Revision rhino to reduce alar crease? (Photo)

Question

I had rhinoplasty 12 years ago but recently started noticing that there Are shadows/ prominent alar creases which I hate! Is there a way to get it fixed surgically or non-surgically with filler? If surgically can it be done with a closed rhinoplasty?

Randal Haworth, MD, FACS · Answer

there may be surgical and non-surgical options available to address these concerns.

Surgical options may include revision rhinoplasty, which can be done with either an open or closed approach depending on the extent of the changes needed. In a closed rhinoplasty, incisions are made inside the nostrils and the surgery is performed through these incisions, which can lead to a faster recovery time and less visible scarring. Your plastic surgeon can determine if this is a feasible option for you.

Non-surgical options may include the use of dermal fillers to address the shadows or creases. However, it's important to keep in mind that fillers are a temporary solution and will need to be repeated periodically to maintain results. Additionally, if the issue is significant, it's possible that fillers alone may not be enough to achieve the desired improvement.

It's important to have a thorough consultation with a board-certified plastic surgeon who has experience in rhinoplasty and revision rhinoplasty. They can evaluate your individual anatomy, discuss your goals, and provide you with personalized recommendations for the most appropriate treatment option for you.

I hope this helps,
best of luck !

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos and information you provided.Your nose tip looks too pointy and your nostrils are too close. From front it gives a weird look, like your tip and nostrils are appart. I would recommend you a revision rhinoplasty surgery (open, with close method it is not possible to fix it).You will most probably need cartilage from rib for a good reconstruction.
Best regards!Prof. Dr. Selcuk Inanli

Eric M. Joseph, MD · Answer

Depending on your examination, microdroplet Silikon-1000 injections may be considered for filling your deep supra-alar creases, and perhaps for lowering your nostril margins for less of a retracted nostril appearance. I hope this is helpful! Sincerely, Dr Joseph

Revision rhino to reduce alar crease? (Photo)

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