Rhinoplasty: Q&A
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Is It Possible to Reduce Nostril Flare with Internal Excisions?
Everytime I go to a consultation (in Houston, TX) and I ask doctors how they will address my nostrils they say "I will make incisions to the inside of your nose". I do not have a problem with sill excisions to decrease the width of my nose, but doctors never say anything about doing alar wedge excisions to address my flare! It's like they dont want to make any external cuts. Is it possible to reduce flare with internal excisions? If so, what technique is this??
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12 Doctor Answers |
Asked by
college girl
in houston
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Nostril Flare
Yes. It is possible to reduce nostril flare and the lower 1/3 width of the nose with internally by excising a diamond shaped soft tissue beneath the collumella-upper lip area; and then by suturing the defect closed and thus converting the diamond defect into a straight line, the width of the nose decreases while at the same time increases the height of the nasal tip, and widens the naso-labial angle. Additional adjustments to equalize the width descrepancies of your nose would be...
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Different Techniques For Nostril Narrowing
To narrow wide nostrils such as your pictures show it is necessary to remove tissue. The debate as to whether incisions have to be made inside your nose or out is a matter of semantics and the extent of the incisions. So-called internal nostril narrowing incisions must cut through and place scars on some aspect of the skin of the nose skin, in this case the nostril sill. It does create an external scar but it is very small and vertical in nature. By removing a vertical wedge of...
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Tip rhinoplasty
The base width of the tip can be wide because of horizontally oriented nostrils and/or thickened nostril rim. Your posted photos show the Afro-American or Asian type of nose with a wide base at the bottom, a round tip and a flattened bridge. Your nostril rim does not look thick. In my experience the best way to narrow the bottom of the base is to cut out a wedge from the outer corner of the nostril. That does not work if the incision is only inside the nose. To make the incision scar less...
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Los Angeles Plastic Surgeon
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Nostril flare reduction.
The incisions on the inside reduces nostril flare and the scars heal well. I do not make them on the outside since these often heal poorly.
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Female
The external incisions usually heal well. But, nostril flaring can be reduced by interna nostril sill excisions with or without a cinching suture under the columella
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Excisions for nostril flare reduction
The incisions for the alarplasty are at the base of the nostril sill, but are not completely inside the nose. They are a simple excision of skin including a portion of the nostril base and sill that is closed with fine meticulous sutures. This is also known as a weir alarplasty.
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External incision to narrow the bases of your nostrils
Hello;
You are correct about wondering about alar wedge excisions to address what you call the “flare.”
There is nothing improper about making an external incision because that has proven to be the most reliable and practical way to narrow the base of the nose when the “sill”-- or floor -- of the nostril is wide.
It is a venerable technique that experienced nasal surgery specialists should be very comfortable performing.
If the...
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Reduction of nostril flare
Looking at your photos it appears that you need a full tip plasty to address other isues, such as bulkiness, of your tip. You'll also need tip support (i.e collumellar graft). Nostril flare can be addressed with insicons inside your nostril that heal very well. There are also burried permanent mattress suture techniques that can be placed into the lower later cartilages to effect narrowing of your nasal tip.
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Flaring nostril
Flaring nostril can be successfully reduced by using techniques to hide scars internally at the base of the nostril.
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Ethnic Rhinoplasty
You probably need more than narrowing the nostrils. Make sure you inquire about tip cartilage removal and a strut. The strut is cartilage that supports the tip. This is obtained from the septum on the inside of your nose. The nostril narrowing can almost always be accomplished with internal incisions. Make sure you ask your surgeon about their expertise with ethnic rhinoplasties.
Good luck.
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