If a nose is long and requires shortening can you also shorten the nostrils vertically. If so what are the options? Cutting or pulling back/reshaping?
Can You Raise the Starting Point of Where the Nostil Meets the Cheek? (photo)
Doctor Answers (6)
Raising the Ala Cheek Junction
Although this can be done, the effect is minimal and is more of an illusion than actual translocation. Kenneth Hughes, MD Los Angeles, CA
Raise the Starting Point of Nose Where the Nostil Meets the Cheek - maxilla l shaped implant , or just fat graft
Raising that point is possible in maxillary retrusion by placing a maxilla l shaped implant , or just fat graft for a minor improvement.
But it must be seen as it works in accordance to the balance if the face.
And if really indicated to the case
Raising the alar starting point?
The point where the alar meets the cheek is a fairly constant area. They can be narrowed, and flaring can be improved, but to move it off the cheek is not done.
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Raising the ala in rhinoplasty
Much of the emphasis in rhinoplasty is preventing alar retraction, or correcting the raised alar rim to bring it down and reduce a 'snarl' look. The point in your picture is fixed in relationship to the alar sill or floor of the nose. In rhinoplasty it may serve as a rotation point to guide tip projection or nasal length, but raise it? I think not.
Nose can be shortened with a number of technique. What you have shown in the photo can only be achieved with Alar Repositioning Technique. With this technique, the alar can be repositioned closer together or up. See before and after photos of patients who have had ART surgery.
Can You Raise the Starting Point of Where the Nostil Meets the Cheek?
Many thanks for the question put in very clearly along with the pictures. Yes it is possible to do so as you with a procedure called alar trimming that I do from inside to avoid outside scar on the base of the alee. Wishing you good luck