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The photo shows an appropriate sized tip. It is not too big. However the nostrils are prominent. An alarplasty alone is enough. Also, down the road if you still feel the tip is bulbous then a delayed Tip-plasty can be done. RegardsDr. J
An Alar- plasty can be done under local anesthesia and this procedure simply narrows wide nostrils. A closed rhinoplasty can accomplish reduction of the bulbus tip and narrowing the bridge line. Both a rhinoplasty and an Alar- plasty can be performed together when needed.
Based on your photos, your nostrils are fairly symmetrical, however, there is some visible scar tissue in between your nostrils and your cheeks. I do not believe there is any good way to re-widen the base of the nose, however, dermabrasion procedures may be considered for improving the...
Any attempts at using "bands" or "threads" to reshape or narrow the nose will result in a temporary shape change at best, and will result in significant scarring and deformity to the nose at worst. Best to consult with experienced rhinoplasty surgeons with regards to the safest and most...
A combination of a Weir with nasal sill excision will create the optimal outcome for you given the excessive width of your sill, but also the excessive flare of your ala. Preserving the appropriate degree of flare and width will allow for a significant improvement in the shape of your nostrils...
Alarplasty alone can reduce the width and/or flare of the nostrils and ala. It does not change the size or shape of the nasal tip. Surgical rhinoplasty is the safest and most effective way to create permament changes to the size and shape of the nasal tip.
You can take Accutane as soon as one month after surgery if the incisions are healed. In fact the Accutane might help improve the overall appearance by reducing thickness related to the sebaceous glands. Regards Dr J
In the photo the "bumps" or fullness along your alar base incisions appears to be due to tension along the incision line. Depending on how long ago your surgery was, this may relax and improve with further healing. Without a static photo (not smiling) to compare with, it's hard to rule out...
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