Will fixing nose tip also narrow nostril flare?

I have a bulbous tip and my nostrils are flared a little more than I would like (especially when I smile). Apart from that, I like my nose.

I am considering having tip refinement, but I would also like to have my nostrils narrowed. I consulted a surgeon and he said that I do not need to have alar base reduction. He said that by removing the tip, my nostril width would also decrease. Is this really true? I can't see it myself.

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11 answers to “Will fixing nose tip also narrow...”

A: Narrowing the Nostrils and Reducing Nostril Flaring

C. Spencer Cochran, MD

Nostril reduction surgery (called Alarplasty / Alar Base Reduction) is a procedure that can narrow the width of the nostril base, decrease the amount of nostril flaring, and/or decrease the size of the nostrils. It is important to realize that the smile muscles can pull the base of the nose up and outward even... more

A: Nasoplasty will narrow the nostrils

William Portuese, MD

The bulbousness part of the tip can be reduced by removing a portion of the nasal tip and suturing the remainder of the tip cartilages together to refine the nose. A nasoplasty can also be done to narrow the nostrils. The nostril base width will not decrease by making the tip itself smaller.

A: you may still need alar revision

Joseph Perlman, MD

Depending on the shape of your tip and the shape of your nasal ala, narrowing the tip may give you the result that you are looking for ; however, tip rhinoplasty and ala revision should be viewed as two separate processes both in evaluating the nose and in determining the final outcome.  If the base... more

A: Rhinoplasty; Will Narrowing the Tip Correct Nostril Flare?

Michael A. Persky, MD

Hi SidSid, Alar base reduction needs to be considered and planned for whenever a rhinoplasty is performed to narrow the tip.  Once all other modifications of the nose are done, the alar base and flare need to be re-evaluated.  It is the last procedure performed in the operation. Sometimes the... more

A: Rhinoplasty and tip

Steven Wallach, MD

A bulbous tip can be treated by refining the tip with tip sutures and possibly removing some cartilage. The flare and/or width will not improve significantly without performing a procedure on the nostrils. 

A: I don't think so.

Toby G. Mayer, MD

 Usually we have to take a wedge out of the nostril base to give a result that you would be satisfied with. See an experienced rhinoplasty surgeon for a second opinion.

A: Tip rhinoplasty, and nostril flare.

Eric M. Joseph, MD

You can have your tip narrowed, but this will only decrease the width of your nostrils if your surgeon adds projection to your tip. That means, your nostrils could narrow if you have your tip projected out further from your face;  this is usually accomplished with a cartilage graft... more

A: Flared nostrils can improve with tip shaping

Peter E. Johnson, MD

I believe that a flare of the nostril can improve with tip shaping. If the tip of the nose is very pronounced or 'bulbous' because of thick supporting cartilages the nostril shape can  be changed, in fact is most often changed, as the tip is shaped. Your surgeon is probably correct if his assessment is... more

A: A-la-carte rhinoplasty is not suggested.

David Shafer, MD

 I would really warn against "a-la-carte" rhinoplasty.   Either you are having a rhinoplasty or you are not.  Many patients come in and say I just want this or I just want that.  It is very easy to say, but in reality, the nose is a very complex operation and it is a mistake to... more

A: Nostril flare might improve with tip refinement

Marcus L. Peterson, MD

A tip rhinoplasty can involve multiple aspects of the tip appearance.  The flare of the nostrils can be due to the cartilages of the nasal tip, however, if the base of the nose is too wide then you can only decrease this width with an alar base reduction. When your face is relaxed and you are looking... more

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