I hate how my nostrils flare and don't like how wide the bottom of my nose is. Do I need a full nose job? Thanks! I will travel wherever I have to to get the best surgery.
Can Alar Base Alone Fix Wide Nostrils and Nasal Base?
Doctor Answers 14
Alar Base Reduction and Rhinoplasty
On front view it appears that your columella is retracted or there may be poor tip support. The profile view would enable me to see if your nose is under projected. If it is, you would need tip support to lengthen and strengthen your nose. This would also serve to narrow the flare of your nostrils and you may need significantly less work done at the base than it appears on the front view.
Wide Alar Base
Narrowing the alar base will definitely be beneficial. Decreasing the tip width and improving the tip contour should also be considered. It sounds like you are motivated to get the best possible result. Although not clear in your picture, it appears you may have slight narrowing in the middle portion of your nose. I also cannot evaluate your profile. Spend time to get a complete evaluation.
Wide Nostril Rhinoplasty with Alar Base Reduction
Based on this single photograph, the base of your nose is unbalanced with the rest of your nose and face. Will need more photographic views to determine if the nose is wide, nostrils flared, or combination. The imbalance in your nose is usually due to extra soft tissue on the nostril rims, but may also be due to underprojected or weak nasal tip and cartilage. Alar base reduction may be performed at the same time as a full rhinoplasty, or separately on its own.
Only after a comprehensive evaluation of the entire external and internal nose will a plastic surgeon be able to advise the best solution for you. You should not have to travel far to find an appropriate rhinoplasty surgeon, and may or may not require a full rhinoplasty to obtain the your desired results. Best of luck.
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Alar base resection
We would have to see your know from several different angles to give you overall advice. From the view that you show, it does look like alar base resection would make a positive change for you. Good luck with your surgery.
Alar base reduction
There are many different variations to alar base reductions depending upon your needs. It can treat flare, width, and nostril size. Other views of your nose are essential to evaluate and an in -office exam is essential.
Yes an alar base reduction will reduce the width of your nose. But looking at this single view, it also appears that you have a retracted columella. This may also need to be addressed during the surgery. A side or "worm's eye" view would be beneficial in this regard. Discuss these options with your surgeon.
Alar base narrowing can address your concerns
Aside from alar width, your nose is straight and you appear on this photo to have good bridge and tip contour. I assume you are happy with your profile. If your only concern about your nose is your nostril flare and width, then an alar base procedure can definitely accomplish what you are looking for. You must remember two things though:
1. Anything that is done to one aspect of the nose can alter the appearance of every other aspect. So, narrowing the nostrils a fair bit can potentially make your tip look wider. It's important to sit down with an experienced rhinoplasty surgeon who can computer image the appropriate result for you to make sure you'll be happy with the surgical plan.
2. Alar base procedures are straightforward enough but are not always done well. In the hands of an inexperienced rhinoplasty surgeon, there is a risk of flattening the nostril excessively to give it a triangular and operated appearance. So, even though it sounds like a simple procedure, make sure to see an experienced rhinoplasty surgeon to get the most satisfying result. You can read more detail about the different alar base procedures on our blog.
All the best for a happy result.
Alar base resection helps wide nostrils
After looking at your photo is looks like your nostrils are extra wide for your facial features. The other view that would help is the basal view looking from below.
An alar base resection would improve the flaring of the nostrils but this has to be kept in balance with the tip and columella. The surgeon would need to examine these structures and see how one change might affect the other. I don't think you need a full nose job but you might need a tip rhinoplasty to go with alar base resection.
Alarplasty for wide nostrils and nasal base
An alar base can certainly be narrowed through a simple alarplasty by removing a 3- to 4-mm wedge of skin at the floor of the nose. A full nose job does not need to be performed if the only thing that is bothering the patient is a wide alar base.
The alar base is usually only part of the problem
While your alar base is slightly wide, it looks as though the tip may not be projecting as much as it should, or may be slightly droopy. A side picture may help determine this. When the tip is fixed or projected better, that can often improve the appearance of flared nostrils. Just reducing the nostrils while not fixing an underprojected tip would be the wrong thing to do because the nose would not be well balanced. Be sure to find a rhinoplasty surgeon who has extensive experience to help you get the best result. Good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.