My maxilla was moved forward 6mm to open my airway for apnea purposes. Unfortunately, this movement broadened my nose tip and nostril base quite a bit. I have not had any work done on the nose directly. My surgeon suggested the services of an ENT to fix the look of it, but I am skeptical. Would it be posible to narrow the boney base where the nostril inserts at the cheek, or is this done only for the mid-vault? What should I ask in a consultation to get the best array of options?
October 24, 2012
Answer: Rhinoplasty after maxillary advancement
It is fine to undergo rhinoplasty after maxillary advancement surgery, but it is best to wait at least 6 months after the procedure. The goal of rhinoplasty is to narrow the entire nose which is accomplished with both medial and lateral osteotomies. This will narrow both nasal bones and the accompanying upper lateral cartilages. The tip can also be narrowed through different techniques, such as suturing the tip cartilages and conservative cartilage removal. Narrowing the nostrils is best done with an alarplasty procedure whereby a small incision is made at the base of the nostrils, then approximately 3-4 mm of skin is removed, and the nostrils are narrowed.
Helpful
October 24, 2012
Answer: Rhinoplasty after maxillary advancement
It is fine to undergo rhinoplasty after maxillary advancement surgery, but it is best to wait at least 6 months after the procedure. The goal of rhinoplasty is to narrow the entire nose which is accomplished with both medial and lateral osteotomies. This will narrow both nasal bones and the accompanying upper lateral cartilages. The tip can also be narrowed through different techniques, such as suturing the tip cartilages and conservative cartilage removal. Narrowing the nostrils is best done with an alarplasty procedure whereby a small incision is made at the base of the nostrils, then approximately 3-4 mm of skin is removed, and the nostrils are narrowed.
Helpful
October 13, 2012
Answer: Rhinoplasty after Upper Jaw Advancement
The nasal changes you have noticed are common after maxillary advancement, which will not interfere with rhinoplasty surgery at this time. The base of your nose and the tip can be narrowed so the nose is proportional to the surrounding facial features.
Helpful
October 13, 2012
Answer: Rhinoplasty after Upper Jaw Advancement
The nasal changes you have noticed are common after maxillary advancement, which will not interfere with rhinoplasty surgery at this time. The base of your nose and the tip can be narrowed so the nose is proportional to the surrounding facial features.
Helpful