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?
May 15, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you may benefit from a combination of both lifting your columella and lowering your alar rims with an alar batten graft. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful
May 15, 2018
Answer: Rhinoplasty Hello and thank you for your question. Based on your photograph, you may benefit from a combination of both lifting your columella and lowering your alar rims with an alar batten graft. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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