I had rhinoplasty 13 months ago, and now have a parenthesis tip. I have no nasal obstruction or valve collapse (i breathe normally), but esthetically its not pleasing. My question is, can this be fixed through closed surgery? and can I use fillers to fill the supra-alar crease instead of going through another surgery?
February 18, 2010
Answer: You appear to be an excellent candidate for a Non-Surgical Rhinoplasty. I will routinely fill the "supra-alar crease" (nice description) with Silikon-1000 for a natural, permanent result. You could likely have other Injectable Fillers to this area, but Silikon-1000 is my personal preference for a permanent result. Liquid injectable silicone must be administered by a physician experienced in the serial puncture, microdroplet technique. Silikon-1000 works particularly well in the nose, and these indentations above your nostrils are easily corrected without surgery.
Helpful 1 person found this helpful
February 18, 2010
Answer: You appear to be an excellent candidate for a Non-Surgical Rhinoplasty. I will routinely fill the "supra-alar crease" (nice description) with Silikon-1000 for a natural, permanent result. You could likely have other Injectable Fillers to this area, but Silikon-1000 is my personal preference for a permanent result. Liquid injectable silicone must be administered by a physician experienced in the serial puncture, microdroplet technique. Silikon-1000 works particularly well in the nose, and these indentations above your nostrils are easily corrected without surgery.
Helpful 1 person found this helpful
October 6, 2014
Answer: The parentheses appears to be from nostril deficiency It appears that the tip is well proportioned to the rest of your face. The problem seems to be deficiency of the alar cartialges (specifically the lateral crura of the lower lateral cartilages). This may be a result of over resection of these cartilages during the first rhinoplasty or this may have been a problem that was unrecognized at the time of your first surgery. Fillers would likely not remedy your problem as they would push into the nostril and not push out the concavity that I see. Grafts to the nostrils can be placed via a closed approach if that is what is required. They can come from your septum and if there is no cartilage there, your ear cartilage is very good for this purpose.
Helpful
October 6, 2014
Answer: The parentheses appears to be from nostril deficiency It appears that the tip is well proportioned to the rest of your face. The problem seems to be deficiency of the alar cartialges (specifically the lateral crura of the lower lateral cartilages). This may be a result of over resection of these cartilages during the first rhinoplasty or this may have been a problem that was unrecognized at the time of your first surgery. Fillers would likely not remedy your problem as they would push into the nostril and not push out the concavity that I see. Grafts to the nostrils can be placed via a closed approach if that is what is required. They can come from your septum and if there is no cartilage there, your ear cartilage is very good for this purpose.
Helpful
February 18, 2010
Answer: A natural looking tip should blend into the nostrils What can occur from rhinoplasty is when the tip starts to look "separate" from the nostrils. IF this is the only problem with a prior rhinoplasty, placing grafts through the endonasal approach can correct this. I have tried filler with mild success. This is a very delicate area and fillers can sometimes soften the area but can also create lumps since the skin is taught.
Helpful
February 18, 2010
Answer: A natural looking tip should blend into the nostrils What can occur from rhinoplasty is when the tip starts to look "separate" from the nostrils. IF this is the only problem with a prior rhinoplasty, placing grafts through the endonasal approach can correct this. I have tried filler with mild success. This is a very delicate area and fillers can sometimes soften the area but can also create lumps since the skin is taught.
Helpful
