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Alar base reduction. Is there any way to detach the alar and reposition it?

ozz1Mar 29, 2018
after having aggresive alar base reduction with results i really like. the only thing that i dont like is that the angle of the nostril rims are alot higher compared to the columella. before alarplasty they were both parallel. my side profile does not look as lifted becuase my alar rims angle lower while the columella angles at 90 degrees. is there any way to detach the alar and reposition it or change the angle of the rims?

Answers (2)

From board-certified doctors and trusted medical professionals
Justin C. Cohen, MD, FACS profile photo
Dr. Justin C. Cohen, MD, FACS
Board Certified Facial Plastic Surgeon
5.0 | 235 Reviews
Answered on Apr 1, 2018
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Dr. Kimberly Lee, MD
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Answered on Apr 4, 2018
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Robert J. Paresi Jr., MD, MPH

Thanks for the question.  The reason why your scars are more visible is that there is a discrepancy in size between the ala and the remnant of the base that is was sutured to.  The ala is wider than the base.  This can be corrected with a scar revision and mattress sutures to maintain the co...

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Peyman Solieman, MD

Estesan it is very typical for your nostrils to look relatively similar after you first have surgery, especially if you were not looking for a serious change. Over time this swelling should reduce and you should see the change you were expecting All the best

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Ronald J. Edelson, MD

I agree that you are a good candidate for alarplasty alone. It’s a short procedure and can even be performed under local anesthesia in about 45 minutes.  I would not recommmend lifting the tip.  Your tip looks fine.

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