The nose may widen when you smile because the tip doesn't have good support. This can be corrected along with the bulbosity in a tip plasty. The ala should be considered in relation to the tip at rest. If they are flared without smiling, then alarplasty can be done at the same time. Be sure to...
Alarplasty will help with narrowing the nostrils and reducing the size of the bottom of the nose. However, you need tip plasty to reduce the bulbous tip as well. As the tip drops down with age you need a cartilage graft to lift up the tip at the same time.
Regards
Dr. J
I believe you are! I’m sure your surgeon will agree. You look great and you will look even better with the alar base reduction. Just understand if he doesn’t want to be overly aggressive because sometimes reducing the alar base too much can produce unaesthetic results.
Best of luck,
Dr. Miguel Mota
