My alar base is abit wide and i would like it reduced. I have thick skin and my nostrils are long instead of wide. Surgerons have told me reducing my alar base would give a "pinched" appearance and result in difficulty breathing. I trust my surgerons but i want outside opinions on if this is true. We are also worried a tip refinement and width reduction of the cartilage will give the nostrils an even wider appearance.
November 21, 2023
Answer: Tip refinement and widening of the base I would not recommend a nostril reduction but I do recommend that the medial crura needs to be brought together more in the midline to increase the size of your airway. Also, your tip projects too high and the base of the nose is too narrow. You will need refinement of the tip and possibly widening of the base. Best Wishes, Gary Horndeski, M.D.
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November 21, 2023
Answer: Tip refinement and widening of the base I would not recommend a nostril reduction but I do recommend that the medial crura needs to be brought together more in the midline to increase the size of your airway. Also, your tip projects too high and the base of the nose is too narrow. You will need refinement of the tip and possibly widening of the base. Best Wishes, Gary Horndeski, M.D.
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November 22, 2023
Answer: Mixed You COULD get a mild alar base reduction but I don't think that would be wise to do alone because your nostril aperture is pretty small and this could worsen your breathing. It would NOT give you a pinched appearance bc that alone is not capable of doing that. If you want tip refinement, THEN it is possibble to get a pinched look but only if your surgeon is overly aggressive. Doing that, I would have them also narrow your middle crura at the same time so that will open up your nostrils much more and thus allow you to tolerate more alar base excision. Good luck!
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November 22, 2023
Answer: Mixed You COULD get a mild alar base reduction but I don't think that would be wise to do alone because your nostril aperture is pretty small and this could worsen your breathing. It would NOT give you a pinched appearance bc that alone is not capable of doing that. If you want tip refinement, THEN it is possibble to get a pinched look but only if your surgeon is overly aggressive. Doing that, I would have them also narrow your middle crura at the same time so that will open up your nostrils much more and thus allow you to tolerate more alar base excision. Good luck!
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