Alar width reduction or a Weir procedure with wide bulbous nose

The Weir procedure is a specific type of alar width reduction (AWR), however, many surgeons use the words interchangeably.  It can be a very gratifying procedure depending on the problems.  For instance, if the nostrils are small the incision should stay outside the nostril.  If the nostrils are large, going in the nostril with the incisions can make the nostrils smaller.  Also, the way the base of the nostril attaches to the cheek/lip junction makes a difference.  More narrowing can be accomplished if the nostril flares outward before the junction.

Hi,

In your frontal view, it's hard to appreciate the overprojection of the nasal tip.  You do have a wide nasal tip, which is a combination of thick nasal skin and thick lower lateral cartilage.  Rhinoplasty could improve the appearance of your nasal tip significantly. Given the thickness of your nasal skin, however, you will never have a truly refined appearance to the nasal tip.

From the frontal view, it's hard to appreciate a need for Weir excision - a worm's eye view might allow better assessment.

Hope this helps.  Best of luck.

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