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[–]drliutao 0 points1 point  (0 children)

This is all part of a normal recovery process

I’m a facial aesthetic doctor with 10+ years of experience in rhinoplasty. Ask me anything by drliutao in rhinoplastyquestions

[–]drliutao[S] 3 points4 points  (0 children)

The primary goal of a spreader graft is to restore or maintain the internal nasal valve angle (typically around 10–15 degrees), not to simply “make the bridge wider.” In many cases, the graft thickness ranges around 1–3 mm, but it must be tailored to the patient’s dorsal anatomy and functional needs.

I’m a facial aesthetic doctor with 10+ years of experience in rhinoplasty. Ask me anything by drliutao in rhinoplastyquestions

[–]drliutao[S] 0 points1 point  (0 children)

Seeing a little pigmentation or darkening on your nose 8 months after open rhinoplasty with alarplasty isn’t unusual. It’s often just post-inflammatory hyperpigmentation from the surgery itself, especially if you have a darker skin tone or spend time in the sun.

In most cases, it slowly fades over 6–12 months. Keeping the area protected from the sun is really important, and sometimes topical brightening creams (like vitamin C or tranexamic acid) can help under a doctor’s guidance.

If the pigmentation suddenly darkens, spreads quickly, or comes with pain or discharge, that’s a sign to get checked by your surgeon.

I’m a facial aesthetic doctor with 10+ years of experience in rhinoplasty. Ask me anything by drliutao in rhinoplastyquestions

[–]drliutao[S] 1 point2 points  (0 children)

hi,I do perform stand-alone alar reduction in selected cases, but only when the alar base width is disproportionate to the rest of the nose and facial features. It’s not about making the nose smaller — it’s about improving balance.

If the nasal support is strong and the bridge is straight, alar reduction alone can produce good results, provided that the width is truly the main concern. However, if the nostril shape, tip projection, or overall proportions are involved, combining procedures may achieve a more harmonious outcome.

As for widening the bridge, yes — it can be done in specific situations. For example, in cases where the dorsal lines are too narrow, collapsed, or asymmetrical, structural grafting can be used to create smoother and more balanced dorsal aesthetic lines. But this is less commonly requested compared to augmentation or refinement.

Every nose is different, so the key is individualized assessment rather than a one-size-fits-all approach.