I had one consultation already where the doctor told me he would not do much to my columella but work mostly on my nostrils and take cartilage from my septum to bring my alar rims down. I started to do some research about alar retraction and it is mostly after a botched rhinoplasty. So many people have had revision rhinos to correct that issue and according to photos it seems okay for the first couple of months. After a while the alars (?) go back to the initial position. Is this common?
Answer: #alarRimGraft #rhinoplasty Alar rim grafts are used to treat notched or retracted nostril rims. The decision to use them depends on analysis of nasal measurements specifically the distance between the rims and the mid-axis of the nostril plane vs. that between the outer edge of the columella and the mid-axis. In your photo the later is much greater so it is likely you would benefit from trimming of the septal cartilage at the bottom, which would either negate the need for or allow placement of a smaller rim graft.
Helpful
Answer: #alarRimGraft #rhinoplasty Alar rim grafts are used to treat notched or retracted nostril rims. The decision to use them depends on analysis of nasal measurements specifically the distance between the rims and the mid-axis of the nostril plane vs. that between the outer edge of the columella and the mid-axis. In your photo the later is much greater so it is likely you would benefit from trimming of the septal cartilage at the bottom, which would either negate the need for or allow placement of a smaller rim graft.
Helpful
May 15, 2018
Answer: Alar retraction Alar retraction occurs due to lack of cartilage support of the alar rim when excessive reduction is performed. Replacing cartilage grafts either to the rim or to the tip cartilages helps restore the integrity to the tip and correct retraction. Relapse is possible but unlikely. In the photo, a combination of alar retraction and columellar show needs to be corrected.
Helpful
May 15, 2018
Answer: Alar retraction Alar retraction occurs due to lack of cartilage support of the alar rim when excessive reduction is performed. Replacing cartilage grafts either to the rim or to the tip cartilages helps restore the integrity to the tip and correct retraction. Relapse is possible but unlikely. In the photo, a combination of alar retraction and columellar show needs to be corrected.
Helpful
May 15, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your
Helpful
May 15, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your
Helpful
Answer: Fully agree Your columella needs no work, your surgeon knows well his work; your alar rims are retracted and there is the main focus to treat your exposed columella
Helpful
Answer: Fully agree Your columella needs no work, your surgeon knows well his work; your alar rims are retracted and there is the main focus to treat your exposed columella
Helpful
May 15, 2018
Answer: What are the odds of alar rim grafts not working for a primary rhinoplasty The limited photograph demonstrates significant columellar show, therefore a columella plasty would be helpful first, before using alar rim grafts. A columella-plasty involves removal of excess skin and cartilage in that area in order to tuck the columella upwards and inwards. For many examples, please see the link and the video below
Helpful
May 15, 2018
Answer: What are the odds of alar rim grafts not working for a primary rhinoplasty The limited photograph demonstrates significant columellar show, therefore a columella plasty would be helpful first, before using alar rim grafts. A columella-plasty involves removal of excess skin and cartilage in that area in order to tuck the columella upwards and inwards. For many examples, please see the link and the video below
Helpful
