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Is there any way I can augment the position of my nostrils? (photo)

Versatile215765Aug 30, 2022
One of my nostril bases sit higher than the other. It is typical to have nostril asymmetry but mine is overly obvious and interferes with how my glasses sit on my face. I am aware of two alarplasty techniques- alar wedge excision and nostril sill excision and I don't see how these would improve the look of my nose. Is there any way I could move one of my nostrils down?

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Dr. Tanveer Janjua, MD
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Answered on Sep 17, 2022
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Ronald J. Edelson, MD profile photo
Dr. Ronald J. Edelson, MD
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Answered on Dec 21, 2022
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Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Mar 6, 2023
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Robert Ciardullo, MD

One sided alar plasty: if one nostril is larger at the base then the other it is theoretically possible to do a one sided Alar plasty to reduce the width of the base of the larger nostril. This is possible if the only discrepancy is the width at the base. If the shape of the nostril is different...

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Stephen J. Pincus, MD

Without seeing a front view photograph, it is difficult to give a definite answer to your question. However, from similar cases, I have used a "cinching suture" beneath the nose to prevent excessive widening of the alar base when smiling. It is important to do a complete dissection and not just...

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David M. Kowalczyk, MD, MBA, FACS

Hi there! I would agree with what you've come up with regarding medial crural footplate flare or a septal deflection. The footplate flare is relatively easy to fix and can be done in office with suturing. If the septum is deviated, that can be more challenging as we don't want to disrupt the...

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Robert Ciardullo, MD

Who is qualified to perform an alar plasty? an alarplasty is a very small and rather simple procedure that is usually done in the office under local anesthesia. Any plastic surgeon, facial plastic surgeon, or ENT surgeon who has experience with nasal surgery including rhinoplasty should do more...

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Robert Ciardullo, MD

What procedure is performed for flaring nostrils? The procedure that is commonly performed for white-based, flaring nostrils is an alar plasty. there is not ia large variety of choices here. If you want more narrow based nostrils that is the procedure which is available. You don’t show a basal v...

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Ronald J. Edelson, MD

It looks like only a small wedge was taken. I think your nose looks good but the alar wedges could be smaller. Do it awake under local anesthesia so you can participate in the planning

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