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There's a lump on the side of my nose after alarplasty. Does any doctor know what this is? (Photo)

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Graceful711883Nov 7, 2024

I have had alarplasty done, and there’s this lump/ muscles on the sides of my nose when I smile. It is almost like two lumps on the sides of my alars when I smile. Could this be a cause from the procedure or is this possible for some people naturally? Tried googling everywhere but can’t find the medical term for it. Any help will be appreciated! I saw a photo of a celebrity on screen with the exact same thing. Hope this gives clarity as I couldn’t explain it properly.

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Dr. Donald B. Yoo, MD, FACS
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Dr. Donald B. Yoo, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Dec 11, 2024
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Donald B. Yoo, MD, FACS

Skin is elastic and stretches. Especially when smiling, the skin along the nose and ala moves. A 2 mm nasal sill incision will create less than 3-4 mm of width reduction.

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Donald B. Yoo, MD, FACS

Intrinsic skin elasticity and the dynamic interactions of the dilator naris with the skin envelope will affect ultimate width reduction after alarplasty more than simply the skin thickness.

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Donald B. Yoo, MD, FACS

The nose pictured is a good candidate for alarplasty with combined nasal sill and Weir incisions. The proportions of the nostril width and tip width is important for the surgeon to consider when designing the incisions.

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Donald B. Yoo, MD, FACS

Based on the proportions of your ala and tip, you're not a great candidate for alarplasty alone. The nostrils would likely lose their natural curvature and would actually result in the tip looking less defined, not more. A minor revision rhinoplasty could enhance the aesthetic of your nasal tip...

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Donald B. Yoo, MD, FACS

The truth is a combination of external and internal incisions will create the most significant narrowing and reduction of flare. Paramount to success is preserving a natural amount of curvature so that the nostrils don't appear "pinched" or "stuck on" while balancing the width of the nasal tip.

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Eric M. Joseph, MD

It is not possible to make a clinical recommendation based upon a single photo of the base of your nose. I can see that your nostrils appear to flare somewhat. To determine if alarplasty would be right for you, please consider meeting with several reputable rhinoplasty specialists. Thank you for...

+2 answers
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