Should my surgeon have told me he was performing an alarplasty technique during my rhinoplasty?

Question

Hi, I'm hoping to find out if this was a normal situation or if my surgeon was in the wrong. I had a rhinoplasty surgery which has unfortunately resulted in deformities, the main one being a retracted columella. Upon research, I discovered this could be the result of a failed alarplasty. I did not realise I had this done and when asked my surgeon confirmed he did perform alarplasty to reduce width. Is alarplasty a standard technique or should my surgeon have told me during the consult?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can understand from your question, alar base plasty is performing due to reduce nostril size and nose wideness. Your surgeon might be talk with you about it. It is not a regular technique for rhinoplasty but It is perform a lot. Best Regards!

David Delgado, MD · Answer

Alar reduction is common procedure to balance the base and tip protection. Usually you planned before surgery but it could be reconsidered after create the final tip projection. Final result of the scar usually is related to patient scar healing and it is more related to genetics than surgical techniques. Columelar retraction could be associated to cartilage or even skin retraction, it is usually no related to alar modifications but it is related to a balance between both of them.

Should my surgeon have told me he was performing an alarplasty technique during my rhinoplasty?

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