Hello, in 2015 I had an excellent standalone rhinoplasty, and was very happy with my nose. In 2019 I had facial feminization surgery, which was fantastic except for the changes that happened to my nose. One of my nostrils (the right one, left facing you) is much larger than the other and seems to lack any solidity. It makes for a very strange profile, and it isn't easy to breathe through that nostril. The tip seems to droop now as well.
March 11, 2021
Answer: Rhinoplasty To my eye your main problem is the hanging columella and I can under and why it bothers you. The columella is the part between the nostrils. It is easily corrected by trimming cartilage from that area at the lower edge of the septum. Very common from rhinoplasty because surgeons don’t know to trim at first time. Luckily a straightforward fix. You do not need cartilage grafting. That may have been what caused this to begin with.
Helpful 1 person found this helpful
March 11, 2021
Answer: Rhinoplasty To my eye your main problem is the hanging columella and I can under and why it bothers you. The columella is the part between the nostrils. It is easily corrected by trimming cartilage from that area at the lower edge of the septum. Very common from rhinoplasty because surgeons don’t know to trim at first time. Luckily a straightforward fix. You do not need cartilage grafting. That may have been what caused this to begin with.
Helpful 1 person found this helpful
March 19, 2021
Answer: Quit while you are ahead Your nose looks great. The risks of having an alarplasty and tip plasty far outweigh any potential benefit. However, if you still want to do it, here is some info. Tip-plasty and Alarplasty You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined. Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty. Both of these can be done under local anethesia. Watch the video link below. Regards Dr. J
Helpful 1 person found this helpful
March 19, 2021
Answer: Quit while you are ahead Your nose looks great. The risks of having an alarplasty and tip plasty far outweigh any potential benefit. However, if you still want to do it, here is some info. Tip-plasty and Alarplasty You can have the lower half of the nose (tip and nostrils) addressed without breaking the nasal bones. Tip-plasty can address the bulbous tip either through closed or open approach to make it narrow and refined. Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty. Both of these can be done under local anethesia. Watch the video link below. Regards Dr. J
Helpful 1 person found this helpful