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Great question--it depends on exactly what the deformity is and where. For a dorsum that is too narrow, this almost always means the use of spreader grafts which widen the dorsum and can help breathing. For widening the ala, there are a variety of options depending on what is structurally going on. Usually alar contour grafts are necessary to support the alar rim from collapsing in. If the alar bases are too narrow from being over-resected, this is a challenging thing to fix and sometimes it requires composite grafts from the ear cartilage and skin.
Hi there! Spreader grafts and onlay grafts work well to adjust too narrow of a dorsum. We can use septum, ear, or rib cartilage for that purpose. The ala are more difficult. If a reduction was performed, those can be very hard to correct. Composite grafts work though the cosmesis is often less than ideal afterwards. If the bases were not reduced, lateral crural strut grafts with repositioning can help to create more outward bowing to the ala. I would seek consultation with a facial plastic surgeon to see what options may be best and safest for you. Hope this helps!
Hello. Your concerns can be addressed with revision rhinoplasty surgery. You will most likely need rib cartilage to address this particularly to augment the bridge. Just make sure you go to someone who does a lot of revision rhinoplasty procedures as it is a more complex surgery than primary...
Hello @Graceful313217, thank you for your question. My advice is to speak to you surgeon and follow his or her recommendations regarding how long you have to wait to have another surgery. This is because surgical technique varies between surgeons as well as anesthesia is different depending on...
Hello @vntoronto, thank you for your question. A consultation is essential to develop a surgical plan that meets your needs, fulfills your expectations, and takes into account what can actually be achieved. During your consultation, your surgeon will be able to assess your unique needs and...
Thank you for your question. Dermal fillers should be dissolved by 18 months, though your surgeon will be able to identify any residual filler prior to surgery and ensure no complications arise as a result. As for revision rhinoplasty, it’s essential to know that each subsequent nose surgery b...
Most likely, the problems you are seeing are caused by the current size and position of the two cartilages that form the tip of your nose. Those cartilages can be modified in a second operation. The goal would be to lower that isolated bump, narrow the tip, and possibly bring the tip back closer...
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