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Decreasing ala size vertically & horizontally & adding a tip? (Photo)

DesertRoseJannahJun 13, 2022
Hi, I'm 39. I've had 3 previous surgeries. 1st caused my nose to splay out wide on my face, 2nd didn't correct deviation, crookedness & asymmetry, 3rd one left me with tiny tip & bumps on cartilage & bones. Can I resize my ala both ways, add a defined naturally upturned tip, correct asymmetry & high radix, straighten dorsum & improve breathing on the right. Can I do a lip lift at the same time? Do I need a rib graft? My ideal nose is attached, is it achievable?

Answers (1)

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Man Koon Suh, MD profile photo
Dr. Man Koon Suh, MD
Plastic Surgeon
4.8 | 23 Reviews
Answered on Jun 29, 2022
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Onur Gilleard, MBBS, FRCS(Plast)

Improving nostril asymmetry is one of the hardest aspects of rhinoplasty. Yes you do have a bit of tip asymmetry which contributes to the difference in nostril shape. It may be that some scar tissue has developed in an asymmetrical way or that the tip was slightly asymmetrical after surgery....

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Richard Mark Winters, MD

Your issues can be addressed by lowering your radix and providing tip projection to fix your ‘polybeak’… a septal extension graft will take care of this….

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Marc Polacco, MD

Thank you for your question. Taping in the supratip region is usually really helpful, as it eliminates deadspace and can reduce scar tissue formation. In fact, I always ask my rhinoplasty patients to tape at night in this area for 2-4 weeks following surgery. As far as the tip dropping, this can...

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