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Is Alar Base Reduction a Good Option for my 2nd Rhinoplasty? (Photos)

asked 8 months ago by delac in US
Latest answer by Richard W. Fleming, MD
Question viewed 146 times
Tags: male, alar reduction, candidate

I am not entirely happy with my first rhinoplasty. My nose is not as straight in profile as I would like and the septum is unnecessarily protruded. In addition, I want to have a more contoured, well defined bridge and a square tip as opposed to rounded ( A. Jolie being a perfect example). Most importantly, for this look to work I have to have my nasal base reduced as I think the nostrills are too far flung. Do you think alar base reduction is a wise option given all the other work that I need?

3 answers to Is Alar Base Reduction a Good Option for my 2nd Rhinoplasty? (Photos)

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Is Alar Base Reduction a Good Option for my 2nd Rhinoplasty?

I'm not sure about an alar base reduction but from the photos, you do appear to have some increased columellar show that could be addressed with a columellar tuck.
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Alar Base Reduction with Revision Rhinoplasty

Your protruding septum has caused a hanging columella which can be lifted. I don't think you need an alar base reduction, but a picture of base of your nose (with your chin elevated) would be helpful.
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Alar reduction

Overall you have a nice result and I would be very hesitant to advise you to have further surgery. You do not need alar base reduction. You do have a little alar retraction and could consider having the rims lowered as a very conservative touch up.

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