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Alar base reduction works well to reduce the width and flare of nostrils. Asymmetries between the size of nostrils can also be addressed to a certain extent, when other aspects of the nose are symmetric. For your nostrils, the position and shape of the columella creates the asymmetry rather than the shape and size of the ala. For this reason I wouldn't expect a significant improvement in symmetry with an alarplasty alone.
Just on your photos, you do not appear to have a significant amount of nostril asymmetry. If you would like your nostril margins a bit lower on front view, more so on the right, depending on your examination, microdroplet Silikon-1000 injections may be considered for decreasing your amount of nostril show on front view. I hope this helps. Sincerely, Dr Joseph
Nostril Asymmetry It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone. RegardsDr. J
It seems by your photo that you have a somewhat long nasal septum that may be pushing your columella downward. Rhinoplasty techniques with nasal shortening and columella repositioning may be considered for decreasing nostril show. This should be reserved for those with severe dissatisfaction...
I do not believe that the opening in the incision will close spontaneously at this point. Since it is relatively small, I believe that your surgeon could repair this in the office with local anesthetic. I hope this helps. Sincerely, Dr. Joseph
Assuming proper design and meticulous closure of the incision, scar resurfacing procedures like dermabrasion, laser resurfacing, and RF microneedling may be considered in addition to standard microneedling. Different providers will have different degrees of experience and success in applying...