I had open rhinoplasty done a number of years ago to slightly de-project and straighten my nose. After the initial surgery the nostrils were uneven so the surgeon performed a secondary procedure where he used alar rim grafts from my ear to even out the nostrils. The problem is that, while more symmetric, my nostrils now look really, really wide and flared - especially in pictures. I would prefer to avoid a 3rd surgery, but really hate how the nose looks. Would an alar base reduction help?
Alar Base Reduction After 2 Previous Surgeries? (photo)
Doctor Answers (1)
Alar base reduction
Your photo shows bilateral alar wall collapse, with a pinched look. Your alar base does not appear to be wide.
In my opinion, alar base reduction would make your nose look too narrow. I believe you need batten grafts, or lateral strut grafts.
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.
You might also like...
Ask a Doctor
Get personalized answers from board-certified doctors. For free.