Alar Base Reduction or Tip-plasty...or Both?

Thank you for your photograph in question.  A nasal tip rhinoplasty or tip plasty will significantly change the appearance of your nasal tip.  A strut cartilage graft will elevate and rotate the tip upward and cartilage resection and cartilage graft will narrow the tip significantly.  In my experience this is all that many patients need.If an alar base reduction is needed after your tip rhinoplasty in my opinion it is better done as a second procedure.  The tip plasty relies on blood supply from the alar base area and to do both procedures together in my opinion risks healing problems based on interference with blood supply.

The alarplasty is performed to make the nostrils less full and wide. This can be performed at the same time of tip rhinoplasty surgery. Most tiplasty surgery involves suturing the tip cartilages together to remove tip cartilages where they are simply too wide. Occasionally structural support grafts are used in the tip. Cartilaginous structure graft of the tip will not be of any width, just projection and strength. The dome binding suture and the alarplasty will make the tip look less bulbous.