Concerned With My Alars and Bulbous Tip? (photo)

I don't want any implants (silicone/gortex) and analogous tissue implants seem to be way out of my budget... I'm fine with my relatively low bridge. My primary concerns are my alars which look like round parentheses attached to the side of my nose, and the huge/bulbous/broad tip. Thanks for your help!

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11 Doctor Answers | Asked by kkim120

Doctor Answers (11)
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Alars and bulbous tip

It is best to not operate on this type of nose since there is very little cartilaginous support in the nose and extremely thick skin. This type of thick, oily, sebaceous skin will not heal well in the postoperative period and is a setup for a pollybeak deformity unless an implant is inserted in the bridge line.

Bulbous tip and wide alar base

It is possible to narrow the tip and the alar base without augmenting the bridge of your nose. However, this may create a bit of a porcine appearance if some narrowing of the bridge and elevation of the dorsum does not occur as well. It is hard to tell from those limited photographs. I would suggest consultation with a rhinoplasty surgeon and get their opinion on this procedure that would best suit your needs.

Scott Trimas, MD

3 reviews

Jacksonville Facial Plastic Surgeon

www.facesonly.com

Alarplasty Or Rhinoplasty

Dear Kim, An alarplasty alone will not be the procedure that will help your achieve your goals. You have to keep in mind that when the alar base is addressed along with the tip, your nasal dorsum will not fit. I believe that you are trying to achieve the L shaped nose. Without physical examination and a face-to-face consultation, it is hard to provide you with a solid opinion of what should be done to reach your goals. I recommend that you consult with a board... more

Alarplasty and Rhinoplasty

While Alar surgery may be done without Rhinoplasty to reduce the nostril area I am not sure this would be the best procedure for your exact problem. The photographs are difficult to give you a proper analysis without an examination. The best advice I would give you is to see an experienced Rhinoplasty surgeon for an evaluation and examination. Personally in my office I use a digital imaging computer which allows me to show my consulting patients the proposed surgical results. I would... more

Michael Elam, MD

83 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

Alarplasty without rhinoplasty

It is possible to do alarplasty (removal of wedges from sides of nostrils) to reduce the width of the nasal base without doing a full rhinoplasty. The procedure is minor but has to be very precise. Regards Dr. J Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further... more

Concerned With My Alars and Bulbous Tip?

Restricted posted photo hinder full decision making. Best to see a few boarded surgeons in your city to discuss the options IN PERSON.

Concerned

Ethnic Rhinoplasty is what we are talking about. No Dorsal bridge work needs to be pursued. Look to the alar base and tip support for your best changes.

Alar Base Reduction & Nasal Bulbous Tip Refinement

Alar base reduction to decrease flaring of the tip and bulbous tip refinement can be done without changing your bridge. Select a surgeon experienced in ethnic rhinoplasty.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Alar Base Reduction

This is a very common request from ethnic patients, particularly because flaring is noted with smiling. The alar base can be nicely brought in to achieve an outstanding result. With some nasal tip definition, your tip could be less bulbous. I don't recommend implants if you were to build your bridge up, but to use your own tissue and cartilage instead. Please consult with a board certified specialist who can assist you in achieving the results you seek that are also... more

Asian Rhinoplasty

Hello, Thank you for providing photographs with your question. It makes having a realistic discussion about rhinoplasty a little more attainable. I think you have a well proportioned nose that would benefit from subtle refinements to improve the definition of the nasal tip. I do not think you need resection of your nostrils or reduction of a large nasal tip. Rather, by adding a little projection and rotation to the tip of your nose... more