Can't find alternatives to slim wide nasal alae

Question

I'm a man, 30 yr, with wide nose and thick-skinned alae. Three prominent surgeons told me I'm not eligible for a revision rhinoplasty (nostrils too small). I want to know about non-surgical treatments to slim my nose's lower third, at least a little. Can you suggest treatments? I've read about: * CO2 fractional laser * Cortisone injections (crystal cortisone) * Fat dissolving injections * Hyalase or hyaluronidase injections * Botox * Microneedling * Chemical peelin Thanks!

Eric M. Joseph, MD · Answer

Sometimes people can have a wide nasal appearance from excessive oil glands on the nose. Sometimes patience such as this may benefit from treatments with isotretinoin. This medication is commonly prescribed by a dermatologist than an examination would be necessary. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The only way to reliably narrow a wide alar base is with surgery. Any non-surgical interventions would not accomplish this.   I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures and ask your surgeon to forward the pictures they took.
If three plastic surgeons told you you shouldn’t have revision surgery then you probably shouldn’t have revision surgery.
I don’t think Non-surgical treatments are going to change the shape of your nose.
None of the treatments you mentioned seem appropriate in my opinion.
Without more information we can’t begin to make an assessment.
Best,
Mats Hagstrom MD

Can't find alternatives to slim wide nasal alae

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Can't find alternatives to slim wide nasal alae

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Everything you need to know about Rhinoplasty

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