem right but I can't put my finger on it. Thanks for your time.

Dominic Bray, MBBS, FRCS · Answer

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

William Portuese, MD · Answer

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

Oleh Slupchynskyj, MD, FACS (retired) · Answer

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

Dermal Filler for Alar Retraction? (photo)

Answers (3)