What is my best surgical option for tip definition and alar reduction? (photo)
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Conservative Tip Rhinoplasty
Tip Definition and Alar Reduction
You appear to have a nice nose. Proceed cautiously with rhinoplasty surgery.
You may benefit from consulting several reputable rhinoplasty specialists so you could make a decision that might be best for you.
Hope this helps you.
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Rhinoplasty for tip definition and alar reduction
When the bulbous tip is present( not in this case) tip suturing techniques to the lower lateral cartilages are performed to narrow the shape of the tip and reduce the bulbousness.
Refining a near perfect nose
On examination, the front view, your right nostril is not flared but the left flares out slightly are there is an asymmetry. This could be addressed by an alar base reduction only on the left, removing a few mm. of skin. The risk is a small scar along the side of your nostril. Most people heal well esp. in Caucasians. Some patients benefit from laser treatments post operatively to blend in the scar. On your profile view, again, there is little change that is necessary. If one were to examine things very closely, the tip of your nose could be projected a 1 to 2 mm more to give you more of what we call a "supra tip break". By lifting the tip of the nose higher slightly, it will also narrow the nostrils slightly which would add to the tip refinement.
A word of caution, anything more than small subtle changes in your case could give you an unnatural result. We offer Vectra 3D computer imaging to our patients so they can see in a very realistic way how their results can look after surgery. This may help you in your decision process.
Your tip looks relatively refined already. I would be very careful about having tip surgery since the outcome is never guaranteed 100%. Your could have a conservative alar base resection. Make sure you are seeing someone with extensive experience in rhinoplasty. Good luck.