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Can a revision alarplasty/rhinoplasty reposition the nostrils higher on the cheek? (African American rhinoplasty)

J
janeconnor1011Jun 18, 2023

My surgeon reattached the base of my nostrils too low and narrow on my face, it is lower than my nose tip. The nostril base is now attached low on my philtrum but was supposed to be higher up and sitting laterally on my cheeks. Can my alarplasty be revised and lifted to sit a bit wider across my cheeks? Could the incision be recut and placed a bit wider on the cheeks? Thanks!

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Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
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Answered on Jun 19, 2023
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Dr. Stephen J. Pincus, MD
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Dr. Stephen J. Pincus, MD
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Answered on Jul 12, 2023
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Stephen J. Pincus, MD

Yes, I hear from many patients that the results of their alarplasty look unnatural and that they don't recognize themselves anymore. Alarplasties can be reversed to some degree. I talk about this on my website. Depending on whether alar wall with or without nasal floor was excised determines...

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Jonathan Kulbersh, MD

Thank you for your question and photo. African American noses are typically wider at the base and have a lower nasal bridge – and these can be addressed with a rhinoplasty. Based on your photo, you seem to be a good candidate. A rhinoplasty can give you a nose that better fits your face while m...

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Donald B. Yoo, MD, FACS

Hi tyty42 The en bloc rib cartilage that was used to augment the bridge of your nose can certainly be removed, but that may also affect the balance of your nose when the height that it provides to the bridge of your nose is taken away. An experienced rhinoplasty surgeon would be able to advise...

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Nima Shemirani, MD

Hi @Creative72290. I'm sorry you are dealing will this. I recommend an in-person consultation with a revision rhinoplasty expert. Best of luck, Dr. Nima

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Jonathan Kulbersh, MD

Hi, thank you for your question and photos. All the issues you mentioned – pointy nose tip, over-projected nose, and a crooked bridge – can be corrected with revision rhinoplasty. However, you will still need a proper evaluation since you may also have over-rotation of the nasal tip. Re...

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The nasi depressor muscle is a muscle located in the upper lip area that pulls the lip downwards when you smile or make certain facial expressions. During some cosmetic procedures, such as a lip lift, the muscle may be cut to achieve the desired aesthetic result. However, cutting this muscle can...

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