Would alarplasty and filler make my nose look better? I am not happy with the bridge and flatted nostril. I do have thick skin. I am also scarred to undergo open rhinoplasty.
December 29, 2014
Answer: Closed rhinoplasty and no fillers We do not recommend fillers placed in the nose due to complications that can occur. A closed rhinoplasty procedure can address narrowing the nostrils and narrowing the bridge line. Thick skin will be an impediment to seeing a very refined result in the tip of the nose.
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December 29, 2014
Answer: Closed rhinoplasty and no fillers We do not recommend fillers placed in the nose due to complications that can occur. A closed rhinoplasty procedure can address narrowing the nostrils and narrowing the bridge line. Thick skin will be an impediment to seeing a very refined result in the tip of the nose.
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January 5, 2015
Answer: Alarplasty and fillers Dear Pinkbug99, Thank you for your submission and clinical photographs. It does appear as though you have a somewhat weak nasal dorsum and bridge. Surgical augmentation using rib cartilage or bone, as well as allopathic materials such as Medpor® or zylastic would be on option to build up the bridge. You are absolutely right; an injectable soft tissue filler such as Juvéderm® Voluma™ would provide a nice bridge enhancement for you and this would last upwards of 12 months or more. I have been performing injection rhinoplasties, as well as open rhinoplasties, for almost 20 years. I do find that many patients want to explore the non-surgical options, such as the five-minute nose job, prior to entertaining surgical procedures and some never perform the surgical procedures and simply maintain their bridge using injectable techniques. You do have flared nostrils and alar base reduction under local anaesthesia would be one relatively simple procedure to enhance this area of your nose, which is quite wide in the soft, lobular bulbous tip region. Injection rhinoplasty would also soften the top or open tip plasty could be performed at the time of alar base reduction, which is a much simpler procedure than a full open external rhinoplasty. As you can tell from my response, there are many options when it comes to the nose. You should seek the advice of an experienced, certified plastic surgeons and facial plastic surgeons with extensive rhinoplasty experience. I have been performing rhinoplasties for 20 years, having done plastic surgery and ear/nose/throat, head/neck oncology and find that computer imaging, using 3D systems, can help guide you in your decision analysis. For more information, please review the link below as well as the 5 minute nose job page. I do hope this information has been of some assistance and best of luck. Sincerely, R. Stephen Mulholland, M.D. Certified Plastic SurgeonYorkville, Toronto
Helpful 1 person found this helpful
January 5, 2015
Answer: Alarplasty and fillers Dear Pinkbug99, Thank you for your submission and clinical photographs. It does appear as though you have a somewhat weak nasal dorsum and bridge. Surgical augmentation using rib cartilage or bone, as well as allopathic materials such as Medpor® or zylastic would be on option to build up the bridge. You are absolutely right; an injectable soft tissue filler such as Juvéderm® Voluma™ would provide a nice bridge enhancement for you and this would last upwards of 12 months or more. I have been performing injection rhinoplasties, as well as open rhinoplasties, for almost 20 years. I do find that many patients want to explore the non-surgical options, such as the five-minute nose job, prior to entertaining surgical procedures and some never perform the surgical procedures and simply maintain their bridge using injectable techniques. You do have flared nostrils and alar base reduction under local anaesthesia would be one relatively simple procedure to enhance this area of your nose, which is quite wide in the soft, lobular bulbous tip region. Injection rhinoplasty would also soften the top or open tip plasty could be performed at the time of alar base reduction, which is a much simpler procedure than a full open external rhinoplasty. As you can tell from my response, there are many options when it comes to the nose. You should seek the advice of an experienced, certified plastic surgeons and facial plastic surgeons with extensive rhinoplasty experience. I have been performing rhinoplasties for 20 years, having done plastic surgery and ear/nose/throat, head/neck oncology and find that computer imaging, using 3D systems, can help guide you in your decision analysis. For more information, please review the link below as well as the 5 minute nose job page. I do hope this information has been of some assistance and best of luck. Sincerely, R. Stephen Mulholland, M.D. Certified Plastic SurgeonYorkville, Toronto
Helpful 1 person found this helpful