Nostril reduction is a graduated approach. In my opinion, nostril reduction involves a stepwise approach. For someone who has normal shaped nostrils and the entire nose is reduced, sometimes flaring or widening of the nostrils can occur. Often this can be treated with simple excision of some soft tissue in the area called the nostril sill which is the area between the nostril and septum/columella(column of nose). These scars are imperceptible. Next, if the nostrils tend to not only be wide but are significantly flared outward, the incision can include part of the nostril base on the inside aspect to bring it closer to the face and help some of the width of the nostril itself. Lastly, if the base of the nose is wide and the nostrils themselves are excessively flared, both procedures can be combined to reduce the size of the nostrils and alter their shape. Occasionally, if they are very wide and flared, an additional incision along the outside edges of the nostril may be required to free up the nostril and bring the whole complex closer toward the face.




