Can I Achieve These Results with Alar Base Reduction Alone? (photo) Doctor Answers, Tips
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Can I Achieve These Results with Alar Base Reduction Alone? (photo)

I think my nostrils are too wide and too round for my face. I'm ok with the rest of my nose but I would like for my nostrils to be taken in a bit. I've been looking into Alar base reduction thinking that it might be what I need since I do not want to change anything else but the width of my nostrils. I edited a photo of mine to show what I want my desired results to be. Are these possible with alar base reduction? Again, I didn't make the tip smaller or changed the columella, only the nostrils

22 Doctor Answers | Asked by lapr3 in Los Angeles, CA
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Alar Base Reduction

This is a common request from patients who feel that the nostrils are too wide and experience flaring of their nostrils when smiling. Alar base reduction can achieve a narrower nostril width and can generally be done under local anesthesia. It appears as if you have realistic goals based on your photos but please consult with a board certified specialist who can help you achieve the results you seek.
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Alar base narrowing

Alar base narrowing procedures can be performed as a stand alone procedure under local anaesthesia. The change shown in your "after" picture are very natural, balanced and realistic. A photo of the bottom (base) of your nose would be helpful as the shape of your nostrils and how they attach to your face influences what procedure would be best for you.
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Alar base reduction or nostril reduction

While it is possible to do an alar base reduction separately from a rhinoplasty, it sounds more simple than it really is. An important thing to keep in mind is that any one thing you change on a nose affects the appearance of the entire nose, since you change the proportion of one thing relative to another. While the shape of your tip may not bother you now, if you bring the nostrils in significantly, it may seem more bulbous than it did before. Also, depending on the technique and amount of... more

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+1

Alar plasty imaging

Alarplasty involves a small incision at the base of the nostril to narrow the nostril. The results shown are quite natural and achievable. The alar plasty procedure can be performed under a local anesthesia
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Alar base reduction as the only procedure

It is possible to complete alar reduction alone and have a nicely balanced result. Be sure to take your photos with during your consultation so your surgeon can see clearly what you are expecting.
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Alar Width Reduction

Hi, You probably can get pretty close to the photo you altered by having a intra-sill nasal reduction. You can see the different techniques on the website bellow. Best, Dr.S. see video
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Alar base reduction rhinoplasty

Looks like you have made your diagnosis and found your treatment option! Find a Board Certified Plastic Surgeon who can show you a comprehensive portfolio of pre- and post-op pictures so you can gauge his/her expertise with alar base narrowing (Weir excisions).
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Alar Base Reduction Should Accomplish What You Want

If you would be happy with the results in your "after" photo then alar base reduction by itself should be able to accomplish this. It could be done with a straight local anaesthetic and would heal quickly without bruising or obvious swelling.
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Alar base, large nostriles,narrowing nasal base

The base of the nose and the nostrils can be narrowed with alar reduction without impacting the rest of the nose in the appropriate circumstances. If the nostrils are tear-shapedthen the base can be narrowed in isolation. If the nostrils are round or flared and only alar base reduction is performed the shape of the nostril will be distorted and abnormal in appearance. In these cases need cartilage grafting to strengthen the sidewall of the nostril giving it a less rounded... more
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Can I Achieve These Results with Alar Base Reduction Alone?

Possible but photo shopping is not real surgery where the tissue heals over time. Best to be seen in person.
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Alar base reduction?

Yes, I think that alar base reduction should be able to make the changes you are after. By itself, that is a very easy procedure and can in fact be done under a local anesthetic. Good luck.
+1

Alar Based Reduction

Dear Lapr3, Alar reduction is typically done in conjunction with a rhinoplasty however on occasion it may be done by itself. Reducing the alar base effects the tip of the nose which is why it is best done with some other minor modifications. A consultation an direct examination with a well experienced rhinoplasty specialist will help you determine the probability of your desired results. Best regards, Michael V. Elam, M.D.
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Alar Reduction (Nostril Narrowing) for Desired Nasal Change

With your own imaging, you have realistically shown the benefits of isolated alar reduction on the nose. It may be a bit overdone but relatively realistic. You will notice that the imaged result makes the tip of your nose look wider. But if that does not bother you then alar reduction alone will achieve the nasal look you want.
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Alar Base Reduction Surgery Done Alone

Looking at the two photos, I think it is fairly realistic to do that with alar base reduction. However, the photo modifications are not always accurate, especially with frontal imaging. Ultimately, you may want to consider doing something with your tip.
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Limited Rhinoplasty

Alar base reduction is usually performed as part of Rhinoplasty. Nevertheless, on occasion it can be performed as an isolated procedure with good results. The appearance you obtain with photo manipulation does not always correspond with actual surgical results. An experienced Rhinoplasty surgeon can asses your nasal anatomy and give you a realistic appraisal of your goals.
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Alar base reduction rhinoplasty in Los Angeles

Alar base reduction is designed to reduce the base width of the nose. This rhinoplasty technique is usually done not just by itself but in conjuction with reduction of the nasal tip width and adjustments of the columela. The reason is that you need to change all the parts of the nasal tip and nostrils in harmony in order for your nose to look natural. Reviewing your pictures I can appreciate that you also have a bulbus nasal tip and a hanging columela which if not addressed at the time of... more
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Nostril Reduction Alone

A patient can make limited changes in the appearance of their nose without doing a complete rhinoplasty. Every operation should be individualized. On the basis of the pictures submitted your goals are reasonable.
+1

Alar base reduction

It is certainly possible to perform alar base reduction without any other work on the nose if that is what you desire. Your photos only show limited information but based on what I see, what you explain is possible.
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Alar base reduction

Photoshopped photos do not always correspond to the results obtained in real lift. Certainly if the base is wide, it can be reduced.
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Alar Base Reduction

Dear lapr3, Alar base reduction may be appropriate for you. As others have echoed, "morphed" photo simulations can be helpful, but take them with a grain of salt because real, live tissues do not behave like pixels on a screen. Please see an experienced, Board Certified rhinoplasty surgeon to discuss your concerns. Warmest wishes, Larry Fan, MD
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Rhinoplasty: Alar base reduction alone

Dear lapr3 Alar base reduction is one aspect of the techniques that would be needed to make changes like you have shown in your photos. Remember that the nose is three dimensional, so flat photograph morphing is not absolutely accurate. Your photo morphing included changes to the size of the nostrils the shape of the nostrils and the volume of the ala You are on the right track. A consultation may help solidify... more
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Alar Base Reduction Alone

Alar base reduction alone could achieve the results you seek. This can be performed under local anesthesia and will take about 10 minutes. Find a board certified plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Kenneth Hughes, MD Los Angeles, CA
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