A spreader graft is designed to push the nasal valve into a permanent "open" position. It can shift if not fixed properly and therefore would not work. Furthermore, the patient may have too much scarring around the valve (from previous surgery) which restricts the ability...
Thanks for the question. You shouldn't have piercings for at least 2-4 months. Then, if you talk to your surgeon and get approval, there is no obstacle to having a piercing. I wish you all the best.
Thanks for the picture. Yes, your nostrils can be reduced to give a more balanced nasal structure. Seek out a board certified plastic surgeon.
All the best,
Talmage J. Raine MD FACS