Will Alarplasty Help Fix my High, Flared, Uneven Nostrils? What is Likely Causing This Asymmetry? (photo)

In your case, an alarplasty alone would not help.  In general, an alarplasty, or alar base reduction will help reduce the size of the nostrils, making them less wide.  Your nostrils do not appear too wide, but appear to be receding upward.  Sometimes, when patients have nostrils that flare, it can create the illusion of a hanging columella.  The best way to achieve balance in this area is to use cartilage grafts to lower the nostrils.  I would recommend a consultation with a board certified surgeon that uses computer imaging software to help get an idea of how your nose may appear following a surgical procedure. Thanks, and I hope this helps answer your questions.

Dear Asymetrique,

 

Thank you for sharing you photos.

 

I recommend a multifaceted approach when it comes to your case so all your nasal aspects could be addressed proportionally and will better fit your facial features while preserving the natural beauty of your face.

 

Without physical examination it is difficult to give you solid planning on how to go about realizing your goal.

 

So, it is best if you could seek a consultation with a board certified surgeon of ample experience in the field who will guide you and help you make a well informed decision.

 

Best of luck to you.

Dr. Sajjadian

Hi Asy,

 

A tip-plasty will correct the "offending party", as one of my recent rhinoplasty patients addressed her nasal deformity.  Your question can best be answered after a complete examination of your nose, including inside (your nasal septum may be contributing).  Your best course of action is to consult with a few rhinoplasty experts, and then be sure to choose your rhinoplasty surgeon most carefully.  Alar plasty alone will not correct your assymetry.  Good luck and be well.

Best,

Dr. P

An alarplasty will only reduce the width of the base of the nostrils and does not effect flaring.  Flaring of the nostrils can be addressed with a combination of composite grafts or alar rim grafts or baton grafts placed inside the nostril.  Patient’s nostrils are never exactly symmetric, so some minor asymmetry is within tolerance either before or after a rhinoplasty surgery.

Try not to think of each adjustment in rhinoplasty as a 'procedure', as each step we take to change the nasal form can impact the balance elsewhere. The nasal ala is high and arched and an alarplasty or graft may be the correct step, though it might be necessary to raise the columella to reduce show, and reduce the asymmetric flare with a Weir at the base to fine tune adjustments. Make sure you and your surgeon 'see' and understand your issues and goals the same way.