Secondary rhinoplasty: too much cartilaginous trimming with conspicuous nostrils and retracted alae, by Dr. Gerbault:
Correction of aesthetic and breathing issues is common in secondary rhinoplasty. The appearance of very conspicuous nostrils after secondary rhinoplasty is very common, due to excessive resections of cartilage.
This young woman had a significant resection of her tip cartilages, and an incomplete correction of her deviated septum. She breathed worse after her rhinoplasty. She was very embarrassed by the appearance of her tip of the nose, the nostrils too conspicuous and retracted, the asymmetrical tip…
She benefited from an ultrasonic structural rhinoplasty with the use of costal grafts to reconstruct her nose, lower the tip and alae. These are long and complex operations that I continue to perform, having stopped secondary rhinoplasty for minor aesthetic and functional problems.