Nasal sill excision and alar cinch procedure - 5 weeks post op

alar cinch procedure (permanent suture) has made my nose tip bulbous looking (previously pointy from side profile) and overly round alar that angle upwards when I smile and increased nostril show. Alar actually look larger and more prominent than pre-op. Additionally my smile is distorted, the smile lines do not connect to the edge of my nose.. it looks very tight there. Overall it looks terrible :(.. can this be reversed?

Doctor Answers 2

Alar cinch procedure

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The sublabial suture can certainly be removed in the future but my advice at this point would be to sit tight for now. 5 weeks is verrrry early in the healing process. Much of the changes you're seeing right now might be related to swelling in the area. Photos would be helpful to give you a better answer. 

Washington DC Otolaryngologist

Alar cinch

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It is unusual to hear of having an alar cinch all by itself. Yes, it is possible to simply remove the suture. If you have absolutely decided to have this reversed, the sooner you do it, the more likely your tissues will go back to where they were beforehand. There may be some residual scar tissue created during the process, but hopefully your body did not react much to the permanent suture. 

Lily Lee, MD
Pasadena Plastic Surgeon
5.0 out of 5 stars 29 reviews

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