I got a primary septorhinoplasty 7 months ago, had dorsal hump removed, deviated septum corrected, my surgeon broke my bones and when i asked he said osteotomies were preformed and no tip work done (as requested). Now when I smile my nose looks so wide and my nostrils just look huge. What happened? I am very sad with this outcome, do I need a revision?
Why are my nostrils flared and wide after rhinoplasty? (photo)
Doctor Answers 4
Nostrils flaring more after rhinoplasty
Nostril flare after septorhinoplasty
The reason your nostrils flared when no tip work was done is probably because your tip was "deprojected" during your operation. When you bring a bridge or profile down, the tip often will follow that movement, essentially projecting less. When the tip projects less, the outside of the nostrils (alae) tend to bow outwards unless corrected at the same time. The only other explanation would be that something was actually done to the tip, which sounds like it's not the case.
Fortunately you can add an alar base reduction, which is a simple matter that can be addressed under local anesthesia in the clinic. So bring this up with your surgeon, as he/she undoubtedly wants you happy and would likely correct this for you.
Technically speaking, the removal of cartilage can reduce the support of the nasal tip and can produce nasal flaring. In many patients the nostrils do not need any treatment during rhinoplasty.
If the nasal flaring persists (high probability), it can be resolved with a small procedure. Please consult a Board Certified Plastic Surgeon with experience in Rhinoplasty.
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Why are my nostrils flared and wide after rhinoplasty?
I would give yourself a few more months for swelling to resolve.
Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA