Lowering the Alar Arch
Hello,Alar rim grafts do not effectively lower the rims, but they do improve the contour between the alar arch and the tip. A more effective method is lateral crural repositioning.Best of luck!
Rhinoplasty: lowering the height of your nostrils
A common request in rhinoplasty is to change the height of the nostril. Typically it's to show less of the nostril when looking at the face from the front view.There are 3 techniques available to change the nostril.1) Alar rim grafts stiffen the rim and improve the contour from the tip to the nostril rim. It does not do much for changing the position of the nostril.2) Composite grafts taken from the ear have both cartilage and skin. These are effective if the problem is deficient vestibular skin or scarring inside the nose.3) The most aggressive and complicated technique is lateral crural strut grafts to reposition the lower lateral cartilages. Significant change is complex and perfect symmetry is rare. Discuss the the risks with your surgeon before pursuing any of these options. Safety comes first.
Lowering nostril height
Yes, alar rim grafts are one way of reducing alar retraction or elevation. Another method is lower lateral crural repositioning which is best when more significant movement is needed.I can't say whether either is indicated in your situation without seeing your nose though.Check out my web reference link below to learn more about alar rim grafting.
Alar rim graft to lower the height of the nostrils
A full set of photographs of the nose and face are required to make a determination about what needs to be accomplished with a difficult rhinoplasty surgical procedure. Composite grafts are composed of both skin and cartilage are usually required to lower the alar rim when there's alar retraction. A columella-plasty is performed when there is a hanging columella. Alar rim grafts are best used to stiffen the alar rim to prevent collapse upon inspiration. For more information and many before and after rhinoplasty examples, please see the link and the video below
Alar batten grafts
Hello and thank you for your question. Alar batten grafts can be used to lower the height of the ala in patients with alar retraction. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon