Need opinions on alarplasty.. Any suggestions? (photos)
Doctor Answers 6
alar plasty procedure
It can only be estimated at time of physical exam
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While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Consult with an experienced rhinoplasty specialist and look carefully at his/her Before/Afters to find a surgeon with the aesthetic that matches yours.
The anatomy of the nostrils will change depending on what maneuvers are performed on the nasal tip. Nostril flaring, for example, decreases somewhat if the tip is projected. As a result the exact location and amount of tissue to remove is based on a combination of factors including physical exam, surgical procedures, and your goals. Consult with a rhinoplasty expert to discuss further. Good luck!
Thank you for your question and photographs. After viewing your photographs, in my opinion, I would start with a 4 mm reduction and perform a preview suture to see if this looks good. If it appears that more tissue can be excised, an excision of up to 6 mm would be appropriate. Best wishes in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.