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Over cutting alarplasty - is there any way to reverse the curve of the nose? (Photo)

T
Thriving460698Dec 12, 2024

I had rhinoplasty and alarplast 1 year and 8 months ago. My nose looks pinched and unnatural when I smile. Is there any way to reverse the curve of the nose? If so what is the name of this procedure to for pinched nose, or is this because of the scar?

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on Dec 14, 2024
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Dr. Tanveer Janjua, MD
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Dr. Tanveer Janjua, MD
Board Certified Facial Plastic Surgeon
4.8 | 274 Reviews
Answered on Dec 13, 2024
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Donald B. Yoo, MD, FACS

Any attempts at using "bands" or "threads" to reshape or narrow the nose will result in a temporary shape change at best, and will result in significant scarring and deformity to the nose at worst. Best to consult with experienced rhinoplasty surgeons with regards to the safest and most...

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Donald B. Yoo, MD, FACS

A combination of a Weir with nasal sill excision will create the optimal outcome for you given the excessive width of your sill, but also the excessive flare of your ala. Preserving the appropriate degree of flare and width will allow for a significant improvement in the shape of your nostrils...

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Donald B. Yoo, MD, FACS

Alarplasty alone can reduce the width and/or flare of the nostrils and ala. It does not change the size or shape of the nasal tip. Surgical rhinoplasty is the safest and most effective way to create permament changes to the size and shape of the nasal tip.

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Tanveer Janjua, MD

You can take Accutane as soon as one month after surgery if the incisions are healed. In fact the Accutane might help improve the overall appearance by reducing thickness related to the sebaceous glands. Regards Dr J

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Donald B. Yoo, MD, FACS

In the photo the "bumps" or fullness along your alar base incisions appears to be due to tension along the incision line. Depending on how long ago your surgery was, this may relax and improve with further healing. Without a static photo (not smiling) to compare with, it's hard to rule out...

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Donald B. Yoo, MD, FACS

Skin is elastic and stretches. Especially when smiling, the skin along the nose and ala moves. A 2 mm nasal sill incision will create less than 3-4 mm of width reduction.

+3 answers
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