Full alar trim/horizontal excision of alar rim to raise it & narrow tip. Is this safe? why is it not common in the USA? (photo)

Good Afternoon! I am unfamiliar with this technique. The problem with being too aggressive with the nostrils is that if asymmetries are created, they can be very difficult to correct. Significant deformities can occur with poorly-executed alarplasties outside of this technique. I would advise...

Hi, thank you for your question. I see that (from the limited images), alar resection alone would not help. Tip plasty should be performed. Although you have thick skin, you may think revision. To me, that's ideal. Regards. Best. Dr.Cem A.

You have a butch in your ala. you need an internal nostril graft with skin and probably cartilage. Not a difficult procedure technically and should provide some correction