Need a full face photo

Robert Schwarcz, MD answers: Do I need alar base reduction too?

I am not sure if i want to get my nose tip slimmed along with my nostrils narrowed for Rhinoplasty. Would I have a piggy nose if I did have my nostrils done, as I am quite ok with the tip? I just don't like my wide nose, but want to do the minimum as I am scared of scars, redness, and recovery time. If I have the tip done, as I hear alar reduction is a small procedure, will I look normal within 2 weeks with no redness or swelling?


Robert Schwarcz, MD
3 months ago

John

the alar base width is something that should be in balance with the rest of your face, and can usually be aligned with the inner corner of your where your eyelids come together (medial canthus).  This procedure is not without risk and can certainly leave scars on the outside of your nasal ala and you could run the risk of loosing the natural alar cheek groove leaving you with an unatural look.  If warranted you could consider a sill procedure which is a reduction in the inside floor of the nose if it is wide and you ony seek a small base reduction.  All things said, be careful with a base narrowing procedure.

1 of 1 found this helpful
Helpful?

A: We need to see more than just the tip of your nose

Steven J. Pearlman, MD
3 months ago

Alarplasty is a common procedure performed to slim wide or flaring nostrils. It is used as a adjuctive procedure to rhinoplasty. However, the shape and width of your nostrils need to be balanced with your face, which is not visible in your photograph. I published an article in the Archives of Facial Plastic Surgery on this topic. External incisions are used, but they are rarely visible to the untrained eye.

What is most important, is to seek a rhinoplasty specialist who can discuss all the options associated with rhinoplasty. It would be a mistake to do only part of an operation if more is necessary. This is going to be the nose that you will likely have for the rest of your life. A few small, usually barely visible, incisions should not be avoided if it will give you a superior result.

Post your question

Rhinoplasty before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.