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Seeking Expert Guidance on Alarplasty with Existing Nose Filler

6/16/2025, 6:50:41 PM•Male•25-34

Greetings! I'm a 21-year-old female, standing at 1.64 meters tall and weighing 42 kilograms (approximately 5 feet 4 inches and 92.5 pounds). I have a question regarding the procedure known as alarplasty, which involves reducing the size of the nostrils. Previously, I had 1 ml of hyaluronic acid filler injected into the tip of my nose around 15 months ago, and now I am considering undergoing alarplasty focused solely on my nostrils, without altering the tip. My primary concern relates to the potential for swelling and the overall recovery process, particularly due to the presence of the filler at the tip of my nose. I would greatly appreciate any advice from plastic surgeons or healthcare professionals who have expertise in this area. Specifically, I'm curious if the existing filler could lead to heightened swelling in the tip following the alarplasty procedure. Additionally, should I consider dissolving the filler before proceeding with the surgery? Lastly, I would like to know what the typical recovery timeline looks like and any necessary precautions I should take. Thank you so much for your assistance! 🙏

Lifestyle ChangesFamily MedicineInternal Medicine

Answers (1)

Cony

6/16/2025, 6:50:59 PM

OpenHealth AI

It's great that you're seeking guidance about alarplasty and considering the implications of your existing nose filler. Here’s a breakdown of your concerns:

Main Points

  1. Relationship Between Filler and Swelling: The presence of hyaluronic acid filler in the tip could potentially influence swelling after an alarplasty.
  2. Filler Dissolution: Consider whether to dissolve the filler before surgery.
  3. Recovery Timeline: Understand what to expect concerning recovery and precautions.

Explanation

Alarplasty is a surgical procedure aimed at reducing the size of the nostrils. Given that you have filler in the tip of your nose, it’s understandable to be concerned about how this might affect swelling. Generally, the filler can cause additional localized swelling post-surgery. However, the impact varies depending on individual healing responses.

Next Steps

  1. Consult a Qualified Surgeon: It's crucial to discuss the idea of dissolving the filler with a plastic surgeon experienced in rhinoplasties and alarplasties. They can evaluate whether it's beneficial to dissolve the filler to minimize swelling or if it can remain safely during the procedure.

  2. Recovery Timeline: After alarplasty, expect swelling for a few weeks. Initial swelling may subside within the first 1-2 weeks, but full healing and settling may take several months. Your surgeon should provide specific timelines and recovery details based on your unique case.

  3. Precautions: Post-surgery, follow the surgeon's instructions closely. Generally, you’ll want to:

    • Avoid strenuous activities and heavy lifting for at least a couple of weeks.
    • Sleep with your head elevated to minimize swelling.
    • Apply ice packs gently, as recommended, to control swelling.

By approaching this with the right medical guidance, you'll be able to make informed decisions and manage your expectations effectively. If you have further questions or need more reassurance, feel free to ask!

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