Alar Base Reduction After Primary Rhinoplasty

asked 1 year ago by texmex8644 in Corpus Christi, TX
Latest answer by Catherine Huang-Begovic, MD
Question viewed 439 times
Tags: alar, reduction

I had a first nose job 2 months ago to have my alar base narrowed. The PS worked more on my bridge and did a little on my alar base. My hubby is really upset because it was so expensive to have a rhinoplasty and end up with the same almost. Is it possible to have just my nosetrils or alar base smaller without doing the open surgery again?

8 answers to Alar Base Reduction After Primary Rhinoplasty

Alar base reduction after Rhinoplasty

The alar base can be easily accessed and does not require an open rhinoplasty. A small wedge of your nasal ala will be excised and repositioned. It can be done under local or general based on your preference. The recovery will be much easier than your rhinoplasty. I'm sure that if you go back to your original plastic surgeon he would perform this minor revision for you. In general, it takes several months for all the swelling in your nose to go down and... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Alar base reduction alone.

Yes, this is possible and usually is done under local anesthesia. The stitches are out in 5-7 days and there should be minimal bruising or swelling.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Revision rhinoplasty for alar base reduction

Dear texmex8644 from Corpus Christi, TX Regarding your initial rhinoplasty surgery that you had in Texas with unsatisfactory results, there is good news for you. If everything else about your nose is satisfactory to you and just the alar base is widened, an office revision rhinoplasty procedure would be sufficient to reduce the alar base. This can be done with local anesthesia. Good luck.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

It is possible to have alar base surgery revision without full rhinoplasty

Dear texmex8644, In general, rhinoplasty revision should wait at least 6 months from the time of the original surgery. Without seeing you in person, it is impossible to say whether or not this guideline is relevant in your case, since your concern is the alar base. To answer your question, it is certainly possible to do alar base surgery without undergoing an entire rhinoplasty procedure; it may even be possible to do it under local anesthetic alone... more

Lawrence Tong, MD
Toronto Plastic Surgeon

Alar base surgery can even be done in the clinic

Hi: The good news is that your alar bases (or nostril widths) can easily be worked on in the clinic setting. I would hope that if you went to your original PS that he or she would do this for you at no charge. If you go to a different doctor I would think that you could have this done at a very minimal charge

Benjamin C. Marcus, MD
Madison Facial Plastic Surgeon

www.uwhealth.org

Alar Base Revision Surgery

Hi Texmex, Yes, you can have your alar base surgery revision under local anesthesia in the office without having a full blown rhinoplasty operation. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Timing of revision rhinoplasty

It can be upsetting to see the immediate result of a rhinoplasty and of course, every patient, surgeon, and surgical technique is different and the results may not be apparent until 6 to 12 months after surgery. If you are thinking about a revision, first discuss it with your surgeon. It may be that you need other opinions, but your surgeon is the best place to begin. Typically, one does not perform a revision rhinoplasty until one year post-op from the previous... more