Do I Need Alar Base Reduction? Doctor Answers, Tips
Rhinoplasty: Q&A
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Do I Need Alar Base Reduction?

I was wondering whether or not alar base reduction would be recommended in my case. Thank you

15 Doctor Answers | Asked by ducktales in marsa
+1

Alar base reduction.

Alar base reduction is only necessary when wide nostrils are present. The incisions are placed at the nostril sill and a small wedge of tissue, usually 3-5 mm, is removed from either the nostril sill, or the alar base or both, depending upon the issues. This will narrow the base of the nose quite nicely and is only used for patients with a very wide nostril base.
+1

Alar base reduction

No - based on your photos it appears that you do not have excessive flare of the nostrils nor should you develop this through significant deprojection
+3

No alar reduction needed

In reviewing your photographs my personal opinion is no. You would be best served with a small reduction of the dorsum where you have a small bump and some thinning on the nasal tip and you would have a very nice natural looking rhinoplasty. Best regards!

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+2

Alar Base Reduction in Rhinoplasty

Surgeons evaluate the width of the nostrils by drawing an imaginary line down from the inner corners of the eyes. If the nostrils overlap this line, then we consider reduction of the alar width. Although you blacked out your eyes on the frontal view, it does appear that your nostrils are of normal width. Another view that would be helpful is a view of your nose from the base (with the tip of your nose pointed up towards the ceiling). This view allows us to evaluate nostril symmetry. The... more
+2

Rhinoplasty

It does not appear that the base width of your nose is out of proportion and reducing the ala would not see to be helpful. Agree that dorsal hump reduction and refining the tip would probably give a cosmetic improvement
+1

No alar base reduction

From your photos, the alar appear very close together already so, IMHO, no alar base reduction would be indicated. Your nasal tip appears quite wide and bulbous and a Tip Plasty would seems more aesthetically appropriate during a Rhinoplasty.
+1

Reducing Nose Width, or Alar Base Reduction, Probably Not Necessary

Ducktales- In general, if your nasal base is too wide, it will be out of proportion to your face. In your photo you supplied, it does not look like your nose is wide in proportion to your face. Of course, it's best if you're seen in person by a plastic surgeon, but your photos don't really indicate a nose that's wide in comparison to the rest of your nose or face. Best Wishes, Roy
+1

Alar base

No. I would not narrow the base. This would not look natural and could inhibit your ability to breath
+1

Alar base reduction.

Alar base reduction is for wide nostrils. Your width is fine and you only need the tip and bridge refined,
+1

Alar Base looks fine.

The definition of the ideal width of teh alar base is a line drawn vertically through the innermost aspect of the eye and the outermost point on the nostril - you look fine. Sometimes the width of the nostril itself gives the appearance that you are too wide - hard to tell from these photos.
+1

I agree with the panel

I completely agree with the panel. I would also note that you have a very specific request, and it is good to get perspective and feedback from discussions. However, if you move forward with a procedure, I would recommend that you make your first priority the choosing of the best surgeon/artist with the greatest track record for rhinoplasty. THEN, discuss specifics of what would work best for your expectations, anatomy, and goals. Best of Luck!
+1

Alar base reduction also called Weir excisions

Alar base reduction, also called Weir excisions, involves excision of pie shaped pieces of the alar rim to reduce the size and width of the nostrils. From the pictures you submitted, it does not appear that you would need alar base reduction.
+1

Alar base reduction in rhinoplasty or nose job

A wide nasal base can be treated with an alar base reduction in rhinoplasty or nose jobs. Based on the single photograph you provided, I believe you would benefit from refining he bulbous nature of your nasal tip, but it appears your nasal base is within normal limits. I would leave this alone. Good luck.
+1

Need for alar base narrowing

In short: definitely not! Your alar width is very appropriate. Narrowing this surgically as part of your rhinoplasty would lead to an unusual and done appearance.
+1

Alar base reduction

It is very difficult to give you a definitive answer judging from only a few pictures without a formal consultation, however, it does not seem that you would need an alar base reduction if you were considering rhinoplasty. In general, alar base reduction is used to narrow the width of the base of the nose, to reduce the size of the nostrils, or to decrease nostril flare. As a guideline, the ideal width for the nasal base should be equal to the distance between the inner most part of the... more
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