I got a primary rhinoplasty through my father's recommendation 10 years ago. I always had a lot of alar show but during my primary I didn't know what to ask for and went along with my father's recommendation and ended up with a less than ideal primary rhinoplasty. I have the same amount (if not more) of alar show now and it is something I've been self conscious about for almost a decade now. I believe I would likely need a rim graft, maybe a lateral crural strut graft to widen the tip and fix the unevenness/crookedness of the front view and assuming some sort of tip rotation adjustment. I don't know what the issue is with my front view - is it an over projected tip or does it need to be rotated? If there's any suggestions please let me know! I have an upcoming consult that I've waited 2 years for and I'm feeling excited for once and I'm wondering if my expectation seems reasonable? I know it will ultimately depend on the structure of my nose/scar tissue but any advice would be appreciated!
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Based on your isolated photo, you appear to have a bit of retraction, and an indentation, at the anatomical place called your soft tissue triangle. Depending on your examination, a few droplets of Silikon-1000 maybe considered for permanently feeling this in without the inconvenience, downtime,...
Based on your photos, I agree that you appear to have excessive nostril show, both on front view, and on profile of you. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for a lowering your nostril margin several millimeters, and this could improve upon...
Hello and thank you for your question. Based on your photographs, a revision with osteotomy of that side will likely help. Additionally adding morselized bone dorsal onlay graft may also help to provide for a smoother longterm dorsal contour. With good surgical technique, you could have an...