Alar base reduction and raising tip good enough?

Question

Will narrowing my nostrils and raising the tip give me a more conventionally attractive nose? Or will I have to do something with my nose bridge aswell to supplement nostril and tip work? At the bottom of the second picture is before and after using a program if I were to do tip raising and narrowing nostril - is this realistic?

Robert Singer, MD · Answer

Improving the nostril width and refining the nasal tip to achieve an improved natural appearing cosmetic result are frequent requests of patients wanting nasal refinement. It is possible to improve the cosmetic appearance of the tip alone without altering the rest of the nose in some patients. Whether the optimal option in your particular situation would be a tip rhinoplasty alone or a full rhinoplasty would best be determined at a consultation. Either procedure can be performed with a closed or open approach. 
 
 Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
 
 Robert Singer, MD FACS 
 
 La Jolla,California

Daniel Barrett, MD · Answer

Dear santalos5,it is hard to tell without a thorough examination. I would suggest you to consult a board-certified plastic surgeon. After an examination you will get more information and recommendations. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Jeffrey Jumaily, MD · Answer

Rhinoplasty is about achieving a well balanced and beautiful nose. The harmony of the nose has to be maintained after rhinoplasty. Although sometimes we focus on one area that require most of the adjustment, every part of the bone has to be adjusted to ensure a well balanced result. For you, the bridge, the nostrils and the tip all need a little a bit of refinement. In a consultation, this can be discussed in detail and you get an idea of what needs to be done. Best wishes.

Johnson C. Lee, MD · Answer

Thank you for your photos. Narrowing the nostrils/alar base and raising the tip can add elegance and refinement to the nose. It is best to have an in-office examination to determine the functional and aesthetics properties of your nose. Sometimes when you change the base and tip, you may wish to do additional changes to the bridge of the nose to improvement the proportions and overall shape of the nose. This can be demonstrated in the office. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

William Portuese, MD · Answer

A full set of facial  Photographs are required to make a determination about specific surgical procedures accomplished during a rhinoplasty procedure, because the nose is a three-dimensional structure and rhinoplasty is performed in three dimensions. Digital computer imaging performed on your nose would be helpful to understand what can be accomplished with the procedure. For many examples of closed rhinoplasty, please see the link and the video below

Alar base reduction and raising tip good enough?

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Answer: Alar base and tip

Answer: Alar base reduction and raising tip good enough

Answer: Alar base reduction and raising tip good enough

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Alar base reduction and raising tip good enough?

Answers (8)

Answer: Alar base and tip

Answer: Alar base and tip

Answer: Alar base reduction and raising tip good enough

Answer: Alar base reduction and raising tip good enough

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Recommended reading

Everything you need to know about Alarplasty

Our mission is to create a world where every investment in modern beauty is Worth It.