Do I need an alarplasty or a full rhinoplasty? (photos)

Question

Hi, I've been considering getting a nose job done for a while now but am unsure if I am a good canidate for just an alarplasty. I feel like my nose is quite short but my main concern is the width and uneveness of my nostrils. Would an alarplasty address these issues or would a full nose revision be a better route to take? I feel like the second option could help decrease the overall width of my nose but im not sure if that would fix the uneveness of my nostrils.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photo. Your nasal base a little wide if you want to correct it I recommend you alar base Plasty.It would be more convenient to decide with face-to-face consultation. Best regards!

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Alar base reduction can narrow the nose by removing tissue from the nostrils. While this procedure would address the width of your nose, it wouldn’t change the length, which you’ve also listed as a concern. Addressing the length, symmetry, and overall shape of your nose may require a graft during a full rhinoplasty.
Keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to discuss the changes you’d like to achieve and determine the best surgical approach for you.

Ronald Espinoza, DO · Answer

An alar excision can be done for wide nostrils if that’s what bothers you but you have to be careful if you have a short columella then you can not remove to much alar or you will affect the size of nasal aperture

William Portuese, MD · Answer

It depends upon what's bothering you. If your wide nostrils are bothering you, just perform an alar-plasty which narrows them. They're asymmetrical now, and they will still be asymmetrical after the surgery, just narrowed. An alar plasty can be performed under local anesthesia. If you want to narrow your bridge line, that's a full rhinoplasty and that must be done under general anesthesia, since it's bone work. Your side profile does not need any improvement. You could always do the alar plasty first, and after a year or so if you're still unhappy with your nose, you can always undergo a full rhinoplasty.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note a small notch deformity at the free margin of the nostril rim. 
We recommend that you undergo treatment to the specific areas of your concern. Narrowing the nose will not correct the notch (the nose can be narrowed if this is of concern to you). A tip-plasty will increase tip definition. Addition of a small cartilage graft will fill out the depression and excision of the alar bases will narrow the nostrils and correct nostril flare.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Do I need an alarplasty or a full rhinoplasty? (photos)

Answers (5)

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