I’ve already gotten a weir excision done and I am OK with how the nose looks at repose and I noticed that it does look smaller. The problem is that when smiling the nostrils still widen out more than I would like. Based on the picture I’ve added Do you think getting another round of weir excision would be a good idea or not? Would getting a full rhinoplasty instead of just another excision help the appearance of the widening when smiling more than just getting another solo weir excision done?
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Answers (2)
From board-certified doctors and trusted medical professionals
You have both alar retraction and a hanging columella with a short nose. Based solely on these pictures I recommend you consider lifting the columella, placement of a septal extension graft to lengthen the nose, and possibly an alar rim graft of cartilage to improve the contour of the nostril r...
Your osteotomies appear to have been performed too high--in other words half way up the dorsum rather than very low on the maxilla and up to the corner of your eye. If your 3 surgeries were performed by the same surgeon, you should find someone else. This is an easy fix. I have...
The indents are from columellar incision used for an open rhinoplasty approach. These are very difficult to fix but a small amount of filler might reduce the appearance. RegardsDr. J
