Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 244059

Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English

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Ask An Expert > Alexander Rivkin Message Board > rhinoplasty 3 months ago, not happy... my nostrils are pinched in, is there any way to correct this non-surgically?
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New York, NY
rhinoplasty 3 months ago, not happy... my nostrils are pinched in, is there any way to correct this non-surgically?


Plastic surgeon
los angeles, CA
United States
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Give it a bit more time  December 12, 2008 5:02 PM

I have corrected this kind of issue with Radiesse injections, but it is not easy. I would wait until at least 6 months have gone by before considering putting any filler in the nose. The reason is that there is still swelling that is resolving several months after the surgery.

Plastic surgeon
New York, NY
United States
View My Professional Profile
  February 21, 2009 9:17 PM

Not a timely answer. By now you are either better or worse.

First thing to try is injectable Restylane (most forgiving filler). If that is not effective, problem can usually be corrected in a few months with cartilage grafts (revisional surgery).

Plastic surgeon
Memphis, TN
United States
View My Professional Profile
Correction of collapsing / pinched in nostrils after a Nose Job  December 20, 2009 10:12 PM

The tip of the nose is made up of a pair of arched cartilages (Lower lateral cartilages) which acts as stiffeners. When the tip is too bulbous just enough of the arch is removed from each nostril to refine the tip. If TOO much is removed, on inspiration, the arches are too weak and collapse, pinching the nostril.
The repair consists of increasing the tip stiffness usually by placing cartilage grafts (? ear donor) under the arches to stiffen them. this is best done when the swelling has gone down significantly (6-8 months). I am not a big fan of injecting fillers in the nose.

Dr. Peter A Aldea



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