Treatment Provider

Jacob Sedgh, MD
Board Certified Facial Plastic Surgeon
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Updated pics

Here are some photos from around the 3 month mark after my alarplasty! I trust that the one visible sill scar will flatten with time and more regular applications of the silicone scar gel. In person and with makeup it's not noticeable, and the width was subtly but perfectly reduced in my opinion so I'm very pleased!

Update: It was worth it!

It's been 3 months since my alarplasty and I am very happy with the results! I still have a bit of unflattened scar on the left sill (I'm posting a picture that most prominently shows it) but absolutely ZERO visible scarring on the sides, which is what I was most nervous about.

I fully trust that the visible sill scars (which are light colored so less obvious) will continue to improve with time and daily application of scar gel, and since they're at the base they are very hard to notice in person anyway. Makeup does a great job covering them and the small amount of lingering redness I have.

My goal was to make a subtle change that helped my nostrils look like how they did when I sort of "sucked them in" while posing, and it's wild that when I do that trick now they look exactly the same, which is what I had hoped for. It's not something anyone but me notices since I still have the same exact rest of my nose, but I feel like a bit more harmony has come to my face that I'm very pleased with.

At every post-op appointment Dr. Sedgh and his team have been amazing, helpful, punctual, and accommodating. I never once felt rushed, like a bother, or like my questions were unanswered. He gave me a complimentary CO2 laser treatment at my 6 week post-op appointment as well which was very appreciated.

I am very grateful for Dr. Sedgh and his team, and glad that I trusted them with this decision. I felt right after my first consultation when he dissuaded me from getting a rhinoplasty (and detailed exactly why he felt that way, hearing all of my input during) that he was going to be an honest, trustworthy, dedicated surgeon who would not overpromise anything and would achieve as close to my personal aesthetic goals as possible.

I highly recommend him for your cosmetic treatments and surgeries, every appointment leaves me happy and taken care of. Thank you so much!

Day 4: What they don't tell you about nostril meat

I swear when I did my gobs of research on alarplasty/ alar base reduction, I did not see photos of what it actually looks like in the days after surgery; I only saw neat stitches with minimal swelling and hardly any redness in photos or TikToks, and while I get that rarely do people want to show you the gory details, I really sort of forgot that the healing process is always going to be ugly at some point.

What helps me as I heal is to read about the stages of healing after surgery, the stages the body and tissues go through in response to a trauma such as surgery. My nostrils were cut open, tissue was excised, and the skin was sewn back together in a new area. It's positively cruel! The body doesn't care how you justify your vanity; whether it's a madman wielding the blade or a double board-certified surgeon, your body is going to get angry at you while it cleans up the mess.

The swelling is 90% gone thanks to dilligent ice pack application (I actually used packages of frozen pureed organic dog food wrapped in paper towels; they stay colder far longer and can be frozen to mold to the contours of the face.) I also decided to try compression wrapping for my chipmunk cheeks and gave myself a very Steven Meisel bandaged editorial look using gauze I found in my toothbrush drawer. I'm convinced my stunt helped speed up my edema eschewal.

But now, the star of the show is my nostrils, which look like glistening raw hamburger meat sloppily wrapped in butcher twine. They throb and are quite swollen, and the idea that they will somehow heal flat and looking like my pristine natural nasal sills is terrifyingly improbably at this point. But again, I must remind myself I am in the early stages of a trauma. Just like my other traumas, it's going to take time and a lot of care and patience to start to see an improvement. And, of course, a good doctor to help reassure me.

One last thing: no one told me that such a "small" surgery would leave my body so exhausted! They really do describe this procedure as a quick lil' nip/tuck, but my body sure isn't responding that way. Any surgery that traumatizes major tissues, even if done under local anesthesia, is going to wear your body out as it tries to heal. Rest is not just a suggestion for healing, it really is a demand.

Provider Review

Board Certified Facial Plastic Surgeon
9201 Sunset Blvd., Los Angeles, California
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