Will a rhinoplasty be able to remove the pit shape? If not then how?

Question

I'm considering rhinoplasty and would like this out shape straightened up. From the front angle, my nostrils are visible and by resolving this, I know my nostrils will look more closely and will improve my look. Also, the side view of my nose is also bugging me, the right side is closed not showing my nostril whereas the left side, it is open. 1) Will rhinoplasty achieve removing the pit shape? If not then how? 2) Can I have the left side of my nose looking at the right side? Nostril can be seen.

Lucian Ion, FRCS · Answer

Hello and thank you for your question.
 As far as the contour of the nostril sill, where you have placed the arrows,  it is generally possible to flatten the area by reducing the footplates of the medial crura of the tip cartilages and slight reduction in the lining of the nose at the base.  This can be an operation onto itself without formal rhinoplasty. 
Changing the contours of the nostrils would require more extensive work for the tip. In general it is more difficult to make one side look like the other and more favourable to make both sides look slightly different but more similar between themselves.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose.  In regards to the area of your alar base which bothers you, an in-person examination would be helpful to more closely evaluate this area.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. 
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Thank you for your question. It is possible to reduce the footplate of lower lateral cartilages and deal with your area of concern. However looking at your photos, you would benefit from tip refinement rhinoplasty. A thorough nasal examination is required to give you better advice. Please ensure that you discuss all your concerns and goals with an expert rhinoplasty surgeon and review his/her before and after photographs.
Best Wishes

Will a rhinoplasty be able to remove the pit shape? If not then how?

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Will a rhinoplasty be able to remove the pit shape? If not then how?

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Our mission is to create a world where every investment in modern beauty is Worth It.