Can alar retraction post-revision be fixed without 3rd open rhino? (Photos)

Question

i had a revision rhinoplasty and septoplasty in an extensive reconstruction of my nose. separate from functional issues, i had a crooked bridge, severe asymmetry, and severe nasal resection. though discussed as a main concern, the high arches in my nostrils were not repaired in my extensive revision surgery. is there a way to address this without a third open rhinoplasty? thank you.

Eric M. Joseph, MD · Answer

Depending on your examination, microdroplet Silikon-1000 injections may be considered for achieving permanent nostril lowering without additional surgery. I hope this is helpful for you. Dr Joseph

Thomas A. Mustoe, MD, FACS · Answer

Alar retraction is due to a combination of cartilage removal and scar tissue. It can be a very difficult problem to fix and Woukd require an open rhinoplasty with release of scar and addition of cartilage.

Sukhbir Singh, MBBS, MS, DNB · Answer

hi dear thanks for your query, as I can see alar retraction is present. well that requires an alar rim graft to correct the deformity. now the concern is where to get the graft from, septum looks rules out since u had an extensive nasal work. what we can do for u is that we can take out cartilage graft from concha (ear cartilage). we harvest It from behind the ear so no scar shall be visible. secondly for placement of grafts we do not need to do open rhinoplasty, we can do with closed approach.
hope it answers your query.

REVISION RHINOPLASTY PROVIDERS NEAR YOU

Can alar retraction post-revision be fixed without 3rd open rhino? (Photos)

Answers (3)

REVISION RHINOPLASTY PROVIDERS NEAR YOU