Ratio of reduction per nostril for Alarplasty?

In an alarplasty, if the width of the wedge removed is 2 mm per nostril, does that mean that the width of the nose will be reduced by 4mm in total? Is the relationship 1:1 or is there a variation due to geometry? Roughly how many mm's are typically remove per nostril for 66% of your patients?

4 answers to “Ratio of reduction per nostril for...”

A: Alar Reduction

By Theodore Katz, MD - Philadelphia Plastic Surgeon

Alar wedge resection (the old term was Wier Wedges) involves a resculpting of the widened ala with excision of excess tissue and sometimes the nostril floor or sill. This is individualized and you should discuss with your surgeon how much he will remove,, which portions of the ala and how he will inset... more

A: Typically 3-4 mm is removed during an alarplasty

By William Portuese, MD - Seattle Facial Plastic Surgeon

In a typical alarplasty procedure, 3 to 4 mm is removed. Occasionally, only 2 mm can be removed. Even though 4 mm is removed, there is a bit of a stretch-back phenomenon in the skin, so in reality, 3 mm removed on each side, which would create a 6-mm width reduction in the nose.

A: Nasal alar reduction

By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon

The amount and location of alar base skin excision is always individualized. After doing rhinoplasty surgery for over thirty years, it is safe to say tthat I've never done two noses exactly the same. Aesthetic judgement is critical in achieving the best results. It is impossible to be specific in... more

A: Nose width will dictate, but in general 2-3 mms

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

In general, 2-3 mms are removed from each side. This can vary in certain ethnic noses that are very wide. Your surgeon should be able to tell you what is needed.