Both issues are due to an agressive cephalic trim, that has made the LLC "heal upwards" What would be more beneficial alar batten grafts or LLC repositioning? Or something entirely different? Pros and cons with Lower lateral crural repositioning?
May 12, 2018
Answer: Difficult.... alar retraction secondary to overly aggressive cephalic trim of the lower lateral cartilages requires re-creating the defect by first releasing the scar that pulls the retracted alar rim up and repositioning the lateral crus inferiorly, then dealing with the lack of support at the core of the problem.... alar batton grafts are essential to this, but in my revision rhinoplasty practice, they are often insufficient.... most of the time, alar retraction also requires a ‘spacer’ in the form of a composite ear graft (skin and cartilage) placed on the inside of the nostril as well...Good luck...
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May 12, 2018
Answer: Difficult.... alar retraction secondary to overly aggressive cephalic trim of the lower lateral cartilages requires re-creating the defect by first releasing the scar that pulls the retracted alar rim up and repositioning the lateral crus inferiorly, then dealing with the lack of support at the core of the problem.... alar batton grafts are essential to this, but in my revision rhinoplasty practice, they are often insufficient.... most of the time, alar retraction also requires a ‘spacer’ in the form of a composite ear graft (skin and cartilage) placed on the inside of the nostril as well...Good luck...
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May 12, 2018
Answer: Retracted Nostrils and Pincched Tip Both nostril rim retraction and a pinched tip can both be caused by cartilage removal and corrected with small cartilage grafts. Pictures would be helpful and an examination by a revision specialist will be necessary to diagnose the cause of your problem.
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May 12, 2018
Answer: Retracted Nostrils and Pincched Tip Both nostril rim retraction and a pinched tip can both be caused by cartilage removal and corrected with small cartilage grafts. Pictures would be helpful and an examination by a revision specialist will be necessary to diagnose the cause of your problem.
Helpful
