Notched nostril and different nose (Photo)

Question

Went in for sinus surgery, was told I have nasal valve collapse and deviated septum. I did not have a deviated septum but was convinced to do minor cosmetic things that would help me breath better. Long story short I have a notched nostril and a nose that does not look like mine (was not supposed to change appearance). I know I need a revision, but who is best for fixing a notched nostril. I have been told its very difficult.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Nostril asymmetry can usually be corrected during a revision by releasing all scar tissue and placing alar contour grafts and tensioning the tip. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial and nasal photographs from all angles to make a determination about how best to proceed, since revision rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery. In addition, a copy of the operative report would be helpful for your next surgeon to understand what was accomplished in the first procedure. When the nostrils are significantly retracted, a composite graft from the ear, composed both skin and cartilage is placed on the inside of the nostril to bring that alar rim downwards.

Notched nostril and different nose (Photo)

Answers (2)

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