How to achieve high look from front view, hide asymmetrical nostrils & have less nostril show? (Photos)

Question

I had alar reduction to reduce flare nostril. But Dr cut my alar too much, resulting my nostrill too small, looks pinch and one alar is shorter. I want make my nose look high from front view, hide asymmetrical nostril, less showing nostril. also give curve on straight alar. How to achieve that from revision rhinoplasty, can you please explain?

Ruslan Zhuravsky, DO · Answer

Hello, From the photos it appears that the two biggest issues are cephalically oriented lower lateral cartilages, and lack of columella. The Cephalic cartilages lead to a rounder tip appearance and lack of nostril support, which can cause them to retract upward.The lack of columellar support makes the tip appear lower than it is, and on front view almost looks like it’s floating. This is one of the illusions that we see in rhinoplasty. &hellip; because there is a lack of columella, the tip appears low. If you add columellar support and extend it, you would notice the tip to appear higher. This level of revision would require adequate cartilages as the columella would need grafting, a derotation would likely require lateral crural grafts, and the alar might benefit from alar rim grafts.This is just an assessment based on these photos. I recommend a thorough consultation with a surgeon specializing in rhinoplasty. Good luck!

Randal Haworth, MD, FACS · Answer

Based on your pictures, you would need an alar-piriform plasty to raise your alar bases.

Make sure to consult with a board certified plastic surgeon well specialized in that area.

I hope this helps,
best of luck !

How to achieve high look from front view, hide asymmetrical nostrils & have less nostril show? (Photos)

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Everything you need to know about Revision Rhinoplasty

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How to achieve high look from front view, hide asymmetrical nostrils & have less nostril show? (Photos)

Answers (2)

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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.