So I am wondering if an alarplasty will fix this since it seems like a muscle attachment issue because at rest my nose does not appear wide at the base, only when I smile. I am interested in a tip plasty ... I am not unhappy with my bridge I don't have a dorsal hump or wide bridge. However I do have a bulbous tip. My question is if I need both an alar plasty and a tip plasty? Or would doing a tip plasty fix the issue? Will any surgery fix the widening while smiling?
Answers (5)
From board-certified doctors and trusted medical professionals
Alarplasty will help with narrowing the nostrils and reducing the size of the bottom of the nose. However, you need tip plasty to reduce the bulbous tip as well. As the tip drops down with age you need a cartilage graft to lift up the tip at the same time.
Regards
Dr. J
I believe you are! I’m sure your surgeon will agree. You look great and you will look even better with the alar base reduction. Just understand if he doesn’t want to be overly aggressive because sometimes reducing the alar base too much can produce unaesthetic results.
Best of luck,
Dr. Miguel Mota
The least invasive procedure for you would be to form a closed rhinoplasty procedure with all incisions placed on the inside of the nose. This procedure can accomplish shaving down the dorsal hump, rotating the nasal tip cartilages upward, reducing the hanging columella, and narrowingof the...
