I had a septorhinoplasty for a crooked nose and to reduce the width of bridge and tip. While I'm OK with how I look in repose, I dislike my nose when I smile. While I always had (v. asymmetric, by the way) nostrils that spread wide, somehow the shape of my old nose hid this. Now, with a smaller less defined tip, i have this big fat blob that lies flat and wide when smiling. Can something that can be done? Alar reduction? Is this tough? I just want an improvement, not pinched nostrils.
Answers (2)
From board-certified doctors and trusted medical professionals
Indented alar scars may require excision and layered closure. I frequently see alar scars that are thick, necessitating pulsed dye scar laser.
You are correct that alar base reduction can be done under local anesthesia and is a short, outpatient procedure. As far as any breathing problems are concerned, it should be pretty easy to tell if the problem is in your nose or your chest. If you can breathe easily through your...