Will a graft in the soft tissue triangle fix the nostril asymmetry? (Photo)

Question

I recently had a revision bc my previous Dr completely warped my nostril. I'm now seeing a new problem that I believe stemmed from the original issue. I've been told I may need a graft or filler in the soft tissue triangle. My question is will this lift the nostril to have a round appearance instead of the slant? Also the base of the nostril is uneven, can the part with an arrow be removed? I appreciate your input, I dont want to keep bothering my DR but want to know whats realistic.

Cem Altindag, MD · Answer

Hi, thank you for your question. It appears that, a soft triangle area retraction is the problem. Cartilage graft (your own) to this area would be much better for appearence. Nostril base: I have not seen a serious deformity. A radical touch would be dangerous. May be, a simple touch would be dramatic. Best. The Nose Clinic

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. An in-person consultation is needed to evaluate your concerns. However, I do believe a filler is likely your best option to treat the soft triangle depression, though a cartilage graft may be a more permanent solution. I recommend visiting a board-certified facial plastic surgeon for an in-depth consultation to discuss your treatment options. As for your nostrils, the asymmetry doesn’t look obvious from the photos you’ve submitted. I would not recommend further correction, as additional surgery can be risky, particularly given that you’ve already undergone revision rhinoplasty once before.

Thomas A. Mustoe, MD, FACS · Answer

Filler or fat graft should help the depression in the soft triangle area.  However the nostril asymmetry is not easily fixed and excising tissue may leave an undesirable scar.  The nostril asymmetry is common in people who have never had surgery and often they are not aware of it until it is pointed out. Asymmetry is the rule and trying too hard to correct it can lead to more problems. Your nose looks beautiful on straight view.  I Woukd fill in the soft triangle and otherwise leave it alone.

Will a graft in the soft tissue triangle fix the nostril asymmetry? (Photo)

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Will a graft in the soft tissue triangle fix the nostril asymmetry? (Photo)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.