my doctor said he would like to narrow my nostrils from the inside but not the outside, and he wasn't clear on the technique he would use. Is that just a sill excision (or something else??) and not a wedge excision? A proper alar base reduction is always done from the outside, right? Can doing it from the inside be just as effective? Please reply!!
Answer: Weir excisions....and Sill excisions are totally different A weir excision is designed to narrow the width of the nasal alae...and specifically is used to reduce nasal/nostril "flare." Sill excisions are designed on the inside of the nostrils, and actually reduce the aperature of the nostril. Occasionally, patients are candidates for both and can have a combination excision performed.
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Answer: Weir excisions....and Sill excisions are totally different A weir excision is designed to narrow the width of the nasal alae...and specifically is used to reduce nasal/nostril "flare." Sill excisions are designed on the inside of the nostrils, and actually reduce the aperature of the nostril. Occasionally, patients are candidates for both and can have a combination excision performed.
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April 18, 2016
Answer: Narrowing the nostrils from the inside Dear nosepatient1,You can narrow the nostrils from inside the nose with a diamond shaped incision just behind the sillI prefer this method as well because it does not leave visible scarringThe downside to the internal method is that you do cannot narrow the nostril as much as from the inside compared to the external approachAlthough the scar hides well in SOME patients, other patients do not have the best anatomy to hide that external nostril scarAdditionally, if that incision is carried through the sill, it rarely, if ever, hides well enough not to be noticedTake a look at before and after pictures to judge for yourself. In my mind, it is a giveaway for rhinoplasty surgeryIf your nose is still too broad after surgery, it can easily be converted to an external incisionBest,Dr. Nima
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April 18, 2016
Answer: Narrowing the nostrils from the inside Dear nosepatient1,You can narrow the nostrils from inside the nose with a diamond shaped incision just behind the sillI prefer this method as well because it does not leave visible scarringThe downside to the internal method is that you do cannot narrow the nostril as much as from the inside compared to the external approachAlthough the scar hides well in SOME patients, other patients do not have the best anatomy to hide that external nostril scarAdditionally, if that incision is carried through the sill, it rarely, if ever, hides well enough not to be noticedTake a look at before and after pictures to judge for yourself. In my mind, it is a giveaway for rhinoplasty surgeryIf your nose is still too broad after surgery, it can easily be converted to an external incisionBest,Dr. Nima
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April 17, 2016
Answer: Nostril adjystments addressing nostril size with soft tissue reduction is a powerful and important tool.it is generally done with an external incision that extends somewhat internally. it can be done from the inside only but this is rare and does not achieve the same thing as the more standard approach. there is no one right way. the shape of the excision is customized to the nose to reduce width, flare, change shape, etc. there are infinite shape for infinite individual needs.
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April 17, 2016
Answer: Nostril adjystments addressing nostril size with soft tissue reduction is a powerful and important tool.it is generally done with an external incision that extends somewhat internally. it can be done from the inside only but this is rare and does not achieve the same thing as the more standard approach. there is no one right way. the shape of the excision is customized to the nose to reduce width, flare, change shape, etc. there are infinite shape for infinite individual needs.
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April 18, 2016
Answer: Narrowing the nostrils Narrowing the nostrils can name performed at a variety of techniques which include incisions on the inside and outside of the nostrils. For only mild widening, the incisions can be placed on the inside. If significant widening of the nostrils is present, an external incision is required.
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April 18, 2016
Answer: Narrowing the nostrils Narrowing the nostrils can name performed at a variety of techniques which include incisions on the inside and outside of the nostrils. For only mild widening, the incisions can be placed on the inside. If significant widening of the nostrils is present, an external incision is required.
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April 19, 2016
Answer: Internal vs External Incision to Narrow Alar Base in Rhinoplasty Part of the decision-making process in choosing between these two incisions is what shape you are looking to get. The internal incision isn't visible from outside, but will usually give a more rounded look to the nostrils. The external incision generally makes the nostril less rounded. It depends on what you want to achieve shape-wise, and not solely on incision placement preference.
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April 19, 2016
Answer: Internal vs External Incision to Narrow Alar Base in Rhinoplasty Part of the decision-making process in choosing between these two incisions is what shape you are looking to get. The internal incision isn't visible from outside, but will usually give a more rounded look to the nostrils. The external incision generally makes the nostril less rounded. It depends on what you want to achieve shape-wise, and not solely on incision placement preference.
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