Nostrils are uneven and too big. What can be done to improve them? (photo)

Question

This is after 2 rinhoseptoplasty in 2017 - 18 My nostrils too big and uneven. What can be done to improve them?. Only concern is nostrils not the nose shape. Thank you

Semih Yildiz, MD, FEBOPRAS · Answer

The base and frontal photos show asymmetry in nostril shape and height with relatively elongated openings, but the cause cannot be determined from pictures alone. After two rhinoseptoplasties, the appearance may involve the alar bases, rim support, columella or caudal septum position, tip support, and scar contraction rather than simply “large nostrils.”

Possible corrections include conservative alar-base or sill reduction, alar-rim or composite grafting, and adjustment of the caudal septum or columella, depending on examination and breathing function. Perfect symmetry is not realistic, and further surgery carries increasing scar and blood-supply risks. Consult a revision-rhinoplasty specialist with both prior operative reports and preoperative photographs before agreeing to isolated nostril reduction.

Selcuk Inanli, MD · Answer

Hello! Thank you for hour question.
As far as I can see from your photos your nostrils are wider than they should be, I recommend revision rhinoplasty operation for this, you may need to use extra cartilage from your rib or ear. but it is possible to achieve a more elegant and feminine appearance with a single operation.
It would be better face to face consultation.
Best Regards!

Anil R. Shah, MD · Answer

Hello,

Something that can be done for your nostrils is a procedure called an alar base. This procedure can be done awake and it will improve your nostril shape.

Eric M. Joseph, MD · Answer

On front view, I can see that you have nostril retraction and asymmetrical nostril appearances. Depending on your examination, microdroplet Silikon-1000 nasal injections maybe considered for lowering your nostril margins several millimeters and to improve upon your nostril margin asymmetry. I hope this helps, and thank you for this question. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to help improve your nostril shape and exposure while derotating your tip. Maneuvers for your surgery would include release of scar tissue, placement of extended spreader grafts to derotate the tip, and placement of extended alar contour grafts. . With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Nostrils are uneven and too big. What can be done to improve them? (photo)

Answers (5)

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