Revision for rhinoplasty with alar base reduction? (Photo)

Question

Trying to run away from a bad childhood, I made the decision to have rhinoplasty at the age of 18 in Sunrise (Florida). At the age of 27 I decided to give it another try in Colombia after an unsuccessful surgery in 2007. Biggest mistake, as this has left me botched. I wanted to have a smaller nose, the surgen did alarplasty but left the scars in the wrong place. Now they are very visible and have shatter my confidence. Can this be fixed? Will the third time be The charmed?

Gurkan Kayabasoglu, MD · Answer

Hello,Your scars can be fixed with a revision rhinoplasty and based upon your photos you seem to have thick skin which can put some limitation. However, with pre-operation care thick skin can provide better results. You can have nice dorsum-tip transition, more balance, refined and overall narrower nose in the expert hands. You can have detailed face and nose analyses to make a customised treatment plan. Be sure that your surgeon is a professional, exprienced facial plastic surgeon.

Thomas Trevisani, MD · Answer

In person exam is essential as well as review of pre-op photos and reading the op-reports would be helpful. Based on your photos- it appears that in the right hands- improvements can be achieved through a  revision Rhinoplasty (closed technique) with possible cartilage grafting . Keep in mind that you have thick skin which can limit the degree of refinement

Tanveer Janjua, MD · Answer

Yes, I have treated similar scars with revision alarplasty followed by Resurfx laser with good results.RegardsDr J

Jon F. Harrell, DO, FACS · Answer

Based upon your photos it would appear likely that the alae can be improved by revision of the scars. If you have any further concerns regarding the nose those issues could be addressed as well. Best of Luck   Dr Harrell

Kailash Narasimhan, MD · Answer

Yes, the scars can be revised. You may want to also consider a resurfacing treatment such as dermabrasion to improve the quality of the scarring. In addition, based on your photos he may be a good candidate for cartilage work to improve the appearance of the bridge as well as the tip. This is especially the case if you have thicker skin. Good luck!

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Sorry that you had a bad experience. The nostrils can be revised by correcting the incision points. However, this may make your nose look slightly smaller however the asymmetry in the nostrils may still be there. This procedure can be done under local anasthesia as an out patient. Best,Dr.S.

Revision for rhinoplasty with alar base reduction? (Photo)

Answers (6)

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