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

 Alar flaring after rhinoplasty can occur due to the de-projection of the tip. The simplest and easiest solution is to perform an alar-pasty  and narrow  the nostril base. This involves making a small incision at the nostril sill and a removing the appropriate amount of skin to narrow  the base of the nostrils

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!