This is a question that a patient asked me in regards to their nostrils being higher on the right side as opposed to the left side. Here is how I answered:
Alar rim grafts and composite grafts can help lower your nostrils through rhinoplasty. Remember though that every person is asymmetric and this is built into our neuroanatomy to choose asymmetrically our mates. I don’t see that the attachment is much different from each side but other pictures would help. Alar rim grafts are cartilage grafts that are put along the nostril margin or rim (hence called rim grafts) to help lower the rim. Composite grafts are made up of ear cartilage grafts that are a composite of skin and cartilage. This combination allows you to lower the rim even more when this is incoporated.
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Thanks for reading, Dr Young
Dr. Philip Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington