Asian Rhinoplasty: Q&A
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Options For Making my Wide Asian Nose Smaller? (photo)
My nostril flares so im considering alarplasty, as well as alar base reduction, so that it would not be as big when i smile wide, but still retain its natural curve* if i wanted to get alar base reduction, would the result be the same as if im pinching the base of my nose slightly together? or similiar? becoz there is limited information on the web regardly alar base reduction alone and im not sure of the result even though i know the procedure. this big nose is ruining my face...
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10 Doctor Answers |
Asked by
FlatNose
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Making wide Asian nose smaller
Asian rhinoplasty often involves augmentation of a flat nasal bridge with a silastic implant to increase dorsal height and create the illusion of a narrower nasal base. Another common technique for Asian rhinoplasty is alarplasty, which is done to narrow the nasal base.
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Asian Rhinoplasty and wide nostrils
Hello,
Alar base reduction can be performed in the office with minimal recovery time required.
A better question to ask is if this procedure would meet your expectations and provide you a change with which you are happy. To begin with, you have a very well contoured nose that balances with your other features. I do not think anyone here would suggest that it is a big nose or “ruining your face”.
One thing to consider is...
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Alar Base Reduction
This is a common request from Asian patients and can be successfully performed to achieve the results you are seeking.
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Reducing Asian nose wide nostrils
From your photos it looks like you are a candidate for alar base excision to narrow your nose. As some of the others have mentioned another way to narrow the nose is to build up the bridge, which can be done at the same time. Improving the overall projection of the nose would also make it look less flat.
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Alar base reduction
You are a good candidate to have alar wedge reactions to narrow the base of your nose. This is a fairly smile procedure and can often be accomplished under local anesthesia in less than an hou, assuming no other work needs to be done on your nose. The key element of alar wedge resection in experience and artistic sense on the part of the surgeon. Ask to look at some photos of patients who are similar to you so you are confident the surgeon understands what you want to achieve.
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Treatment for Wide Asian Nose
The width of your alar base can be reduced by excising tissue within your nostril. Although I cannot tell from the pictures submitted if this applies to you, in many Asian noses the apparent width and flatness above the tip can be improved by augmenting the bridge to increase nasal projection. Although silicone implants are very popular, I prefer to use the patient's own tissue because there is less risk of graft movement and infection.
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Alar reduction can help narrow a wide nasal tip
When a patient has a low bridge, the nose can look particularly wide. By building the bridge up with cartilage from the ear or an implant, the bridge of the nose will look narrower. Once the upper portion of the nose is set, I look at the tip.The tip of the nose in the picture looks like it needs support and narrowing. Because of the increased width between the eyes, narrowing the base of the nose may not be necessary for many asian patients.
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Alar base reduction alone does not alter the nasal tip
Pinching the nostrils together narrows the nostrils but also gives your tip more projection, since the tip invariably gets pushed upward during the process of manipulating the nostrils with your fingers. In contrast, surgical narrowing of the alae will not alter the nasal tip. To achieve a desirable result, you would need to narrow the nostrils as well as surgically addressing the nasal tip to give more projection in the tip.
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Alar base reduction and tip improvement
Hi FlatNose,
First off, you're nose fits your face fairly well. Here's what I think:
1. You could use an alar base reduction but make sure the incisions are on the inside of the nostril, not cut on the outside and don't shorten the ala. Simply reduce the width of the alar base.
2. You will want to match the nasal tip with your new alar base but make it subtle. You need a very conservative tip rhinoplasty to make your tip just a...
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Options For Making my Wide Asian Nose Smaller?
These photographs are not ideal for evaluating your nasal base. Nonetheless, it appears that the tip lacks definition. It is possible that tip plasty may improve the appearance of your nose: if the projection and definition are improved, you may not need reduction of the base.
Reston Facial Plastic Surgeon
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