What are the cons to alar grafts?

Performing these two procedures together is an excellent way to accomplish two goals at one surgery! By bringing in less lip upward into the liplift excision, you can accomplish both goals!

You may be looking at a scar from an open rhinoplasty which makes an incision between the nostrils. However you can also use that incision to shorten the columella but cutting out a small segment of skin

You could either go very conservative or have a full rhinoplasty. There are several things that could be addressed with your nose. The tip could be raised and refined and the nostrils narrowed which is what it sounds like you want. I would recommend you go in several consults and don’t be s...

It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. Also, it is...

There are many different patterns for alarplasty. In your case I would reduce the flare of the nostrils and narrow the nostril floor. Some surgeons are very conservative with this procedure while others more aggressive. Done surgeons don’t like doing them at all

5 mm ajar reduction is pretty substantial. I assume you will be awake during the surgery and can give your opinions. During the procedure. I perform one side first and then give the patient a mirror before I start the second side. You can look at it after the first side is done and decide if 5...