I had rhinoplasty and a second rhinoplasty to further shorten my columella. I am not needing to fix a lot of nostril show and still not totally happy. I am getting ready for a third revision about six years later. My surgeon is recommended composite ear graft to bring down the alar rim. He is not recommended base reduction. I just want to confirm this will leave me w an aesthetically pleasing result and get second opinions
April 11, 2023
Answer: Revision rhinoplasty It's understandable that you want to ensure that you will be left with an aesthetically pleasing result after your third revision rhinoplasty. The use of composite ear grafts to bring down the alar rim can be a good option for correcting nostril show without reducing the base of the nose. However, the success of the procedure will depend on several factors, including the skill and experience of the surgeon, the condition of your nose, and your individual goals and expectations. It's always a good idea to get a second opinion from another qualified plastic surgeon before undergoing any surgery. This can help you get a different perspective on your options and ensure that you are making an informed decision. When consulting with a second surgeon, be sure to provide a full history of your previous rhinoplasty procedures, including any complications or issues you have experienced. You should also bring any photos or notes that you have from previous consultations or surgeries. During the consultation, the surgeon will examine your nose, assess the condition of the skin and cartilage, and discuss your goals and expectations for the procedure. They may recommend alternative techniques or procedures based on your specific needs and anatomy. Overall, the use of composite ear grafts can be an effective way to correct nostril show without reducing the base of the nose, but it's important to consult with an experienced and qualified plastic surgeon to ensure that it is the right option for you. Best of luck !
Helpful
April 11, 2023
Answer: Revision rhinoplasty It's understandable that you want to ensure that you will be left with an aesthetically pleasing result after your third revision rhinoplasty. The use of composite ear grafts to bring down the alar rim can be a good option for correcting nostril show without reducing the base of the nose. However, the success of the procedure will depend on several factors, including the skill and experience of the surgeon, the condition of your nose, and your individual goals and expectations. It's always a good idea to get a second opinion from another qualified plastic surgeon before undergoing any surgery. This can help you get a different perspective on your options and ensure that you are making an informed decision. When consulting with a second surgeon, be sure to provide a full history of your previous rhinoplasty procedures, including any complications or issues you have experienced. You should also bring any photos or notes that you have from previous consultations or surgeries. During the consultation, the surgeon will examine your nose, assess the condition of the skin and cartilage, and discuss your goals and expectations for the procedure. They may recommend alternative techniques or procedures based on your specific needs and anatomy. Overall, the use of composite ear grafts can be an effective way to correct nostril show without reducing the base of the nose, but it's important to consult with an experienced and qualified plastic surgeon to ensure that it is the right option for you. Best of luck !
Helpful
April 11, 2023
Answer: WWill a composite graft bring down the Alar rim give me an aesthetic pleasing results From these photographs, the alar retraction on your left side is minimal. You have an overly rotated, overly projected nose with a hanging columella. Consider a revision and rhinoplasty to reduce the over projection of your nose, reduce the hanging columella and de-rotate your nose. Once those maneuvers are performed, a composite graft may be performed once that hanging columella is addressed. You also have a recessive chin profile which makes your nose look over projected. Also consider placement of a small chin implant as a separate procedure or in combination with the revision rhinoplasty
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April 11, 2023
Answer: WWill a composite graft bring down the Alar rim give me an aesthetic pleasing results From these photographs, the alar retraction on your left side is minimal. You have an overly rotated, overly projected nose with a hanging columella. Consider a revision and rhinoplasty to reduce the over projection of your nose, reduce the hanging columella and de-rotate your nose. Once those maneuvers are performed, a composite graft may be performed once that hanging columella is addressed. You also have a recessive chin profile which makes your nose look over projected. Also consider placement of a small chin implant as a separate procedure or in combination with the revision rhinoplasty
Helpful