Can I return back the previous shape? Widen alars without much scarring? Add back some of the bridge? (photo)

Question

I had a rhinoplasty and they reduced my alars much more than i would like to as well as reshaping them, i was told that 1-2 mm were removed. My collumella was also removed as well and there was a preexsiting assymetry between the alars that was not fixed. I feel it looks worse now. Can a reconstructive surgeon widen alars without much scarring? Can i also add back some of the bridge? The tip seemed higher and more lifted in the birth nose not sure why the whole nose is flat against my face now.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an overall pleasing nasal appearance. If you are looking to raise your bridge a bit, and to restore some volume to your tip, and to perhaps lower your nostrils, depending on your examination, permanent non-surgical nose job treatments may be considered. I hope this helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include adding dorsal augmentation with diced cartilage wrapped in fascia as well as tip derotation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can I return back the previous shape? Widen alars without much scarring? Add back some of the bridge? (photo)

Answers (2)