Do I Need Alar Base Reduction Too?

Alar reduction or weir wedge resection is a good choice for reducing the width of the Alar base (width of base of nose).  However it does leave scars, though the scars are very faint and fall into the crease where the Ala meets the cheek.  The scars are usually not visible unless one is closely inspecting, and sometimes even then cannot be seen.  The incisions can take a while to heal, so do not count on being presentable in two weeks.  You may be well healed by then, but... more

According to the picture that is presented here, it is not a good idea to have alar base reductions because of the nature of the very small nostrils that are present. An alarplasty will reduce the airflow dynamics through the nose and create a breathing obstruction. Even if you were to undergo an alarplasty, the redness will last upwards of a couple of months and will not look perfectly normal within your two-week timeframe for no redness or swelling.

It is impossible to give specific answers without seeing pictures of your entire nose, but let me answer your last question. If you want to look normal within 2 weeks "with no swelling or redness", don't do the surgery. Remember the results will last a lifetime. Do your homework, get consultation(s) with rhinoplasty specialists, and have your surgery done without time restrictions.

John the alar base width is something that should be in balance with the rest of your face, and can usually be aligned with the inner corner of your where your eyelids come together (medial canthus). This procedure is not without risk and can certainly leave scars on the outside of your nasal ala and you could run the risk of loosing the natural alar cheek groove leaving you with an unatural look. If warranted you could consider a sill procedure which is a reduction in the inside floor... more

Once tissue has been excised to narrow the alar base of the nose or the nostrils, there is nothing that will reverse the result. When I am not certain whether or not to do this procedure, I will stage it and come back in six months when I have determined what the tip looks like after all swelling subsides. This is the conservative approach. From the single picture shown I actually do not think that alar reduction will be needed in your case, but as my colleague pointed out this may be a... more

Alarplasty is a common procedure performed to slim wide or flaring nostrils. It is used as a adjuctive procedure to rhinoplasty. However, the shape and width of your nostrils need to be balanced with your face, which is not visible in your photograph. I published an article in the Archives of Facial Plastic Surgery on this topic. External incisions are used, but they are rarely visible to the untrained eye. What is most important, is to seek a rhinoplasty specialist who can discuss all the... more

John, This is NOT "I need" surgery - This is "I want" surgery. Your nostrils ARE flaring and could be nicely narrowed with a WEIR EXCISION. But - as we discussed in response to one of your other posts, this IS a surgical procedure which IS associated with scars (like ALL surgical procedures). You state you are "scared of scars, redness, and recovery time" - These scars USUALLY heal well and recovery time is usually minimal. If everything goes well, you should... more