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Is there a recommended treatment plan for removal of my alar bump or to make it less prominent?

BL0121Mar 21, 2020
I have a bump on my right alar nostril area. II had a revision rhinoplasty 18 months ago but had the bump before. It seems to have gotten larger, maybe because the positioning of my nose is straighter after my surgery and makes the bump appear more prominent. I saw my derm & she ruled out basal cell but thinks it's likely a cyst & encouraged me to see my plastic surgeon. I emailed my photos to my doc & seems to think it is cartilage. Any thoughts on what it is? Is there a recommended treatment plan for removal or to make it less prominent?

Answers (1)

From board-certified doctors and trusted medical professionals
Konstantin Tarashansky, MD, FACS profile photo
Dr. Konstantin Tarashansky, MD, FACS
Board Certified Facial Plastic Surgeon
4.6 | 14 Reviews
Answered on Mar 25, 2020
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Curtis Perry, MD

Sorry to hear about your situation. Discuss your concerns with your first surgeon. Also consider consultations with two or three other surgeons.

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Julian Rowe-Jones, MBBS, FRCS (Eng), FRCS (ORL)

This muscle can pull the tip downwards and also backwards highlighting the cartilage of the corner of the septum.  Cutting the muscle can sometimes help and this could be rehearsed with botox.  Sometimes the tip needs to be fixed with grafts or on the septum so it cannot move.  This will mak...

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Steven M. Denenberg, MD

Of course, you didn't post a full set of angles, and full-face images are needed for a true evaluation, but from the frontal view, it seems your nose might be long, with the tip pointing down. And from the base view, it seems your nose might be strong in its forward projection away from your...

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