Nostrils Flare After Rhinoplasty, How Can It Be Fixed? (photo)

      Given your explanation of what was done in the previous surgery, the likely solution would be to place a strut to help with projection.  If the nose was deprojected and you dislike the loss in projection, this would be reasonable.  However, if you like the deprojected look, the alar base can be altered to reduce the size of the nostrils but the nostrils will not be made longer with this maneuver.  Kenneth Hughes, MD Los Angeles, CA

Hello! There are several ways to address nostril flaring after rhinoplasty, which certainly can occur when a deprojection is performed. Either narrowing the nostrils with a Weir excision, or cutting a portion of the alae to minimize flaring, is effective but requires a scar in the alar crease. Placing rim grafts- cartilage grafts just in the bottom of the alae- will also stiffen and straighten them to improve flaring. Find a rhinoplasty surgeon who specializes in revision and discuss your desires with them. Good luck!

Before any decision, I need you to send me a photo of your nose from the front and from the side (profile). If both OK, then a resection of the nasal base with a small scar will be recommended.