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Revision rhinoplasty? Tip plasty vs alarplasty for more symmetry & better breathing? (Photos)

dchri5Jul 10, 2022
I had a septorhinoplasty and turbinate reduction due to a broken nose, deviated septum, and enlarged turbinates. However, my septum is straight but my nose is still dented in on the left and points to the right. Also still having breathing issues out of the left side and after a follow up, the doctor did acknowledge that the left nasal passage was still much more narrow than the right. How can more symmetry and better breathing be achieved?

Answers (1)

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Hong Ryul Jin, MD profile photo
Dr. Hong Ryul Jin, MD
Otolaryngologist
4.1 | 14 Reviews
Answered on Nov 16, 2022
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Oakley Smith, MD, FRCSC

One of many challenges in rhinoplasty that can be improved is a crooked nasal profile. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

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David M. Kowalczyk, MD, MBA, FACS

Hi there! I can see what you're referring to. The fullness in that location could be cartilage or underlying bone. The crookedness may still be there because this wasn't addressed with proper restructuring and smoothing to the bridge and midvault. It can be difficult to get the exact result...

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William Portuese, MD

A closed rhinoplasty approach can accomplish a small amount of de-projection, and de-rotation along with tucking in the hanging columella. Spreader grafts placed underneath the concave upper lateral cartilages will give you more width to the midportion of the nose. From these photos presented,...

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