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Is Alar Base Reduction a Good Option for my 2nd Rhinoplasty?

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delacSep 22, 2011

I am not entirely happy with my first rhinoplasty. My nose is not as straight in profile as I would like and the septum is unnecessarily protruded. In addition, I want to have a more contoured, well defined bridge and a square tip as opposed to rounded ( A. Jolie being a perfect example). Most importantly, for this look to work I have to have my nasal base reduced as I think the nostrills are too far flung. Do you think alar base reduction is a wise option given all the other work that I need?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Michael L. Schwartz, MD
Dr. Michael L. Schwartz, MD
Board Certified Facial Plastic Surgeon
Answered on Sep 23, 2011
Answer
Dr. Richard W. Fleming, MD (retired)
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Sep 26, 2011
Answer
Dr. Francis R. Palmer, III, MD (retired)
Dr. Francis R. Palmer, III, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Sep 25, 2011
Answer

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Manish H. Shah, MD, FACS

Unfortunately, there is no scarless method for an ABR.  To narrow the tissues requires removal of excess or malpositioned tissues.  Scars can be minimized using multiple modalities but that is a conversation best left to you and your rhinoplasty surgeon.  My experience has been...

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Sam Naficy, MD, FACS

No - based on your photos it appears that you do not have excessive flare of the nostrils nor should you develop this through significant deprojection

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Sam Naficy, MD, FACS

Dissolving sutures are OK in the alae and columella and typically heal just as well as removable sutures

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Sean Younai, MD, FACS

Reducing the size and width of the nostrils can significantly improve of the outcome of a rhinoplasty in people who have flared and wide nostrils. Using an Alar wedge resection technique during rhinoplasty, a small wedge of the nostril is removed and the remaining nostrils are brought in to make...

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Rod J. Rohrich, MD

One of the key elements is to allow for natural alar base reduction by hiding the scar just above the alar groove. Alar base reductions can be particularly challenging and can be done so they look natural and does not give one a pinched look or facial incongruity as is often seen if done...

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Kevin Sadati, DO

Dear texmex8644 from Corpus Christi, TX Regarding your initial rhinoplasty surgery that you had in Texas with unsatisfactory results, there is good news for you. If everything else about your nose is satisfactory to you and just the alar base is widened, an office revision rhinoplasty procedure...

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