Do You Recommend Augmentation Implant or Just Plain Alar Reduction? (photo)

asked 3 months ago by ulala1 in Las Vegas, NV
Latest answer by David Mabrie, MD
Question viewed 154 times
Tags: alar reduction, flared, implant, recommendation

Hello thanks for viewing,I have been wanting to do this for over a decade but I just dont know what the problem is . My mom tells me that it would be ugly to reduce the alar, that I should just opt for an implant to augment the bridge cause she says it will raise the sides of my alar, reducing the ridiculous flare (it looks like mickey mouse ears). I want the alar trimmed but I am scared if the results are bad, its irreversible. Whats the safest approach? I really hate the flare. Please help!:(

5 answers to Do You Recommend Augmentation Implant or Just Plain Alar Reduction? (photo)

Alar Base Reduction and Bridge Augmentation

It would be easier to answer your question with a profile view and a picture of the base of your nose. An alar base reduction would be beneficial. I understand your concerns, but select a surgeon who shares your aesthetic tastes which can be determined by looking at the results of previous similar patients. Most patients like yourself do have some augmentation of the bridge but I cannot tell without the profile view. I prefer to use the patient's own cartilage rather than an implant to... more

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Nostril reduction must be done conservatively!

I agree with your mother that you must be careful when considering alar reduction for the following reasons: When overdone, alar reduction can give the most unnatural results. The curve of the nostrils is important for the character of the nose. Often the "width" of the nose can be improved by adding definition to the tip and augmenting the bridge. When considering alar reduction, make certain you consider your bridge and tip first, and if you do reduce... more

David Mabrie, MD
Bay Area Facial Plastic Surgeon

yourfaceinourhands.com

Do You Recommend Augmentation Implant or Just Plain Alar Reduction?

Hi, Its difficult to assess whether you need a dorsal augmentation but you would benefit from a alar width narrowing or horizontal reduction. You can send your pics through the link website below and I will image them for you. Best, Dr. S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Rhinoplasty

Your posted photos show a wide alar base and a low radix. You could benefit from a graft or implant to the bridge (or possibly just the radix) and a narrowing of the alar base. The alar base incisions are not that noticeable if placed appropriately. Most plastic surgery is designed for conversational distance of about 3 feet. If you look in a mirror that is only a few inches away you will always see the scars. A implant or graft to the bridge will not reduce the flare. The reduction involves... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Nasal dorsal augmentation vs. alar base reduction

Hi Uluala1, You can have a very concervative alar base reduction. You can't really reverse it so it's good to be conservative. . .if you wanted to do a bit more much much later you could. Keep in mind, when you smile your nasal ala will still flare a bit, even if you had an aggressive reduction. You could start small wit just the alar reduction. As for the bridge, it's pretty nice. I would do minimal augmentation as most and you... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

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