Alarplasty revision needed. How should I proceed?

Question

I will not use the word botched but I desperately need help.the dr took too much out of the floor of my right nostril causing complete separation and start to create a ridge down to my lip from the tension.as you can see it's very hollowed out compared to brother nostril. On my left nostril he took too much off the middle part of my nostril leaving behind scar tissue from an earlier revision which is the only thing I had asked him to do. now I am left with a short nostril and more scar tissue

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi Rachel! Sorry that you're experiencing trouble with your alarplasty. These can be difficult to correct, but improvements can be made. Many times, the procedure needs to be repeated with careful attention to approximating the edges without tension and creating good eversion of the skin. These two things help to reduce the likelihood of unsightly scars. If the nostrils are too small, then expansion grafts may be needed. If one nostril is too big, more skin should carefully be removed to create better symmetry. I would suggest meeting with a facial plastic surgeon to discuss the best course of action. Hope this helps!

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