Is It Possible to Have Alar Base Reduction, Nose Tip Lift and Nose Bump Removal in One Session?

In the hands of an experienced rhinoplasty surgeon, a true rhinoplasty can re-shape the tip, the dorsum, and alar bases to make your nose match your face in a natural fashion. That is really the signature of an excellent rhinoplasty, one that does not look done, but Looks Natural and Matches One’s Face. Choose your surgeon wisely.

Hello,

The three procedures you mentioned can be performed in one session. You may benefit from slightly lifting the tip, which will decrease the drooping appearance that takes place when smiling.  Eliminating the small nasal hump will help improve the appearance of your nose as well. Overall, it is a personal preference as to what changes you would like to make.  The procedures can be performed subtly to enhance your own natural features, without having it appear you had any surgery. Thank you, and I hope this helps answer your question.

Dr. Nassif

All of the maneuvers would normally be performed at one surgery. I prefer the open rhinoplasty approach for this combination of enhancements. Alar (nostril) base reduction, hump reduction and narrowing with osteotomies (gently breaking the nose), upward rotation of the nasal tip, increasing tip projection, and narrowing and refining the tip are all possible changes for your nose as photographed. Of course, a thorough evaluation and consultation in person is essential to determine the ideal plan for you. Good luck.

Regarding your first question, all of the procedures that you list (Alar Base Reduction, Nose Tip Lift and Nose Bump Removal) may be performed in one session. Regarding your second question, although your photos help, it is difficult for a surgeon to make specific recommendations without examining you in person. It would serve you well to receive individualized recommendations that are tailored to your concerns and preferences. That is best done during a personal consultation with a board certified surgeon. Good luck to you.

Absolutely! With rhinoplasty many techniques can be used to improve the appearance of the nose in the same session. While alar base reduction is done to make the base of the nose look narrower, it is typically used in African-American or Hispanic noses which tend to have a wider alar base. In addition, these types of noses often need extra support in the nasal tip to give them more projection. Lastly, many noses have a strong nasal profile with a nasal hump. All three of these techniques can be safely done in the same rhinoplasty procedure. Discussion of these techniques and possible rhinoplasty begins by consulting a qualified facial plastic or plastic surgeon.  

Your photos are extremely helpful.  You have very nice facial features and I think a well performed rhinoplasty will really enhance your overall appearance.  The questions that you had with regards to your particular nose are very appropriate.  I would agree with each change to your nose that you would like to see.  I would better define and elevate the nasal tip,  Depending upon your profile after elevating the nasal tip, a dorsal onlay graft of your septal cartilage may be necessary.  Finally, I would agree with the assessment that you have made of your nostril width.  I think that a conservative alar base reduction would look terrific.  As others have mentioned, making the nostril smaller is not really the objective, which can result from Wehr incisions, but, narrowing the distance between the nostril insertion and the columella (the part of your nose between your nostrils) is really the objective. 

Yes, all of these maneuvers can and should be done during the same procedure.  It is impossible to make authoritative recommendations without actually examining you.  From the appearance, without knowing what your nasal bones and skin are like, consider narrowing the nose (base and dorsum), raising the tip (shortening the nose), diminishing tip size, lowering the dorsum, improving tip definition.  Tip projection must be stabilized.  

It is possible to have alar base reduction, the tip lifted, and nasal hump removal all in 1 session.  This can be done through a closed rhinoplasty technique.  Alar-based incisions are made right at the nostril sill to reduce the nostril base.  The release of the depressor septi ligament will also dramatically improve the drooping of the nasal tip when smiling.  

All of the changes that you want to make on your nose are very typical and can be done in one rhinoplasty surgery. Your nose and your desired changes comprise common elements of an ethnic rhinoplasty aiming towards a smaller and more refined nose. There are limits as to how refined your nose can become due to the thickness of your skin however. I would make sure that you see computer imaging predictions before your procedure so you have a realistic understanding as to what rhinoplasty can achieve for you.

Absolutely.  Very common.  It doesn't add that much to your recovery time.