Rhinoplasty: Q&A

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Can Alar Base Reduction Be Done on Only One of the Nostrils?

one of my nostrils is wider/flared out than the other, causing an asymmetry look. Due to this reason, I've been contemplating about alar base reduction to correct this very problem. I like the size and the look of my other nostril. I'd like to know if alar base reduction can be performed only on the flared nostril, or does it have to be performed on both nostrils?

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11 Doctor Answers | Asked by 7526anon in beverly hills

Doctor Answers (11)
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One is fine if thats all you need

You do the surgery that you need. So if all you need is a one sided alar base reduction then that is all you should get. It is a minor procedure so it can even be easily done under local anesthesia. But make sure you find a good surgeon and also be aware that a risk is that it can be over or under corrected.

Alar base reduction for one nostril

Yes, alar base reduction can be done on asymmetrical nostrils. It can be done on only one nostril or it can be done in asymmetrical amounts to make the nostrils more symmetrical. It can be performed only on the flared nostril without any problems whatsoever.

Unilateral Alar Base Reduction

Asymmetry is frequently seen in pre-operative rhinoplasty evaluation. All nasal surgery should be individualized. Unilateral alar base reduction is appropriate and will improve your asymmetry.r

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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Alar base reduction on only 1 side.

Yes, the wide side can be narrowed under local anesthesia. However, the nostrils may have a slightly different shape. They cannot be made "perfect" but mosre or less the same.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Alar base reduction

Asmmetry is the norm for the most part. Significant asymmetry can be adjusted if this requires an asymmetric base procedure, then that could be done.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Alar Base Reduction

The answer to your question really depends on your anatomy. If you have one side that is larger than the other, it may be beneficial to perform a unilateral (one sided) alar base resection. If you post pictures, it would be helpful is giving you advice. Good luck.

Alar Base Reduction CAN be done on One Side Only

Asymmetry is the rule of nature not an exception. While mild asymmetry is common in the nose, occasionally greater asymmetry is seen, as in your case. While Plastic surgeons try and achieve symmetry, such accomplishment is not always possible. In your case, an alar base reduction could be done on only one side but while this may reduce the nostril asymmetry it is not sure to completely eliminate it. Good Luck.

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Alar Base Reductions

Hi, The short answer is yes it can be done. Typically both nostrils are done to preserve symmetry but it is possible to do only one. Best, Dr.S.

Asymmetric Nostrils, Nothing to Sneeze At

Hi 90210, Alar base reduction can be performed unilaterally to even out asymmetric nostrils. The procedure can be performed in the office under local anesthesia without bruising or swelling. The stitches are removed after about 7 days and then your nose should look like Michelangelo sculpted it. Be sure to choose your Michelangelo (surgeon) most carefully. Good luck and be well. Dr. 91436 (P) Encino, CA

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Alar base reduction can be performed on one side

Usually alar base reduction needs to be performed on both sides, but f there is significant assymetry, alar base reduction can be performed on one side. Remember, alar base reduction is performed for three reasons. 1) Reducing the circumference of the nostril, 2) Bringing in the base of the nose and making it more narrow, and 3) Reducing the flare of the ala - the amount the ala curves out before attaching back to the upper lip. Hope that helps.

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Rhinoplasty: Q&A