Best Rhinoplasty excision to narrow flared nostrils?

The flare that is present in the nostrils will be made worse by Weir alarplasty excisions. A composite graft of skin and cartilage can be taken from the ear and placed inside the nostril at the highest portion of the nostril arch, which will bring the nostril rim down. Then it is a good idea to have the... more

 You have several other issues to deal with as well. You have an under projected tip, retracted alae, etc. You should see a rhinoplasty specialist before having this done and let him guide you in the multiple issues involved. I have been doing revision rhinoplasty for more than 30 years and I often see... more

I read your question, and reviewed your photos.  I prefer to narrow nostrils with an inconspicuous incision on the nasal sill. This approach minimizes the scarring often associated with a Weir excision. The flare of your nostrils is partly due to the lack of projection of your tip, as seen on the profile... more

Dear Amy I am always worried when someone asks which is the best one procedure to treat something. It's the same as when one uses always or never, there's going to be exceptions. I tend to use a sill type incision as this will narrow the nose and maintain normal architecture and curve to the nose.  You do... more

Looking at your photos, there are other issues than just the size and flare of your nostrils.  Your tip should also be addressed if you will be undergoing this surgery.  You are under projected and need narrowing of the tip and additional projection.  This will also help with the width of your... more

Do not do alar base reduction alone. You won't like the result. The tip will look bigger if you do alar  reduction alone. The tip needs to be reduced in width. With tip sutures the round nostrils will be converted to almond shaped nostrils. Then the surgeon can decide how much the base can be reduced to... more

The topic of correction of alar flare, nostril size, heaviness in the lobule, alar shape, are approached in rhinoplasty be variation of skin removal in the base of the nose and nostril. The procedures or patterns if you will are sometimes lumped together as 'Weir' procedures, thought indeed chapters have been... more

If you are complaining about the flare, you will be better off with a base excision along the rim of the nostril. This will reduce the flare. Sill excisions will help narrow the base a bit and will not treat the flare. I think you need both. 

Hi Amy, The whole tip complex of you nose needs to be addressed.  Your nasal tip is depressed and the columella is short.  The nostrils are flared and the base is wide. The plastic surgeon will need to do some revising of the cartilages and possibly some grafts to help the structural... more

The photo you have provided is gives a somewhat limited view and makes it difficult to answer the question with 100% confidence. That said,  your nostrils do appear to insert fairly laterally (wide) along the floor of the nose, and likely will require nasal sill incisions. Your surgeon may elect to... more