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Nose has taken a circular unnatural shape after alar base reduction. I want triangular shape back. What are my options? (Photo)

rosenoseproseFeb 20, 2015
A couple months post op and regret alar base reduction. Though my surgeon was great, I think my thick skin is to blame for unsatisfactory results. 4mm from each side, also tip + bridge augment w/ septal cartilage as well. Though flare is gone from base, it looks too pinched inwards now and unnatural because I have thick alar wings. Went from triangle nose to circle nose. If I get revision next year, how can I get triangular shape back in my nose? Nasal wing reduction or more bridge augment?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Feb 23, 2015
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Dr. Anh Lee, MD, FACS
Board Certified Plastic Surgeon
Answered on Apr 3, 2016
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Dr. Ramzi R. Shehadi, MD (retired)
Board Certified Plastic Surgeon
Answered on Feb 23, 2015
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James Bonaparte, MD, MSc, FRCSC

Sorry to hear about your frustration, however let me first say that nobody who is getting a modification of their nose will see the results they desire the first day. In fact, the vast majority will not see it in the first month. It can take up to a year to see the final result. The Key is to...

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Steven Wallach, MD

There are many ways to perform alarplasty depending upon what results one is looking for. You are correct in whaat you describe for width.

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Brian J. Reagan, MD

A photo would be very helpful in this case.  At 4 months there may still be a little swelling, but it sounds like a decision has already been made to revise.  I suggest you wait 9-12 months if possible.  I perform alar wedge excisions often. Its possible that moving the alae...

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