Hole on nostril after open Rhinoplasty - what can I do? (photos)

Question

I had an open rhinoplasty about 9 months ago. It has come a long way and has been looking better im very greatful being that this is my face! One side has healed betrwe then thw other and its has always been thus way sinxe the beginning. I will insert photos of the "good side vs the bad " my bad side has this hole that just wont close . It is the exact same size its been since right after surgery Dr. said it would heal & close on it own. And it hasn't still looked the same

Matthew Tamplen, MD · Answer

Thank you for the question and the photo. I am sorry you are having issues with your incision. It looks like you had what we call an Alar Base Reduction as a part of your rhinoplasty. This is done to make the bottom part of your nose narrower and requires incisions like those on the side of the nose. The incisions usually heal very will but sometimes with the skin is sebaceous or has a lot of oil glands, the wound edges can pull away a little causing the appearance in the photo. This can happen but is easy to fix. At this point I would recommend having a small scar revision where the area is recut and sewn back together in effort to improve the scar. This can be done in just a few minutes in the office. Hope that helps. Best,Matthew Tamplen MD

Eric M. Joseph, MD · Answer

When there is external nasal scarring from nostril narrowing, this may need special attention. To my knowledge, scars from "Weir excisions" like yours may be improved with dermabrasion, and other deep resurfacing procedures. A small scar revision could be considered on your left, depending on your examination. Hope this helps you. Dr Joseph

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Thank you for your questions and for sharing your photographs.
It is common to have some asymmetries. Healing process continues particularly until first year. I woul advise you to wait for another few months before you decide if you would consider a localised revision of the scar.
Best wishes,

Darryl J. Blinski, MD · Answer

You need a minor scar revision of the alar wedge correction. This is under local anesthesia fees in NYC $2,500. Best to see a PS to correct.

Hole on nostril after open Rhinoplasty - what can I do? (photos)

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Answer: Hole on nostril after open Rhinoplasty - what can I do?

Answer: Hole on nostril after open Rhinoplasty - what can I do?

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Hole on nostril after open Rhinoplasty - what can I do? (photos)

Answers (4)

Answer: Hole on nostril after open Rhinoplasty - what can I do?

Answer: Hole on nostril after open Rhinoplasty - what can I do?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.