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UPDATED FROM s991
1 year post

prepping for revision: ideas

s991
$9,200
http://www.osaps2016.org/abstracts/1.38.7%20B3-7%20%20%20Alar%20Lift%20for%20Rhinoplasty.pdf

Anyone done research on alar lift or lobule reduction ? Found a new article from this year m, first technique of its kind seems like. so far I haven't found any doctors in the US keen enough to pick up on the issue of hanging alae, all seem to default to using weir excisions to fix a broad range of features about the alae

s991's provider

Chase Lay, MD

Chase Lay, MD

Board Certified Facial Plastic Surgeon

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Replies (4)

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August 29, 2016
No but I'd be interested. My alar rims were lowered a LOT in order to bring my nostrils down to hide the columella. Plus my tip was overly derotated. Now my nose doesn't suit my face at all. Good luck with your revision.
December 10, 2016
Sent you a private message-
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December 12, 2016
See dr. Donald yoo. His photos are amazing!
February 27, 2018
I like your nose but since you're so unhappy about it, have you thought about getting a cheek implant or a second fat graft to your face? That way, your nose may not look so upturned from the side profile. Im not sure if it makes sense to you but since you're already into cheek implants, might as well give that a try first than risking a second nose job?
UPDATED FROM s991
1 year post

Bulbous nose as of now

s991
bulbous nose due to overly projected and rotated tip. No alarplasty performed but it would have been better to do so.

Replies (2)

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July 31, 2016
be careful, if you get an alarpasty without having your tip narrowed it'll appear more bulbous
July 31, 2016
hey you

I know a perfect docter for you
he is in vienna
dr kuzbari
its far but this man is so great
UPDATED FROM s991
11 months post

I think I may know what I need for a revision

s991
Did some more research and going to a consultation in a few weeks. Here's what I'm proposing to address my concerns:
1) alar rim raising/ sail excision technique to address droopy alae (more common in Asian noses, contributes to less alar show and "hanging alae")
2) alar rim graft to address slight alar rim notching that was already present. You can see those notches more prominently when I put very light pressure on either side of my nose ( see pics).

3) trimming tip such that it isn't too upturned and projected.

maybe I'll need all three, perhaps just one but I'm hoping I can get some answers from doctors, for what I'm looking for.

Replies (5)

March 30, 2016
Yea, I can see what you mean. Who are you consulting with? In US?
March 31, 2016
In US currently because I think going to Korea might be difficult on my own- needing a translation etc. I'm looking at dr Corbin and dr Ellenbogen right now, both have 10+ years experience, have publications.
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April 3, 2016
Good luck s991!
April 7, 2016
I am considering getting Asian rhinoplasty and was worried about getting a nose that was too high or too small for my face (Michael Jackson nose). So I can understand your concerns but I think you have a very nice nose that really suits your features. It reminds me of noses like Korean movie stars :)
April 19, 2016
Have you considered maybe doing filler to see if you can achieve the look you want to even out certain areas without another invasive revision? Personally I would be hesitant to undergo revision but already you are braver than me doing rhinoplasty since I only use filler for my correction 1x per year
May 11, 2016
Have you considered fillers to raise the alar notching? I've seen it done with decent results.
May 24, 2016
I know that many doctors recommend fillers, but personally I like the idea of permanent changes to my face. I think I'm going to make a case to my revision Doctor to trim or derotate my tip first and then cut a bit of the alae. one year of getting strange looks from my friends and family and personal stress from choosing the wrong Doctor have really pushed me to get a permanent fix.
May 26, 2016
I sent you a PM regarding my own situation. Basically I'm in the same situation and need to have my asian rhino revised as well. Ironic that after all the reading I did, I ended up with too much augmentation for the bridge and way too much projection for the tip. In my case though, I had an artificial implant placed, and ear cartilage for the tip. Both of those things were overdone and I need them to be drastically reduced as well.

Can you help me understand a surgeon would trim the tip to reduce the projection? This is something I will have to pursue at some point as well.
May 26, 2016
I would also caution to be really conservative with the alar resection, because that cannot be undone. Once you take away, it's nearly impossible to add it back.
July 3, 2016
Hey You

You are really beautiful with the new and also with the old nose. If you have a fuller face or less full, it's not so important. I know how it is when you want to change sth. and how that feels when it's not exactly that in the end what you wished it to be. But, you look really beautiful. I wouldn't change anymore. Perhaps a bit own fat in the nose and then it's good. Warm regards
C.