Rhinoplasty: Q&A
Ask a QuestionAlar Base Reduction Techniques?
I have read several answers to posts regarding alar base reduction and would like to know if the cinching suture technique can obtain results of reducing the width of the base of the nose/nostrils by 2mm on each side (3-4mm narrowing total) , or if a weir incision technique will only do this, or perhaps a combination of the two together?
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16 Doctor Answers |
Asked by
meow1978
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Alar Base correction
I call this alar base correction because there are several excisional techniques that correct this depending on the problem. You mention 2 mm correction but it is also important to consider factors such as the size and shape of the nostrils and the width nostril sill. I will sometimes do both excision and cinch to limit the size of the alar base excision and have found this to be helpful. It is really more important to find a surgeon who has the artistic judgement, surgical skill and the...
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Alar Base Reduction should be successful with Weir or Wedge Technique
In order to narrrow the alar base of your nose by 2mm on each side, removal of skin and subcutaneous soft tissue would absolutely be necessary. Because of this, a simple suture technique alone is not adequate to accomplish this goal.
The Weir incision technique that you mention is a very specific excision of skin and soft tissue adjacent to the lateral (outside) alar margin.
Alternatively, narrowing of the alar base can be accomplished occasionally by a Wedge excision of soft tissue...
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Alar Base Reduction
Cinching sutures are certainly effective, and they can produce a nice result. However, the sutures can loosen or break. I have used them in certain cases, but I primarily rely upon excisional techniques. Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Kenneth Hughes, MD Los Angeles, CA
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Alar base reduction with cinching suture
Hello meow1978, There are a few ways of achieving a reduction in the width of the nostrils. Cinching sutures can be an option but the results may not be as long lasting as you'd like. A weir-type incision usually gives more predictable results.
You can read more about alar base reduction at my web reference link below.
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Techniques for Nasal Alar Base Reduction
Sutures can be used to reduce the width of the alar base but an accurate individualized excision of the excess base will provide a better result. In most cases it is better to remove excess tissue than simply rearrange it .
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Alar reduction
The best way to reduce the ala is by cutting out a wedge of skin where the nostril meets the cheek. It does take some artistic ability to do them well, but the scars almost always heal invisibly.
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Alarplasty is tricky
You have to be careful with alarplasty. It is a very difficult procedure. It it goes wrong it can be almost impossible to fix. Instead of focusing on which technique to use you need to focus on finding a surgeon who is REALLY good at alarplasty. Then you explain in detail to the surgeon your desire of how to change the nostrils.
Regards
Dr. J
Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in...
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Cinching suture
We do not use the cinching suture technique due to unfavorable results we have seen performed from other offices. We have seen unnatural results of bunched up upper lip/philtrums and a break in the sutures. Best to perform a simple, conservative alar-plasty in experienced hands
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Alar base reduction and cinching
A cinch technique can narrow the base by using a suture to basically pull the nose inward from the middle.
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Alar base reduction
There are actually many techniques that can be used to narrow the nostrils.
Depending on alar height, nostril width, overall width and the proportion between different parts in the nose, a technique can be selected that minimizes scarring and maximizes a pleasing proportion.
It's best not to focus on which technique you want to have done, but to focus on finding the right expert and getting their opinion based on thousands of cases they have done.
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.
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