Alar sill defect / nostril asymmetry, What would be the best treatment option? (Photo)

Question

I underwent a botched unilateral alarplasty and lip lift which should not have been done. Thankfully, I had a rhinoplasty which helped with the appearance, but there is still an alar sill defect and nostrils are still a bit asymmetric. I’ve had fillers which helped, but results do not last long. I know cartilage is an option too. I’m curious what the best option would be? Are long term fillers an option? Thank you.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to help improve nostril symmetry. Usually realigning the structural support in the tip as well as placing extended alar contour grafts cab help with this. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Alar sill defect / nostril asymmetry, What would be the best treatment option? (Photo)

Answers (1)